CMS pharmacology Proctored 2022/2023 Exam with complete solutions

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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 ? - ANSWE... R 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 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 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 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 A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe? - ANSWER bupropion A nurse is teaching a client about self-administration of an enoxaparin. Which of the following instructions should the nurse include to select all that applies? - ANSWER alternate the injection site between the sides of the abdomen grasp the skin between the thumb and forefinger while injecting the medication insert the entire length of the needle into the skin during injection a nurse is assessing a client who is in septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of the infusion? - ANSWER headache A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the following actions should the nurse take? - ANSWER prepare the client for hemodialysis A nurse is interviewing a client who was newly admitted prior to administering medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for asthma". for which of the following medications should the nurse withhold the dose and notify the provider? - ANSWER propranolol A nurse is teaching a client who is to start taking clopidogrel. the nurse should instruct the client to Monitor and Report which of the following adverse effects of the medication? - ANSWER blurred vision A nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor which of the following adverse effects? - ANSWER Drowsiness A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take? - ANSWER administer the medication through a straw A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the following actions should the nurse take? - ANSWER monitor the client's weight daily a nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? - ANSWER calcium gluconate a nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication? - ANSWER insert the medication against the mucosal membrane of the cheek A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the clients take the medication after 2 months? - ANSWER increase sleeping A nurse is assessing a client who has Graves disease and is taking methimazole. Which of the following findings indicate that the client needs a lower dose of the medication? - ANSWER exophthalmos A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first? - ANSWER Identify the client using two identifiers a nurse accidentally administers the medication Metformin instead of metoprolol to a client which of the following actions should the nurse take? - ANSWER check the client's glucose level A nurse is providing discharge teaching to a client who is prescribed spironolactone. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER I will limit potassium rich foods in my diet A nurse is caring for a client who has a major depression and a new prescription for citalopram. Which of the following adverse effects is the nurse to report to the provider? - ANSWER confusion A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following statements does the client indicate an understanding of the teaching? - ANSWER I should not take in and Anti Acid within 1 hour of taking his medication A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infected endocarditis. Which of the following actions should the nurse take? - ANSWER administer the medication over 2 hours a nurse is preparing to administer insulin to a client who has diabetes mellitus. The client has a prescription for regular insulin for you and NPH insulin 12 units subsequent oenis identify the steps the nurse should take when mixing the two types of insulin. - ANSWER inject 12 unit of air into the NPH insulin vial A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking Glipizide. Which of the following values indicate the client is adhering to the treatment plan? - ANSWER hba1c 6.8% a nurse is caring for a client who has a prescription for Total parenteral Nutrition. Which of the following routes of administration should the nurse use? - ANSWER intravenous a nurse is reviewing the medical history of a client prior to the medication administration and knows a history of anaphylactic reaction to penicillin. The nurse should identify which of the following medications is a contraindication for this medication? - ANSWER ceftriaxone A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is the nurse's priority? - ANSWER mild thirst a nurse is caring for a client who reports taking Propranolol for several years but has recently stopped for financial reasons the nurse should assess the client for which of the following findings - ANSWER tachycardia a nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer? - ANSWER ibuprofen a nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching? - ANSWER administer the medication into one nostril once per week A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER I should stay upright for 15 minutes after taking this medication. A nurse is providing teaching about the adverse effect of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching? - ANSWER paresthesia A nurse is preparing to administer medication to a client and discover a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report? - ANSWER the nurse who identifies the error a nurse is providing discharge about warfarin to a client who has deep vein thrombosis the nurse should instruct the client to obtain which of the following laboratory result test monthly questioN - ANSWER aptt a nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells me I do not want to take this medication. I would prefer natural therapy. Which of the following supplements should the nurse suggest to discuss with the provider question - ANSWER saw palmetto a nurse realized that they failed to administer medication that was due 4 hours ago to a client. Which of the following should the nurse do first? - ANSWER File an incident report A nurse is initiating IV therapy for a client who has right-sided mastectomy. And which of the following locations should the nurse place a catheter? - ANSWER Left arm A nurse is planning care for a group of clients. Which of the following medications should be monitored by the nurse for hearing loss related to the medication interaction? - ANSWER furosemide and and amikacin A nurse is caring for a client who received neostigmine 1 hour ago and it is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? - ANSWER Excessive salivation A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statement is appropriate for the nurse to take - ANSWER you will need to take two or more medication to treat your disease A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take? - ANSWER Discard the vial of the medication if the solution is cloudy A nurse is assessing a Client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis? - ANSWER wheezing A nurse in the emergency department is admitting a client who has diabetes ketoacidosis and a blood glucose level of 800 mg. Which of the following interventions should the nurse initiate first? - ANSWER 0.9% sodium chloride 15 ML A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? - ANSWER tachycardia a nurse is preparing to administer medication to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering? - ANSWER warfarin 100 units subcutaneously daily a nurse is preparing to administer Propranolol to a client which of the following should the nurse assess prior to administering? - ANSWER heart rate A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following should the nurse include in the plan of care? - ANSWER monitor the client for hearing loss A nurse is assessing a client who is receiving Heparin therapy for deep vein thrombosis. Which of the following findings should the nurse indicate to the nurse that the therapy is effective? - ANSWER Platelets within the expected reference range A nurse is teaching a client who has multiple allergies about using epinephrine auto-injector. Which of the following instructions should the nurse include? - ANSWER administer the medication through clothing if necessary A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take? - ANSWER include the medication the client received during surgery on the client's medication list nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? - ANSWER Distended neck vein 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 Improved cognition A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? - ANSWER Remove the patch prior to going to bed nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? - ANSWER Potassium 5.2 mEq/L A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? - ANSWER The client has a negative sputum culture A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? - ANSWER St. John's Wort nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? - ANSWER Hypotension A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? - ANSWER increased blood pressure A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? - ANSWER The nurse who identifies the error a nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? - ANSWER Pruritus 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 home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? - ANSWER Determine medication adherence by the client A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? - ANSWER Urticaria A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? - ANSWER Keep the tablets at room temperature in their original glass bottle. A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER I can take my medication in the morning with my coffee. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take first? - ANSWER Inject air into the regular insulin vial A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? - ANSWER Insert the needle at least 5 cm (2 in) from the umbilicus A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? - ANSWER Cardiac dysrhythmia A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? - ANSWER A client who is transferal to a step-down unit nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? - ANSWER LDL 120 mg/dL A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record? - ANSWER Morphine 6 mg IV push every 3 hr PRN acute pain [Show More]

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