Cms pharm Study Guide Test Questions And Detailed Answers 2023.
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Course
Cms pharm.
Institution
Cms Pharm.
Cms pharm Study Guide Test Questions And Detailed Answers 2023.
A nurse is providing teaching to a client who has peptic ulcer disease prescription for sucralfate. Which of the following actions of sucralfate should the nurse include In the teaching
Forms a protective barrier over ulcers
A...
A nurse is providing teaching to a client who has peptic ulcer disease prescription for sucralfate. Which
of the following actions of sucralfate should the nurse include In the teaching - answerForms a
protective barrier over ulcers
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for
methylprednisolone. Which of the following instructions should the nurse include? (SATA) - answerA.
Blood glucose levels will be monitored during therapy
B. Avoid contact with people who have known infections
E. Grapefruit juice can increase the effects of this medication
A nurse is providing discharge teaching about handling medication to a client who is to continue taking
oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information
should the nurse include in the teaching? - answerD. Store unused medication sticks in a storage
container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure, The
nurse should identify which of the following as an indication of hypokalemia - answerB. Presence of U-
waves
The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The
nurse should instruct the client that taking the docusate sodium daily can minimize which of the
following adverse effects of morphine - answerConstipation
A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The nurse
should monitor the client for which of the following adverse effects - answerBibasilar crackles
,A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine.
Which of the following instructions should the nurse include? - answerC. "Report yellowing of the skin.
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client
has anxiety, hypotension
and dyspnea. Which of the following medications should the nurse
administer first? - answerEpinephrine
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the
following interventions should the nurse include in the plan of care? - answerDetermine apical pulse
prior to administering
A nurse is preparing to administer ciprofloxacn 13 mg/kg PO every 12 hr to a child who weighs
44 lb. How many mg should the nurse administer per dose? - answer300 mg
A nurse in an emergency department is caring for a client whose family reports the client has
taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering? - answerFlumazenil
A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV
infusion for DVT. The nurse should discontinue the medication infusion for which of the following client
findings? - answerPlatelets 96.000
A nurse is reviewing the medication administration record of a client who has hypocalcemia and new
prescription for IV calcium gluconate. The nurse should identify that which of the following medications
can interact with calcium gluconate - answerDigoxin
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
,metoclopramide. Which of the following actions should the nurse take - answerCheck the clients blood
glucose
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for
pain. Which of the following information should the nurse include in the teaching? - answerDecreased
respirations might occur
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is
unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following
medications should the nurse plan to administer! - answerNaloxone
A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives The
nurse should identify that which of the following client medications will interfere with the effectiveness
or oral contraceptives - answerCarbamazepine
A nurse is assessing a clients vital signs prior to the administration of PO digoxin. The clients
BPis 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should
withhold-the medication and contact the provider for which of the following findings? - answerHeart
rate
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression.
Which of the following findings should the nurse identify as an adverse effect of the medication? -
answersexual dysfunction
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking
the warfarin. Which of the following responses should the nurse make? - answerAspirin will increase the
risk of bleeding
,A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using
midazolam. The nurse should monitor for which of the following findings as an indication that the client
is ready for discharge? - answerThe client's capnography has returned to baselne
A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn
should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the
parent that their newborn should receive the immunization at which of the following ages - answer2
months
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as
prescribed. Which of the following information should the nurse enter as a complete documentation of
the incident - answerIV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well,
provider notified
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of
the following findings should the nurse identify as an indication that the medication has been effective?
- answerIncrease in ability to focus
A nurse Is preparing to administer medications to a client who tells the nurse. "I don't want to
take my fluid pill until I get home today" Which of the following actions should the nurse take? -
answerDocument the refusal and inform the client's provider.
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the
following findings should the nurse
report to the provider immediately? - answerdyspnea
A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the
following findings should indicate to the nurse that the client is experiencing an adverse effect -
answermiosis
,A nurse is teaching a client about cyclobenzaprine. Which of the following
should indicate to the nurse that the teaching is effective. - answer" I will taper off the medication
before discontinuing it"
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which
of the following symptoms should the nurse tell the client to expect.(SATA) - answerDry mouth
Blurred vision
Dry eyes
A nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over I hr. The drop
factor of the manual IV tubing 1s 15 gtts/ml. The nurse should set the manual IV infusion to
deliver how many gtt/min? - answer100
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the
following findings should the nurse identify as an adverse effect of the medication? - answerInsomnia
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report
which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome
(NMS)) - answerTemperature of 39.7 (103.5)
A nurse is caring for a client who is in labor. The
client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The
external FHRI monitor indicates late decelerations Which of the following actions should the nurse take
first? - answerTurn the client to a side lying position
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following
information should the nurse include in the teaching - answerA transition in care requires the nurse to
conduct medication reconciliation
,A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a
cholinergic crisis. Which of the following medications should the nurse plan to administer: -
answerAtropine
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should
report which of the following findings to the provider as an adverse effect of the medication? -
answertinnitus
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which
of the following adverse effects should the nurse include in the teaching? - answerHot flashes
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following
client outcomes should the nurse administer chlordiazepoxide - answerPrevent delirium tremens
A nurse in an urgent care clinic is collecting data from a female client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that
which of the following client statements indicates a contraindication for administering this medication -
answer"I have tendonitis, so I haven't been able to exercise."
