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CMS PHARMACOLOGY PROCTORED EXAM
CMS PHARMACOLOGY PROCTORED EXAM
& ATI PHARMACOLOGY PROCTOR EXAM|
FOR 2023-2024 GUIDE| GUARANTEE PASS
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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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)
[Correct Ans:- 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?
[Correct Ans:- 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?
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CMS PHARMACOLOGY PROCTORED EXAM
[Correct Ans:- 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?
[Correct Ans:- nitro-glycerine
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?
[Correct Ans:- 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
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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 their immediately?
[Correct Ans:- fasting blood glucose 130 mg
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CMS PHARMACOLOGY PROCTORED EXAM
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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- hypokalaemia
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?
[Correct Ans:- 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?
[Correct Ans:- I have noticed I’m not as cold as I used to be
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CMS PHARMACOLOGY PROCTORED EXAM
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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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?
[Correct Ans:- 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
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RN PHARMACOLOGY CMS PROCTORED EXAM
CMS PHARMACOLOGY PROCTORED 2023 EXAM
BRAND NEW QUESTIONS AND ANSWERS| ALL
INCLUDED; VERIFIED ANSWERS
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?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
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?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy
A 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?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. 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?
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RN PHARMACOLOGY CMS PROCTORED EXAM
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
A nurse is assessing a client’s IV infusion site and notes that the site is cool and
oedematous. Which of the following actions should the nurse take?
a. Show the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm, moist compress
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?
a. “Diarrhoea is a common adverse effect of this medication.”
b. “Ringing in the ears is an expected adverse effect of this medication.”
c. “Notify your provider if you develop a fever while taking this medication.”
d. “You might experience weight loss while taking this medication.”
A nurse is teaching a client about oral contraceptive. Which of the following
information should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive
A nurse is planning to administer medication to an older adult client who has
dysphagia. Which of the following actions should the nurse plan to take?
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RN PHARMACOLOGY CMS PROCTORED EXAM
a. Tilt the client’s head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client’s tongue
A nurse is providing teaching to a client about the administration of omeprazole.
Which of the following should the nurse include?
a. “You cannot take this medication with an antacid.”
b. “You should reduce your intake of calcium while taking this medication.”
c. “You should take this medication before meals.”
d. “You can take a second dose if symptoms persist up to 2 hours after the first
dose.”
A nurse is assessing for allergies with a client who is scheduled to receive the
influenza vaccine. Which of the following allergies should the nurse report to the
provider as a possible contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
A nurse is caring for a client who has a new diagnosis of benign prostate
hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not
take this medication. I would prefer a natural therapy.” Which of the following
supplements should the nurse suggest the client discuss with the provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto
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CMS PHARMACOLOGY PROCTORED EXAM
CMS PHARMACOLOGY PROCTORED EXAM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
A nurse is providing teaching to a client who has a new prescription for
amitriptyline for treatment of depression. Which of the following should the nurse
include in the teaching? (SATA)
A. expect therapeutic effects in 24 to 48 hr
B. discontinue the medication after a week of improved mood
C. change positions slowly to minimize dizziness
D. Decrease dietary fibre intake to control diarrhoea
E. Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for
fluoxetine for post-traumatic stress disorder. Which of the following statements
should the nurse include in the teaching?
A. You may have a decreased desire for intimacy while taking this medication
B. you should take this medication at bedtime to help promote sleep
C. you will have fewer urinary adverse effects if you urinate just before taking this
medication
D. you’ll need to wear sunglasses when outdoors due to the light sensitivity caused
by this medication
A nurse is caring for a client who has depression and a new prescription for
venlafaxine For which of the following adverse effects should the nurse monitor
this client? (SATA).
A. Cough
B. Dizziness
C. Decreased libido
D. alopecia
E. Hypotension
A nurse is caring for a client who has been taking sertraline for the past 2 days.
Which of the following assessments findings should alert the nurse to the
possibility that the client is developing serotonin syndrome?
