CMS PHARMACOLOGY PROCTORED EXAM QUESTIONS AND ANSWERS 2025
A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received
heparin at 1100. Which of the following laboratory values warrants an incident report ? - (ANSWER)aPTT
90 seconds
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After
assessing a client's respiratory status and stopping the medication infusion, which of the following
actions should the nurse take next? - (ANSWER)Administer Epinephrine IM
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values
should the nurse withhold the medication? - (ANSWER)Potassium 5.3 mEq/ L
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse
should take. (Move the steps into the box on the right, placing them in the order of performance. Use all
the steps) - (ANSWER)Obtain the client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client's wristband to the medication administration record
Document administration of the medication
A nurse is reviewing the list of current medications for a client who is to start a new prescription for
carbamazepine. The nurse should identify which of the following medications interacts with
carbamazepine? - (ANSWER)estrogen-containing contraceptives
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the
following statements should the nurse include in the teaching? - (ANSWER)Notify your provider if you
develop a fever while taking this medication"
you should have your WBC monitor every week
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting for
prescription for sildenafil. the nurse should identify which of the following medications is a
contraindication for receiving medication? - (ANSWER)nitroglycerin
,CMS PHARMACOLOGY PROCTORED EXAM QUESTIONS AND ANSWERS 2025
A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The client
tells the nurse I no longer want this vaccine. Which of the following responses should the nurse make? -
(ANSWER)the influenza vaccine this strongly and coverage but I understand you would like to decline
right now
A nurse is discussing adverse reactions to pain medications in older adults clients with a newly licensed
nurse. Which of the following findings should the nurse include as risk factors for an adverse drug
reaction? select all that applies - (ANSWER)multiple health problems
decrease percentage of body fat
decreased renal function
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by mouth
every 6 hours. Which of the following findings indicate a need for the nurse to notify the provider? -
(ANSWER)history of alcohol use disorder
a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is
effective? - (ANSWER)improve cognition
A nurse is reviewing the laboratory results of a client who is receiving genital medicine for
Staphylococcus. Which of the following findings should the nurse report to there immediately? -
(ANSWER)fasting blood glucose 130 mg
A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV infusion.
Which of the following Results indicates the nurse should decrease the infusion rate? - (ANSWER)aPTT
90 sec
The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The nurse should
plan to monitor the client for which of the following adverse effects? - (ANSWER)orthostatic
hypotension
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following
manifestations should the nurse identify as an allergic reaction? - (ANSWER)Hypotension
, CMS PHARMACOLOGY PROCTORED EXAM QUESTIONS AND ANSWERS 2025
A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene
sulfonate. Which of the following findings should a nurse identify as an indication that the medication
has been effective? - (ANSWER)calcium 8 mg- under normal range
potassium 4.6 meq- in normal range
A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should
monitor the client for which of the following manifestations has an adverse effect of the medication? -
(ANSWER)hypokalemia
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving
cytotoxic chemotherapy. For which of the following data, discovered after the medication was
administered, should the nurse file an incident report? - (ANSWER)The medication vial sat at room
temperature for 2 hours before it was administered.
