Pharm CMS practice questions (CMS practice questions from ATI book edition 8.0) Correctly Answered!.
A provider prescribes phenobarbital for a client
... [Show More] who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A. One
B. Two
C. Three
D. Four Answer- A. One
A nurse educator is reviewing medication metabolism at an in-service presentation.
Which of the following factors should the educator include as a reason to administer
lower medication dosages? (select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway metabolizes Answer- C. Liver
failure
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation Answer- B. Ask the client
to look up at the ceiling
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch" Answer- C. "I will apply the
patch to an area of skin with no hair"
A nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of the client's medication. Which of the following actions should the nurse
take?
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a
blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late Answer- A.
Obtain a blood specimen immediately prior to administering the next dose of
medication.
A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice guidelines? (Select all that apply)
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status Answer- A. Teach the client about the med
C. Monitor for adverse effects
D. Lock compartments for controlled substances
The nurse is preparing to administer digoxin to a client who states, "I don't want to take
that medication. I do not want one more pill." Which of the following responses should
the nurse make?
A. Your physician prescribes it for you, so you really should take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication Answer- D. Tell me your
concerns about taking this medication
The nurse is reviewing a client's prescribed medications. Which of the following
situations represents a contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a medications effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a
preoperative sedative Answer- C. A medication is approved for ages 12 and older, and
the client is 8 years old
The nurse is assessing a client before administering medications. Which of the following
data should the nurse obtain? (select all the apply)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies Answer- A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly hired nurse who is administering medications to clients.
Which of the following actions by the newly hired nurse indicates an understanding of
medication error prevention.
A. Taking all medications out of the unit- dose wrappers before entering the clients room
B. Checking with the provider when a single dose requires administration of multiple
tablets
C. Administering a medication, then looking up the usual dosage range.
D. Relying on another nurse to clarify a medication prescription. Answer- B. Checking
with the provider when a single dose requires administration of multiple tablets
A nurse is caring for a client experiencing IV extravasation. The facility requires the
administration of an antidote for the prescribed IV solution. After stopping the IV
infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity Answer- B. Withdraw the solution
from the IV access
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following
actions should the nurse plan to take?A. Use a disposable razor to remove excess hair
on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart Answer- C. Distend the veins by
using a blood pressure cuff
A nurse assessing the IV catheter insertion site for a client receiving a non vesicant
solution and notes swelling at the site with decreased skin temperature. Which of the
following actions should the nurse take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site Answer- A. Stop the infusion
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a potential contraindication to a medication for which of the following clients?
SELECT ALL THAT APPLY.
A. A client at 8 weeks of gestation who asks for an influenza immunization.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
D. A client who has peptic ulcer disease and takes sucralfate and tells the nurse she
has started taking over-the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected
pregnancy. Answer- B. A client who takes prednisone and has a possible fungal
infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected
pregnancy.
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states she took penicillin 3 years ago and developed a rash.
Which of the following is an appropriate nursing action?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time. Answer- B. Withhold the
medication
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following is an appropriate statement by the
nurse? [Show Less]