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CMS PHARMACOLOGY PROCTORED EXAM
A. bruising
B. Fever
C. abdominal pain
D. Rash
B. Fever
A nurse is reviewing laboratory findings and notes that a clients plasma lithium is
2.1. Which of the following is an appropriate action by the nurse?
A. perform immediate gastric lavage
B. prepare the client for haemodialysis
C. administer an additional oral dose of lithium
D. request a stat repeat of the laboratory test
A nurse is caring for a client who has a new prescription for lithium carbonate.
When teaching the client about ways to prevent lithium toxicity, the nurse should
advise the client to do which of the following?
A. avoid the use of acetaminophen for headaches
B. restrict intake of foods rich in sodium
C. decrease fluid intake to less than 1500 mL daily
D. limit aerobic activity in hot water
A nurse is caring for a client who has a new prescription for valproic acid the nurse
should instruct the client that while taking this medication he will need to have
which of the following laboratory tests completed periodically. SATA
A. Thrombocyte count
B. haematocrit
C. Amylase
D. Liver function tests
E. potassium
A nurse is assessing a client who takes lithium carbonate for the treatment of
bipolar disorder. The nurse should recognize which of the following findings as a
possible indication of toxicity to this medication?
A. severe hypertension
B. coarse tremors
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CMS PHARMACOLOGY PROCTORED EXAM
C. Constipation
D. Muscle spasms
A nurse is preparing a teaching plan for a female client who has bipolar disorder
and a new prescription for carbamazepine. Which of the following instructions
should the nurse include in the teaching? (SATA)
A. this medication can safely be taken during pregnancy
B. Eliminate grapefruit
C. You will need to have a complete blood count and carbamazepine levels drawn
periodically
D. Notify your provider if you develop your rash
E. Avoid driving for the first few days after starting this medication
A nurse is teaching a client who has schizophrenia strategies to cope with
anticholinergic effects of fluphenazine. Which of the following should the nurse
suggest to the client to minimize anticholinergic effects?
A. take the medication in the morning to prevent insomnia
B. chew sugarless gum to moisten the mouth
C. use cooling measures to decrease fever
D. take an antacid to relieve nausea
A nurse is assessing a male client who recently began taking haloperidol. Which of
the following findings is the highest priority to report to the provider?
A. shuffling gait
B. neck spasms
C. drowsiness
D. impotence
A nurse is providing discharge teaching to a client who has a new prescription for
clozapine. Which of the following statements should the nurse include in the
teaching?
A. you should have high carbohydrate snack between meals and at bedtime
B. you are likely to develop hand tremors if you take this medication for long period
of time
C. you may experience temporary numbness of your mouth after each dose
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CMS PHARMACOLOGY PROCTORED EXAM
D. you should have your white blood cell count monitored every week
A nurse is providing teaching for a male client who has schizophrenia and is taking
risperidone. Which of the following instructions should the nurse include in the
teaching?
A. add extra snacks to your diet to prevent weight loss
B. notify the provider if you develop breast enlargement
C. you may begin to have mild seizures while taking this medication
D. this medication is likely to increase your libido
A nurse is preparing to perform a follow up assessment on a ancient who takes
chlorpromazine for the treatment of schizophrenia. The nurse should expect to
find the greatest improvement in which of the following manifestations? SATA
A. disorganized
B. bizarre behaviour
C. impaired social interactions
D. hallucinations
E. decreased motivation
A nurse is teaching the parents of child who has a new prescription for
desipramine. The nurse should instruct the parents that which of the following
adverse effects is the priority to report to the provider?
A. constipation
B. Suicidal thoughts
C. photophobia
D. dry mouth
A nurse is teaching an adolescent client who has a new prescription for
clomipramine for OCD. which of the following instructions should the nurse
include to minimize an adverse effect of his medication?