A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking
levothyroxine for 2 months. Which of the following statements by the client indicate a therapeutic
response to the medication? - (ANSWER)I have noticed I'm not as cold as I used to be
a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a prescription for
cyclosporine. The nurse should report which of the following laboratory results of the provider? -
(ANSWER)creatinine 2.8 mg
A nurse is teaching a newly-licensed nurse about expired medication. Which of the following
instructions should the nurse include in the teaching? - (ANSWER)return the medication to the
pharmacy
a nurse is administering naloxone to a client who has developed an adverse reaction to Morphine. The
nurse should identify which of the following findings as a therapeutic effect of naloxone? -
(ANSWER)increased respiratory rate
a nurse is preparing to administer Heparin subcutaneously to a client. Which of the following should the
nurse plan to minimize bleeding following the injection? - (ANSWER)grasp skin between thumb and
forefinger throughout the injection
A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received
heparin at 1100. Which of the following laboratory values warrants an incident report ? - (ANSWER)aPTT
90 seconds
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After
assessing a client's respiratory status and stopping the medication infusion, which of the following
actions should the nurse take next? - (ANSWER)Administer Epinephrine IM
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values
should the nurse withhold the medication? - (ANSWER)Potassium 5.3 mEq/ L
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse
should take. (Move the steps into the box on the right, placing them in the order of performance. Use all
the steps) - (ANSWER)Obtain the client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client's wristband to the medication administration record
Document administration of the medication
A nurse is reviewing the list of current medications for a client who is to start a new prescription for
carbamazepine. The nurse should identify which of the following medications interacts with
carbamazepine? - (ANSWER)estrogen-containing contraceptives
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the
following statements should the nurse include in the teaching? - (ANSWER)Notify your provider if you
develop a fever while taking this medication"
you should have your WBC monitor every week
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting for
prescription for sildenafil. the nurse should identify which of the following medications is a
contraindication for receiving medication? - (ANSWER)nitroglycerin
,CMS PHARMACOLOGY PROCTORED EXAM QUESTIONS AND ANSWERS 2025
A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The client
tells the nurse I no longer want this vaccine. Which of the following responses should the nurse make? -
(ANSWER)the influenza vaccine this strongly and coverage but I understand you would like to decline
right now
A nurse is discussing adverse reactions to pain medications in older adults clients with a newly licensed
nurse. Which of the following findings should the nurse include as risk factors for an adverse drug
reaction? select all that applies - (ANSWER)multiple health problems
decrease percentage of body fat
decreased renal function
A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by mouth
every 6 hours. Which of the following findings indicate a need for the nurse to notify the provider? -
(ANSWER)history of alcohol use disorder
a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is
effective? - (ANSWER)improve cognition
A nurse is reviewing the laboratory results of a client who is receiving genital medicine for
Staphylococcus. Which of the following findings should the nurse report to there immediately? -
(ANSWER)fasting blood glucose 130 mg
A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV infusion.
Which of the following Results indicates the nurse should decrease the infusion rate? - (ANSWER)aPTT
90 sec
The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The nurse should
plan to monitor the client for which of the following adverse effects? - (ANSWER)orthostatic
hypotension
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following
manifestations should the nurse identify as an allergic reaction? - (ANSWER)Hypotension
, CMS PHARMACOLOGY PROCTORED EXAM QUESTIONS AND ANSWERS 2025
A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene
sulfonate. Which of the following findings should a nurse identify as an indication that the medication
has been effective? - (ANSWER)calcium 8 mg- under normal range
potassium 4.6 meq- in normal range
A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should
monitor the client for which of the following manifestations has an adverse effect of the medication? -
(ANSWER)hypokalemia
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving
cytotoxic chemotherapy. For which of the following data, discovered after the medication was
administered, should the nurse file an incident report? - (ANSWER)The medication vial sat at room
temperature for 2 hours before it was administered.
A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking
levothyroxine for 2 months. Which of the following statements by the client indicate a therapeutic
response to the medication? - (ANSWER)I have noticed I'm not as cold as I used to be
a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a prescription for
cyclosporine. The nurse should report which of the following laboratory results of the provider? -
(ANSWER)creatinine 2.8 mg
A nurse is teaching a newly-licensed nurse about expired medication. Which of the following
instructions should the nurse include in the teaching? - (ANSWER)return the medication to the
pharmacy
a nurse is administering naloxone to a client who has developed an adverse reaction to Morphine. The
nurse should identify which of the following findings as a therapeutic effect of naloxone? -
(ANSWER)increased respiratory rate
a nurse is preparing to administer Heparin subcutaneously to a client. Which of the following should the
nurse plan to minimize bleeding following the injection? - (ANSWER)grasp skin between thumb and
forefinger throughout the injection
