Pharm CMS Practice Questions
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long
half-life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four *** A. One
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the
following factors should the educator include as a reason to administer lower medication dosages?
(select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway metabolizes *** C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse
take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation *** B. Ask the client to look up at the ceiling
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
,A nurse is teaching a client about transdermal patches. Which of the following statements should the
nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch" *** C. "I will apply the patch to an area of skin
with no hair"
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the
client's medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late *** A. Obtain a blood specimen
immediately prior to administering the next dose of medication.
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines? (Select all that apply)
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status *** A. Teach the client about the med
C. Monitor for adverse effects
D. Lock compartments for controlled substances
,The nurse is preparing to administer digoxin to a client who states, "I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse make?
A. Your physician prescribes it for you, so you really should take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication *** D. Tell me your concerns about taking this
medication
The nurse is reviewing a client's prescribed medications. Which of the following situations represents a
contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a medications effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a preoperative
sedative *** C. A medication is approved for ages 12 and older, and the client is 8 years old
The nurse is assessing a client before administering medications. Which of the following data should the
nurse obtain? (select all the apply)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies *** A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly hired nurse who is administering medications to clients. Which of the
following actions by the newly hired nurse indicates an understanding of medication error prevention.
, A. Taking all medications out of the unit- dose wrappers before entering the clients room
B. Checking with the provider when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dosage range.
D. Relying on another nurse to clarify a medication prescription. *** B. Checking with the provider when
a single dose requires administration of multiple tablets
A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an
antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions
should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity *** B. Withdraw the solution from the IV access
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should
the nurse plan to take?A. Use a disposable razor to remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart *** C. Distend the veins by using a blood
pressure cuff
A nurse assessing the IV catheter insertion site for a client receiving a non vesicant solution and notes
swelling at the site with decreased skin temperature. Which of the following actions should the nurse
take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long
half-life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four *** A. One
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the
following factors should the educator include as a reason to administer lower medication dosages?
(select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway metabolizes *** C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse
take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation *** B. Ask the client to look up at the ceiling
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
,A nurse is teaching a client about transdermal patches. Which of the following statements should the
nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch" *** C. "I will apply the patch to an area of skin
with no hair"
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the
client's medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late *** A. Obtain a blood specimen
immediately prior to administering the next dose of medication.
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines? (Select all that apply)
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status *** A. Teach the client about the med
C. Monitor for adverse effects
D. Lock compartments for controlled substances
,The nurse is preparing to administer digoxin to a client who states, "I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse make?
A. Your physician prescribes it for you, so you really should take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication *** D. Tell me your concerns about taking this
medication
The nurse is reviewing a client's prescribed medications. Which of the following situations represents a
contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a medications effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a preoperative
sedative *** C. A medication is approved for ages 12 and older, and the client is 8 years old
The nurse is assessing a client before administering medications. Which of the following data should the
nurse obtain? (select all the apply)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies *** A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly hired nurse who is administering medications to clients. Which of the
following actions by the newly hired nurse indicates an understanding of medication error prevention.
, A. Taking all medications out of the unit- dose wrappers before entering the clients room
B. Checking with the provider when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dosage range.
D. Relying on another nurse to clarify a medication prescription. *** B. Checking with the provider when
a single dose requires administration of multiple tablets
A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an
antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions
should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity *** B. Withdraw the solution from the IV access
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should
the nurse plan to take?A. Use a disposable razor to remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart *** C. Distend the veins by using a blood
pressure cuff
A nurse assessing the IV catheter insertion site for a client receiving a non vesicant solution and notes
swelling at the site with decreased skin temperature. Which of the following actions should the nurse
take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
