CMS PHARMACOLOGY PROCTORED ( n n n
250 QS & ANS )EXAM 2022- n n n n n
2023 QUESTIONS AND CORRECT ANS n n n n
WERS (100% COMPLETE)AGRADE n n
A nurse is caring for a client who develops an anaphylactic reaction to IV a
n n n n n n n n n n n n n n
ntibiotic administration. After assessing a client's respiratory status and st
n n n n n n n n n
opping the medication infusion, which of the following actions should the
n n n n n n n n n n n
nurse take next? - ANSWER- Administer Epinephrine IM
n n n n n n n
A nurse is caring for a client who is taking triamterene. For which of the fol
n n n n n n n n n n n n n n n
lowing laboratory values should the nurse withhold the medication? -
n n n n n n n n n
nANSWER- Potassium 5.3 mEq/ L n n n n
A nurse is preparing to administer digoxin orally to a client. Identify the se
n n n n n n n n n n n n n
quence of steps the nurse should take. (Move the steps into the box on the ri
n n n n n n n n n n n n n n n
ght, placing them in the order of performance. Use all the steps) -
n n n n n n n n n n n n
ANSWERS- Obtain the client's apical heart rate
n n n n n n n
Remove the medication from the dispensing system Ope
n n n n n n n
n the medication package
n n n
Compare the client's wristband to the medication administration record Do
n n n n n n n n n
cument administration of the medication
n n n n
A nurse is reviewing the list of current medications for a client who is to sta
n n n n n n n n n n n n n n n
rt a new prescription for carbamazepine. The nurse should identify which
n n n n n n n n n n n
of the following medications interacts with carbamazepine? - ANSWER-
n n n n n n n n
nestrogen-containing contraceptives n
,A nurse is providing teaching to a client who has a new prescription for clo
n n n n n n n n n n n n n n
zapine. Which of the following statements should the nurse include in the te
n n n n n n n n n n n n
aching? - ANSWER- n n
Notify your provider if you develop a fever while taking this medication"
n n n n n n n n n n n n
you should have your WBC monitor every week
n n n n n n n
A nurse is reviewing the medication list of a client who has erectile dysfun
n n n n n n n n n n n n n
ction and is requesting for prescription for sildenafil. the nurse should iden
n n n n n n n n n n n
tify which of the following medications is a contraindication for receiving
n n n n n n n n n n n
medication? - ANSWER- nitroglycerin n n n
A nurse in a medical surgical unit is preparing to administer an influenza va
n n n n n n n n n n n n n
ccine to a client. The client tells the nurse I no longer want this vaccine. Wh
n n n n n n n n n n n n n n n
ich of the following responses should the nurse make? - ANSWER-
n n n n n n n n n n
nthe influenza vaccine this strongly and coverage but I understand you wou
n n n n n n n n n n n
ld like to decline right now
n n n n n
A nurse is discussing adverse reactions to pain medications in older adults
n n n n n n n n n n n n
clients with a newly licensed nurse. Which of the following findings shoul
n n n n n n n n n n n
d the nurse include as risk factors for an adverse drug reaction? select all th
n n n n n n n n n n n n n n
at applies - ANSWER- multiple health problems
n n n n n n
decrease percentage of body fat
n n n n n
decreased renal function
n n n
A nurse is reviewing a client's medical record before administering aceta
n n n n n n n n n n
minophen 650 mg by mouth every 6 hours. Which of the following finding
n n n n n n n n n n n n
s indicate a need for the nurse to notify the provider? - ANSWER-
n n n n n n n n n n n n
history of alcohol use disorder
n n n n n
a nurse is caring for a client who has hyponatremia and is receiving an inf
n n n n n n n n n n n n n n
usion of a prescribed hypertonic solution. Which of the following findin
n n n n n n n n n n
gs should indicate to the nurse that the treatment is effective? -
n n n n n n n n n n n
ANSWER- improve cognition
n n n
,A nurse is reviewing the laboratory results of a client who is receiving genit
n n n n n n n n n n n n n
al medicine for Staphylococcus. Which of the following findings should th
n n n n n n n n n n
