Page 1 of 215
pharmacology Proctored Exam CMS ACTUAL EXAM
ALL 300 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: 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 - ANSWER-A. Obtain a
blood specimen immediately prior to administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen immediately
before administering the next dose of medication.)
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, Page 2 of 215
QUESTION: 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. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis - ANSWER-A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration techniques are legal
responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of medication
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, Page 3 of 215
D. Safeguarding of medications, such as controlled substances, is a legal responsibility of the
nurse)
QUESTION: A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
mg PO once every day. The nurse should identify this as which of the following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER-C. Routine
(A routine or standard prescription identifies medications to give on a regular schedule with or
without a termination date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.)
3
, Page 4 of 215
QUESTION: A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of
the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER-D. Frequency
(This prescription does not include the time or frequency of medication administration. The
nurse must clarify this with the prescribing provide)
QUESTION: A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the preassessment?
(Select all that apply.)
A. Use of herbal teas
4
pharmacology Proctored Exam CMS ACTUAL EXAM
ALL 300 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: 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 - ANSWER-A. Obtain a
blood specimen immediately prior to administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen immediately
before administering the next dose of medication.)
1
, Page 2 of 215
QUESTION: 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. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis - ANSWER-A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration techniques are legal
responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of medication
2
, Page 3 of 215
D. Safeguarding of medications, such as controlled substances, is a legal responsibility of the
nurse)
QUESTION: A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
mg PO once every day. The nurse should identify this as which of the following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER-C. Routine
(A routine or standard prescription identifies medications to give on a regular schedule with or
without a termination date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.)
3
, Page 4 of 215
QUESTION: A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of
the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER-D. Frequency
(This prescription does not include the time or frequency of medication administration. The
nurse must clarify this with the prescribing provide)
QUESTION: A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the preassessment?
(Select all that apply.)
A. Use of herbal teas
4
