CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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.
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
the nurse should identify which of the following medications is a
contraindication for receiving medication? - ANSWER-
nitroglycerin
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 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
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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
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? -
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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 caring for an older adult client who is taking Prednisone
for long term treatment for rheumatoid arthritis. The nurse should
monitor the client for which of the following adverse reactions to
the drug? - ANSWER-bone loss
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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.
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
the nurse should identify which of the following medications is a
contraindication for receiving medication? - ANSWER-
nitroglycerin
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 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
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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
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? -
, CMS PHARMACOLOGY PROCTORED EXAM 270 QUESTIONS AND
VERIFIED ANSWERS 2023-2024 ALREADY GRADED A+
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 caring for an older adult client who is taking Prednisone
for long term treatment for rheumatoid arthritis. The nurse should
monitor the client for which of the following adverse reactions to
the drug? - ANSWER-bone loss
