REAL CMS PHARMACOLOGY PROCTORED 2023 -2023 ACTUAL QUESTION AND ANSWERS . 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 ANSWERS aPTT 90 seconds A nurse is caring for a cli ent 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 ANSWERS Administer Epinephri ne 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 ANSWERS Potassium 5.3 mEq/ L A nurse is preparing to administer digoxin orally to a clien t. 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 ANSWERS Obtain the client's apical heart rate Remove the medication from the dispe nsing 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 ANSWERS estrogen -containing contrac eptives 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? CORRECT ANSWERS Notify your provider if you develop a fever while taking this medic ation" 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 ANSWERS 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 resp onses should the nurse make? CORRECT ANSWERS 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 license d nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? select all that applies CORRECT ANSWERS 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 ANSWERS 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 ANSWERS improve cognition A nurse i s 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? CORRECT ANSWERS fasting blood glucose 130 mg A nurse is reviewing the lab oratory 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 ANSWERS aPTT 90 sec The nurse is caring for a client who has diabetes mellitu s and is taking Pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? CORRECT ANSWERS orthostatic hypotension A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the follo wing manifestations should the nurse identify as an allergic reaction? CORRECT ANSWERS 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 ANSWERS 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
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