NCLEX Pharmacology VATI, RN VATI
Pharmacology 2025 |EXAM (MULTIPLE
CHOICES) AND (RATIONALES) QUESTION AND
ANSWERS 100% CORRECT 2025
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Terms in this set (51)
b. Diaphoresis is correct. The nurse should monitor
A nurse is caring for a
the client for early manifestations of acetaminophen
client who ingested a
toxicity, which includes diaphoresis. Later
toxic amount of
manifestations of toxicity include liver failure, which
acetaminophen 36 hr
manifest 48 to 72 hr following ingestion of the toxic
ago. For which of the
dose.
following findings should
the nurse monitor? Select
d. Abdominal discomfort is correct. The nurse
all that apply
should monitor the client for early manifestations of
a. elevated troponin level
acetaminophen toxicity, which include abdominal
b. diaphoresis
discomfort, nausea, vomiting, and diarrhea.
c. hyperglycemia
d. abdominal discomfort
e. Increased alanine aminotransferase (ALT) level is
e. increased alanine
correct. The nurse should monitor ALT levels
aminotransferase (ALT)
because these enzymes may elevate with liver
level
inflammation from acetaminophen overdose.
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,4/30/25, 3:57 AM NCLEX Pharmacology VATI, RN VATI Pharmacology 2025 |EXAM (MULTIPLE CHOICES) AND (RATIONALES) QUESTION A…
A nurse is assessing a b. Tachycardia
client who has a
prescription for oral Albuterol is a beta2-agonist, which can cause
albuterol for the long- excessive stimulation of cardiac and skeletal muscle
term management of beta cells. Therefore, the nurse should monitor the
asthma. For which of the client for tachycardia and dysrhythmias.
following adverse effects
should the nurse
monitor?
a. Nystagmus
b. Tachycardia
c. Drowsiness
d. Oral fungal infections
A nurse is planning care d. Glucose
for a client who has
asthma and a Methylprednisolone therapy increases the synthesis
prescription for of glucose and decreases the uptake of glucose by
methylprednisolone. the muscles and adipose tissues, resulting in
Which of the following increased circulating glucose. Therefore, it is
lab values should the important for the nurse to regularly monitor blood
nurse monitor? glucose levels while clients are receiving
a. Aspartate corticosteroid therapy.
aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose
A nurse planning care for d. Electrolyte imbalance
a client who has a
prescription for Acetazolamide promotes renal excretion of sodium
acetazolamide. Which of and potassium and reduces the formation of
the following findings bicarbonate, increasing the client's risk of
should the nurse plan to electrolyte and acid-base imbalances. Therefore,
monitor for as an adverse the nurse should monitor the client for findings of
effect of this medication? electrolyte imbalance.
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance
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, 4/30/25, 3:57 AM NCLEX Pharmacology VATI, RN VATI Pharmacology 2025 |EXAM (MULTIPLE CHOICES) AND (RATIONALES) QUESTION A…
A nurse is caring for a b. Angina pectoris
client who reports an
increase in migraine Sumatriptan is a vasoconstrictor and can cause
headaches over the past angina from coronary vasospasm. The nurse should
2 weeks and asks if identify uncontrolled hypertension, coronary artery
sumatriptan might be disease, ischemic heart disease, and angina pectoris
helpful. Which of the as contraindications for receiving sumatriptan.
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
A nurse on a telemetry b. Second-degree heart block
unit is caring for a client
who has a new A second-degree heart block results when there is a
prescription for digoxin. problem in the atrioventricular conduction system.
The nurse should identify Each atrial impulse takes progressively longer to go
that which of the from the AV node to the ventricles until a QRS
following cardiac complex drops. Digoxin slows atrioventricular
rhythms is a conduction and can cause progression to a
contraindication for complete heart block; therefore, the nurse should
administration of the identify second-degree heart block as a
medication? contraindication for digoxin therapy.
a. Atrial flutter
b. Second-degree heart
block
c. Atrial fibrillation
d. Narrow QRS
complexes
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