CMS PHARMACOLOGY PROCTORED ACTUAL EXAM 250 QUESTIONS AND CORRECT ANSWERS 2023-2024 UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK 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? - ANSWERheart 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 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) - ANSWERS- 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