e nurse report to there immediately? - ANSWER-
n n n n n n n
fasting blood glucose 130 mg
n n n n n
A nurse is reviewing the laboratory results of a client who is receiving Hep
n n n n n n n n n n n n n
arin by continuous IV infusion. Which of the following Results indicates th
n n n n n n n n n n n
e nurse should decrease the infusion rate? - ANSWER- aPTT 90 sec
n n n n n n n n n n n
The nurse is caring for a client who has diabetes mellitus and is taking Pi
n n n n n n n n n n n n n n
oglitazone. The nurse should plan to monitor the client for which of the f
n n n n n n n n n n n n n
ollowing adverse effects? - ANSWER- orthostatic hypotension
n n n n n n
A nurse is caring for a client who is receiving ceftriaxone intravenously. W
n n n n n n n n n n n n
hich of the following manifestations should the nurse identify as an allergi
n n n n n n n n n n n
c reaction? - ANSWER- Hypotension
n n n n
A nurse is reviewing the laboratory results of a client who received a dose
n n n n n n n n n n n n n n
of sodium polystyrene sulfonate. Which of the following findings should a
n n n n n n n n n n n
nurse identify as an indication that the medication has been effective? -
n n n n n n n n n n n
ANSWER- calcium 8 mg- under normal range
n n n n n n n
potassium 4.6 meq- in normal range
n n n n n n
A nurse is caring for a client who has heart failure and is taking hydrochl
n n n n n n n n n n n n n n
orothiazide. The nurse should monitor the client for which of the followi
n n n n n n n n n n n
ng manifestations has an adverse effect of the medication? - ANSWER-
n n n n n n n n n n
hypokalemia
n
A nurse recently administered filgrastim intravenously to a client who ha
n n n n n n n n n n
s cancer and is receiving cytotoxic chemotherapy. For which of the follo
n n n n n n n n n n n
wing data, discovered after the medication was administered, should the
n n n n n n n n n
nurse file an incident report? - ANSWER-
n n n n n n n
The medication vial sat at room temperature for 2 hours before it was ad
n n n n n n n n n n n n n n
ministered.
, A nurse in a provider's office is assessing a client who has hypothyroidism
n n n n n n n n n n n n n
and has been taking levothyroxine for 2 months. Which of the following st
n n n n n n n n n n n n
atements by the client indicate a therapeutic response to the medication? -
n n n n n n n n n n n
ANSWER- I have noticed I'm not as cold as I used to be
n n n n n n n n n n n n n
a nurse is receiving the laboratory results of a client who has rheumatoid art
n n n n n n n n n n n n n
hritis and a prescription for cyclosporine. The nurse should report which o
n n n n n n n n n n n
f the following laboratory results of the provider? - ANSWER-
n n n n n n n n n
ncreatinine 2.8 mg n n
A nurse is teaching a newly-
n n n n n
licensed nurse about expired medication. Which of the following instruc
n n n n n n n n n
tions should the nurse include in the teaching? - ANSWER-
n n n n n n n n n
nreturn the medication to the pharmacy
n n n n n
a nurse is administering naloxone to a client who has developed an advers
n n n n n n n n n n n n
e reaction to Morphine. The nurse should identify which of the following f
n n n n n n n n n n n n
indings as a therapeutic effect of naloxone? - ANSWER-
n n n n n n n n
nincreased respiratory rate n n
a nurse is preparing to administer Heparin subcutaneously to a client. Whi
n n n n n n n n n n n
ch of the following should the nurse plan to minimize bleeding following t
n n n n n n n n n n n n
he injection? - ANSWER-
n n n
grasp skin between thumb and forefinger throughout the injection
n n n n n n n n n
A nurse is caring for an older adult client who is taking Prednisone for lo
n n n n n n n n n n n n n n
ng term treatment for rheumatoid arthritis. The nurse should monitor the
n n n n n n n n n n n
client for which of the following adverse reactions to the drug? -
n n n n n n n n n n n
ANSWER- bone loss
n n n
A nurse is interviewing a client who reports a desire to quit smoking. Whic
n n n n n n n n n n n n n
h of the following prescriptions should the nurse expect the provider to pre
n n n n n n n n n n n n