A nurse is collecting a medication history from a client who has a new prescription for lithium.
The nurse should identify that the client should discontinue which of the following over-the counter
medications - answerIbuprofen
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the
antibiotic is not present in the client's medication drawer. The nurse should identify that administration
of the medication can occur at which of the following time periods without
requiring an incident report? - answer0830
,A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse
should identify which of the following statements as an indication that the client understands the
teaching? - answerI should sit up for 30 min after taking the risedronate
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a
pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of
the medication and report to the provider? - answerBlood in the urine
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin Which of
the following instructions should the nurse include in the teaching plan (SATA)? - answerReport muscle
pain to the provider
Avoid taking the medication with grapefruit juice
Expect therapy with this medication to be lifelong
A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe
nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advice the chient that
which of the following tests is required? - answerPregnancy test
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For
which of the following adverse effects should the nurse monitor? - answerSedation
A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat
migraine headaches. Which of the following information should the nurse include in her instructions? -
answerTake one tablet at onset of migraine
A nurse is preparing to administer heparin subcutaneously to a client. Which or the following actions
should the nurse plan to take - answerAdminister the medication outside the 5-cm (2 in) radius of the
umbilicus
,A nurse Is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of
the following adverse effects should the nurse instruct the client to monitor and report? -
answerTingling of fingers
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that
an error was made during the previous shift and the client received atenolol instead of allopurinol.
Which of the following actions should the nurse take first? - answerObtain the clients BP
A nurse Is preparing to administer PO sodium polystyrene sulfonate to a client who has
hyperkalemia. Which of the following actions should the nurse plan to take? - answerMonitor the client
for constipation
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a
fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk
for which of the following adverse effects of the medication - answerOral candidiasis
A nurse is reviewing the lab results of a client who is taking digoxin for heart failure. Which of the
following results should the nurse report to the provider - answerPotassium level 2.8 mEq/L*
A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours
subcutaneously for severe pain as needed. The nurse should identify which of the following entries as
the correct format for the medication administration record (MAR)? - answerB.Morphine 5 mg subcut
every 4 hr. PRN severe pain
A nurse is providing discharge instructions to a client who has heart failure and a new prescription for
captopril. Which of the following client statements indicates an understanding of the teaching - answerI
should tell my provider if I develop a sore throat
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate
administering which of the following medications - answeracetylcysteine
,A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identifY which
of the following findings as the best indication that the morphine has been effective? - answerThe client
rates pain as 3 on a scale from 0 to 10 (description of pain most accurate)
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should the nurse
include in the teaching - answer"Rinse your mouth after inhaling the beclomethasone."
A nurse is caring for a client who is receiving filgrastim. Which of the following findings should The nurse
document to indicate the effectiveness of the therapy? - answerIncreased neutrophil count
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the
following statements by the client indicates an understanding of the teaching - answerI will take the
patch off right after my evening meal
A nurse is providing discharge dietary teaching to a client who has a something and is taking medication
theophylline and to provide general instructions the nurse should
include? - answerAvoid caffeinated beverages
the nurse is mixing regular insulin and PH into a syringe for a client who has diabetes mellitus. Which of
the following actions should the nurse take first? - answerInject air into the PH vial
a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis.
What instructions should the nurse include? - answerSit upright for at least 30 mins after taking the
medication
a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine
for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? -
answerBladder distention
, nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the
following information should the nurse include in the teaching? - answerAdminister the medication into
one nostril once per week.
a nurse is teaching a newly license nurse about medication reconciliation. The nurse should
instruct the newly license nurse for medication reconciliation for which of the following clients? -
answerA client who has been transferred to a step-down unit
a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical
ripening. Which of the following is the nurses priority? - answeruterine tachysystole
a nurse is performing a return demonstration of an enoxaparin administration. Which
of the following client actions indicates an understanding of the teaching? - answerAdministers the
medication into the abdomen
which of the following findings to the nurse indicates this client has developed digoxin toxicity? -
answerBlurred vision
a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic
response. Which of the following manifestations should the nurse expect? - answerexcessive salivation
a nurse in the emergency department is reviewing a medication record for client who
reports vomiting blood. The nurse should anticipate the provider will discontinue which
of the following medications? - answerclopidogrel
a nurse is caring for a client who has an alcohol use disorder and is experiencing
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