A. wear sunglasses when outdoors
.B. check your temperature daily
C. take this medication in the morning
D. add extra calories to your diet
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CMS ATI PHARMACOLOGY 2023
CMS ATI PHARMACOLOGY 2023|
BRAND NEW QUESTIONS
A nurse is reinforcing teaching for a client who is beginning a prescription of
conjugated oestrogens (Premarin) for symptoms of menopause. For which of the
following should the nurse plan to monitor the client?
a. Lower leg pain and swelling
b. Shortened stature
c. Vulvar and vaginal atrophy
d. Weight loss
A nurse is reinforcing teaching for a client who is about to begin a prescription for
an oral contraceptive. The nurse should tell the client that the oral contraceptives
work by doing which of the following? (SATA)
a. Thickening the cervical mucus to slow sperm passage
b. Inducing maturation of ovarian follicle
c. Increasing development of the corpus luteum
d. Altering the endometrial lining to prevent implantation
e. Inhibiting ovulation
A nurse is caring for a male client who has a new prescription for testosterone
cypionate (DepoTestosterone) IM every 2 to 4 weeks for hypogonadism. The nurse
should plan to monitor which of the following laboratory values?
a. Serum creatinine
b. Cholesterol levels
c. BUN
d. Serum potassium
A nurse is reinforcing teaching for a client who takes sildenafil (Viagra) several
times weekly and has a new prescription for oral erythromycin (E-Mycin) to treat a
respiratory tract infection. The nurse should instruct the client about an increased
risk for which of the following findings due to an interaction between the two
medications?
a. Priapism
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CMS ATI PHARMACOLOGY 2023
b. Urinary frequency
c. Weight gain
d. Insomnia
A nurse is reinforcing teaching for a female client who has a new prescription for
hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The nurse evaluates that
the client understands the teaching when she states, “While taking
hydroxychloroquine I should
a. go to the dentist more frequently
b. call my doctor if I develop blurred vision.”
c. have a Pap test twice a year.”
d. let my doctor know if my urine becomes darker.”
A client who has osteoporosis is started on alendronate (Fosamax). The nurse
should instruct the client to do which of the following? (SATA)
A. Take the medication in the morning after arising and before eating.
B. Chew tablets to increase bioavailability.
C. Drink 8oz of water with each tablet
D. Take the medication with an antacid if heartburn occurs
E. Avoid lying down after taking the medication
A nurse is caring for a client who has been prescribed calcitonin-salmon to treat
osteoporosis. When evaluating the client’s therapy, the nurse should recognize that
which of the following serum calcium levels is within the expected range?
a. 8.6 mg/dl
b. 9.6 mg/dl
c. 10.6 mg/dl
d. 11.6 mg/dl
A nurse is caring for an older adult client who is taking large doses of aspirin four
times daily for severe rheumatoid arthritis pain. For which of the following should
the nurse monitor the client?
a. Hepatotoxicity
b. Renal impairment
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CMS ATI PHARMACOLOGY 2023
c. Reye’s syndrome
d. Ischemic stoke
A nurse is caring for a toddler who was just admitted for an acetaminophen
overdose. Which of the following medications should the nurse anticipate being
administered to this client?
a. Acetylcysteine (Mucomyst)
b. Peg filgrastim (Neulasta)
c. Misoprostol (Cytotec)
d. Naltrexone (Re Via)
A nurse is caring for postoperative client who is prescribed ketorolac (Toradol) for
pain management. The nurse should recognize that which of the following is true
regarding the administration of ketorolac?
a. Ketorolac is prescribed postoperatively to lower the dosage of opioids needed.
b. Clients who take ketorolac avoid the adverse reactions of NSAIDS.
c. Ketorolac is available as a timed-release transdermal patch.
d. Client’s maybe prescribed ketorolac for long-term relief of chronic pain, such as
arthritis
A nurse is monitoring a client who received regular doses of meperidine (Demerol)
for postoperative pain for 36 hr. For which of the following should the nurse
monitor the client?
a. Hypothermia
b. Bradycardia
c. Delirium
d. Watery diarrhoea
A nurse is caring for a client who has been receiving morphine for postoperative
pain for the past few days. For which of the following should the nurse monitor the
client? (Select all that apply)
a. Dilated pupils
b. Urinary retention
c. Orthostatic hypotension
d. Constipation