scribe? - ANSWER- bupropion n n n
250 QS & ANS )EXAM 2022- n n n n n
2023 QUESTIONS AND CORRECT ANS n n n n
WERS (100% COMPLETE)AGRADE n n
A nurse is caring for a client who develops an anaphylactic reaction to IV a
n n n n n n n n n n n n n n
ntibiotic administration. After assessing a client's respiratory status and st
n n n n n n n n n
opping the medication infusion, which of the following actions should the
n n n n n n n n n n n
nurse take next? - ANSWER- Administer Epinephrine IM
n n n n n n n
A nurse is caring for a client who is taking triamterene. For which of the fol
n n n n n n n n n n n n n n n
lowing laboratory values should the nurse withhold the medication? -
n n n n n n n n n
nANSWER- Potassium 5.3 mEq/ L n n n n
A nurse is preparing to administer digoxin orally to a client. Identify the se
n n n n n n n n n n n n n
quence of steps the nurse should take. (Move the steps into the box on the ri
n n n n n n n n n n n n n n n
ght, placing them in the order of performance. Use all the steps) -
n n n n n n n n n n n n
ANSWERS- Obtain the client's apical heart rate
n n n n n n n
Remove the medication from the dispensing system Ope
n n n n n n n
n the medication package
n n n
Compare the client's wristband to the medication administration record Do
n n n n n n n n n
cument administration of the medication
n n n n
A nurse is reviewing the list of current medications for a client who is to sta
n n n n n n n n n n n n n n n
rt a new prescription for carbamazepine. The nurse should identify which
n n n n n n n n n n n
of the following medications interacts with carbamazepine? - ANSWER-
n n n n n n n n
nestrogen-containing contraceptives n
,A nurse is providing teaching to a client who has a new prescription for clo
n n n n n n n n n n n n n n
zapine. Which of the following statements should the nurse include in the te
n n n n n n n n n n n n
aching? - ANSWER- n n
Notify your provider if you develop a fever while taking this medication"
n n n n n n n n n n n n
you should have your WBC monitor every week
n n n n n n n
A nurse is reviewing the medication list of a client who has erectile dysfun
n n n n n n n n n n n n n
ction and is requesting for prescription for sildenafil. the nurse should iden
n n n n n n n n n n n
tify which of the following medications is a contraindication for receiving
n n n n n n n n n n n
medication? - ANSWER- nitroglycerin n n n
A nurse in a medical surgical unit is preparing to administer an influenza va
n n n n n n n n n n n n n
ccine to a client. The client tells the nurse I no longer want this vaccine. Wh
n n n n n n n n n n n n n n n
ich of the following responses should the nurse make? - ANSWER-
n n n n n n n n n n
nthe influenza vaccine this strongly and coverage but I understand you wou
n n n n n n n n n n n
ld like to decline right now
n n n n n
A nurse is discussing adverse reactions to pain medications in older adults
n n n n n n n n n n n n
clients with a newly licensed nurse. Which of the following findings shoul
n n n n n n n n n n n
d the nurse include as risk factors for an adverse drug reaction? select all th
n n n n n n n n n n n n n n
at applies - ANSWER- multiple health problems
n n n n n n
decrease percentage of body fat
n n n n n
decreased renal function
n n n
A nurse is reviewing a client's medical record before administering aceta
n n n n n n n n n n
minophen 650 mg by mouth every 6 hours. Which of the following finding
n n n n n n n n n n n n
s indicate a need for the nurse to notify the provider? - ANSWER-
n n n n n n n n n n n n
history of alcohol use disorder
n n n n n
a nurse is caring for a client who has hyponatremia and is receiving an inf
n n n n n n n n n n n n n n
usion of a prescribed hypertonic solution. Which of the following findin
n n n n n n n n n n
gs should indicate to the nurse that the treatment is effective? -
n n n n n n n n n n n
ANSWER- improve cognition
n n n
,A nurse is reviewing the laboratory results of a client who is receiving genit
n n n n n n n n n n n n n
al medicine for Staphylococcus. Which of the following findings should th
n n n n n n n n n n
e nurse report to there immediately? - ANSWER-
