NCLEX Pharmacology VATI, RN VATI Pharmacology 2025-COMPLETE
QUESTIONS AND ANSWERS-RATED 100% CORRECT|MOSTLY
TESTED QUESTIONS-ALREADY GRADED A+ GUARANTEED PASS!!
A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For
which of the following findings should the nurse monitor? Select all that apply
a. elevated troponin level
b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
e. increased alanine aminotransferase (ALT) level - (answers)b. Diaphoresis is correct. The
nurse should monitor the client for early manifestations of acetaminophen toxicity, which
includes diaphoresis. Later manifestations of toxicity include liver failure, which manifest 48
to 72 hr following ingestion of the toxic dose.
d. Abdominal discomfort is correct. The nurse should monitor the client for early
manifestations of acetaminophen toxicity, which include abdominal discomfort, nausea,
vomiting, and diarrhea.
e. Increased alanine aminotransferase (ALT) level is correct. The nurse should monitor ALT
levels because these enzymes may elevate with liver inflammation from acetaminophen
overdose.
A nurse is assessing a client who has a prescription for oral albuterol for the long-term
management of asthma. For which of the following adverse effects should the nurse
monitor?
a. Nystagmus
b. Tachycardia
c. Drowsiness
d. Oral fungal infections - (answers)b. Tachycardia
,Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and skeletal
muscle beta cells. Therefore, the nurse should monitor the client for tachycardia and
dysrhythmias.
A nurse is planning care for a client who has asthma and a prescription for
methylprednisolone. Which of the following lab values should the nurse monitor?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose - (answers)d. Glucose
Methylprednisolone therapy increases the synthesis of glucose and decreases the uptake of
glucose by the muscles and adipose tissues, resulting in increased circulating glucose.
Therefore, it is important for the nurse to regularly monitor blood glucose levels while
clients are receiving corticosteroid therapy.
A nurse planning care for a client who has a prescription for acetazolamide. Which of the
following findings should the nurse plan to monitor for as an adverse effect of this
medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance - (answers)d. Electrolyte imbalance
Acetazolamide promotes renal excretion of sodium and potassium and reduces the
formation of bicarbonate, increasing the client's risk of electrolyte and acid-base imbalances.
Therefore, the nurse should monitor the client for findings of electrolyte imbalance.
A nurse is caring for a client who reports an increase in migraine headaches over the past 2
weeks and asks if sumatriptan might be helpful. Which of the following conditions from the
client's medical history should the nurse recognize as a contraindication for this medication?
a. Gastrointestinal reflux
, b. Angina pectoris
c. Routine acetylsalicylic acid use
d. Eczema - (answers)b. Angina pectoris
Sumatriptan is a vasoconstrictor and can cause angina from coronary vasospasm. The nurse
should identify uncontrolled hypertension, coronary artery disease, ischemic heart disease,
and angina pectoris as contraindications for receiving sumatriptan.
A nurse on a telemetry unit is caring for a client who has a new prescription for digoxin. The
nurse should identify that which of the following cardiac rhythms is a contraindication for
administration of the medication?
a. Atrial flutter
b. Second-degree heart block
c. Atrial fibrillation
d. Narrow QRS complexes - (answers)b. Second-degree heart block
A second-degree heart block results when there is a problem in the atrioventricular
conduction system. Each atrial impulse takes progressively longer to go from the AV node to
the ventricles until a QRS complex drops. Digoxin slows atrioventricular conduction and can
cause progression to a complete heart block; therefore, the nurse should identify second-
degree heart block as a contraindication for digoxin therapy.
A nurse is caring for a client who is postoperative following orthopedic surgery and receiving
IV ketorolac. Which of the following findings should the nurse identify as the priority to
report to the provider?
a. Dry mouth
b. Oliguria
c. Nausea
d. Altered taste - (answers)b. Oliguria
QUESTIONS AND ANSWERS-RATED 100% CORRECT|MOSTLY
TESTED QUESTIONS-ALREADY GRADED A+ GUARANTEED PASS!!
A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For
which of the following findings should the nurse monitor? Select all that apply
a. elevated troponin level
b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
e. increased alanine aminotransferase (ALT) level - (answers)b. Diaphoresis is correct. The
nurse should monitor the client for early manifestations of acetaminophen toxicity, which
includes diaphoresis. Later manifestations of toxicity include liver failure, which manifest 48
to 72 hr following ingestion of the toxic dose.
d. Abdominal discomfort is correct. The nurse should monitor the client for early
manifestations of acetaminophen toxicity, which include abdominal discomfort, nausea,
vomiting, and diarrhea.
e. Increased alanine aminotransferase (ALT) level is correct. The nurse should monitor ALT
levels because these enzymes may elevate with liver inflammation from acetaminophen
overdose.
A nurse is assessing a client who has a prescription for oral albuterol for the long-term
management of asthma. For which of the following adverse effects should the nurse
monitor?
a. Nystagmus
b. Tachycardia
c. Drowsiness
d. Oral fungal infections - (answers)b. Tachycardia
,Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and skeletal
muscle beta cells. Therefore, the nurse should monitor the client for tachycardia and
dysrhythmias.
A nurse is planning care for a client who has asthma and a prescription for
methylprednisolone. Which of the following lab values should the nurse monitor?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose - (answers)d. Glucose
Methylprednisolone therapy increases the synthesis of glucose and decreases the uptake of
glucose by the muscles and adipose tissues, resulting in increased circulating glucose.
Therefore, it is important for the nurse to regularly monitor blood glucose levels while
clients are receiving corticosteroid therapy.
A nurse planning care for a client who has a prescription for acetazolamide. Which of the
following findings should the nurse plan to monitor for as an adverse effect of this
medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance - (answers)d. Electrolyte imbalance
Acetazolamide promotes renal excretion of sodium and potassium and reduces the
formation of bicarbonate, increasing the client's risk of electrolyte and acid-base imbalances.
Therefore, the nurse should monitor the client for findings of electrolyte imbalance.
A nurse is caring for a client who reports an increase in migraine headaches over the past 2
weeks and asks if sumatriptan might be helpful. Which of the following conditions from the
client's medical history should the nurse recognize as a contraindication for this medication?
a. Gastrointestinal reflux
, b. Angina pectoris
c. Routine acetylsalicylic acid use
d. Eczema - (answers)b. Angina pectoris
Sumatriptan is a vasoconstrictor and can cause angina from coronary vasospasm. The nurse
should identify uncontrolled hypertension, coronary artery disease, ischemic heart disease,
and angina pectoris as contraindications for receiving sumatriptan.
A nurse on a telemetry unit is caring for a client who has a new prescription for digoxin. The
nurse should identify that which of the following cardiac rhythms is a contraindication for
administration of the medication?
a. Atrial flutter
b. Second-degree heart block
c. Atrial fibrillation
d. Narrow QRS complexes - (answers)b. Second-degree heart block
A second-degree heart block results when there is a problem in the atrioventricular
conduction system. Each atrial impulse takes progressively longer to go from the AV node to
the ventricles until a QRS complex drops. Digoxin slows atrioventricular conduction and can
cause progression to a complete heart block; therefore, the nurse should identify second-
degree heart block as a contraindication for digoxin therapy.
A nurse is caring for a client who is postoperative following orthopedic surgery and receiving
IV ketorolac. Which of the following findings should the nurse identify as the priority to
report to the provider?
a. Dry mouth
b. Oliguria
c. Nausea
d. Altered taste - (answers)b. Oliguria