n n n n n n n
fasting blood glucose 130 mg
n n n n n
A nurse is reviewing the laboratory results of a client who is receiving Hep
n n n n n n n n n n n n n
arin by continuous IV infusion. Which of the following Results indicates th
n n n n n n n n n n n
e nurse should decrease the infusion rate? - ANSWER- aPTT 90 sec
n n n n n n n n n n n
The nurse is caring for a client who has diabetes mellitus and is taking Pi
n n n n n n n n n n n n n n
oglitazone. The nurse should plan to monitor the client for which of the f
n n n n n n n n n n n n n
ollowing adverse effects? - ANSWER- orthostatic hypotension
n n n n n n
A nurse is caring for a client who is receiving ceftriaxone intravenously. W
n n n n n n n n n n n n
hich of the following manifestations should the nurse identify as an allergi
n n n n n n n n n n n
c reaction? - ANSWER- Hypotension
n n n n
A nurse is reviewing the laboratory results of a client who received a dose
n n n n n n n n n n n n n n
of sodium polystyrene sulfonate. Which of the following findings should a
n n n n n n n n n n n
nurse identify as an indication that the medication has been effective? -
n n n n n n n n n n n
ANSWER- calcium 8 mg- under normal range
n n n n n n n
potassium 4.6 meq- in normal range
n n n n n n
A nurse is caring for a client who has heart failure and is taking hydrochl
n n n n n n n n n n n n n n
orothiazide. The nurse should monitor the client for which of the followi
n n n n n n n n n n n
ng manifestations has an adverse effect of the medication? - ANSWER-
n n n n n n n n n n
hypokalemia
n
A nurse recently administered filgrastim intravenously to a client who ha
n n n n n n n n n n
s cancer and is receiving cytotoxic chemotherapy. For which of the follo
n n n n n n n n n n n
wing data, discovered after the medication was administered, should the
n n n n n n n n n
nurse file an incident report? - ANSWER-
n n n n n n n
The medication vial sat at room temperature for 2 hours before it was ad
n n n n n n n n n n n n n n
ministered.
, A nurse in a provider's office is assessing a client who has hypothyroidism
n n n n n n n n n n n n n
and has been taking levothyroxine for 2 months. Which of the following st
n n n n n n n n n n n n
atements by the client indicate a therapeutic response to the medication? -
n n n n n n n n n n n
ANSWER- I have noticed I'm not as cold as I used to be
n n n n n n n n n n n n n
a nurse is receiving the laboratory results of a client who has rheumatoid art
n n n n n n n n n n n n n
hritis and a prescription for cyclosporine. The nurse should report which o
n n n n n n n n n n n
f the following laboratory results of the provider? - ANSWER-
n n n n n n n n n
ncreatinine 2.8 mg n n
A nurse is teaching a newly-
n n n n n
licensed nurse about expired medication. Which of the following instruc
n n n n n n n n n
tions should the nurse include in the teaching? - ANSWER-
n n n n n n n n n
nreturn the medication to the pharmacy
n n n n n
a nurse is administering naloxone to a client who has developed an advers
n n n n n n n n n n n n
e reaction to Morphine. The nurse should identify which of the following f
n n n n n n n n n n n n
indings as a therapeutic effect of naloxone? - ANSWER-
n n n n n n n n
nincreased respiratory rate n n
a nurse is preparing to administer Heparin subcutaneously to a client. Whi
n n n n n n n n n n n
ch of the following should the nurse plan to minimize bleeding following t
n n n n n n n n n n n n
he injection? - ANSWER-
n n n
grasp skin between thumb and forefinger throughout the injection
n n n n n n n n n
A nurse is caring for an older adult client who is taking Prednisone for lo
n n n n n n n n n n n n n n
ng term treatment for rheumatoid arthritis. The nurse should monitor the
n n n n n n n n n n n
client for which of the following adverse reactions to the drug? -
n n n n n n n n n n n
ANSWER- bone loss
n n n
A nurse is interviewing a client who reports a desire to quit smoking. Whic
n n n n n n n n n n n n n
h of the following prescriptions should the nurse expect the provider to pre
n n n n n n n n n n n n
scribe? - ANSWER- bupropion n n n
