NCLEX Pharmacology VATI, RN VATI Pharmacology Exam with Verified Answers
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NCLEX Pharmacology VATI
Institution
NCLEX Pharmacology VATI
NCLEX Pharmacology VATI, RN VATI Pharmacology Exam with
Verified Answers
A nurse is caring for a client who ingest-
ed 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....
NCLEX Pharmacology VATI, RN VATI Pharmacology Exam with
Verified Answers
b. Diaphoresis is correct. The nurse
should monitor the client for early man-
ifestations of acetaminophen toxicity,
which includes diaphoresis. Later mani-
A nurse is caring for a client who ingest- festations of toxicity include liver failure,
ed a toxic amount of acetaminophen 36 which manifest 48 to 72 hr following in-
hr ago. For which of the following findings gestion of the toxic dose.
should the nurse monitor? Select all that
apply d. Abdominal discomfort is correct. The
a. elevated troponin level nurse should monitor the client for early
b. diaphoresis manifestations of acetaminophen toxici-
c. hyperglycemia ty, which include abdominal discomfort,
d. abdominal discomfort nausea, vomiting, and diarrhea.
e. increased alanine aminotransferase
(ALT) level e. Increased alanine aminotransferase
(ALT) level is correct. The nurse should
monitor ALT levels because these en-
zymes may elevate with liver inflamma-
tion from acetaminophen overdose.
A nurse is assessing a client who has
a prescription for oral albuterol for the b. Tachycardia
long-term management of asthma. For
which of the following adverse effects Albuterol is a beta2-agonist, which can
should the nurse monitor? cause excessive stimulation of cardiac
a. Nystagmus and skeletal muscle beta cells. There-
b. Tachycardia fore, the nurse should monitor the client
c. Drowsiness for tachycardia and dysrhythmias.
d. Oral fungal infections
d. Glucose
A nurse is planning care for a client
who has asthma and a prescription for Methylprednisolone therapy increases
methylprednisolone. Which of the follow- the synthesis of glucose and decreases
ing lab values should the nurse monitor? the uptake of glucose by the muscles and
a. Aspartate aminotransferase (AST) adipose tissues, resulting in increased
b. Fibrin split products circulating glucose. Therefore, it is im-
c. BUN portant for the nurse to regularly monitor
d. Glucose blood glucose levels while clients are re-
ceiving corticosteroid therapy.
,NCLEX Pharmacology VATI, RN VATI Pharmacology Exam with
Verified Answers
A nurse planning care for a client who d. Electrolyte imbalance
has a prescription for acetazolamide.
Which of the following findings should Acetazolamide promotes renal excre-
the nurse plan to monitor for as an ad- tion of sodium and potassium and re-
verse effect of this medication? duces the formation of bicarbonate, in-
a. Bronchospasm creasing the client's risk of electrolyte
b. Constipation and acid-base imbalances. Therefore,
c. Diplopia the nurse should monitor the client for
d. Electrolyte imbalance findings of electrolyte imbalance.
A nurse is caring for a client who reports
an increase in migraine headaches over b. Angina pectoris
the past 2 weeks and asks if sumatrip-
tan might be helpful. Which of the follow- Sumatriptan is a vasoconstrictor and can
ing conditions from the client's medical cause angina from coronary vasospasm.
history should the nurse recognize as a The nurse should identify uncontrolled
contraindication for this medication? hypertension, coronary artery disease,
a. Gastrointestinal reflux ischemic heart disease, and angina pec-
b. Angina pectoris toris as contraindications for receiving
c. Routine acetylsalicylic acid use sumatriptan.
d. Eczema
b. Second-degree heart block
A nurse on a telemetry unit is caring for
A second-degree heart block results
a client who has a new prescription for
when there is a problem in the atrioven-
digoxin. The nurse should identify that
tricular conduction system. Each atrial
which of the following cardiac rhythms
impulse takes progressively longer to go
is a contraindication for administration of
from the AV node to the ventricles until a
the medication?
QRS complex drops. Digoxin slows atri-
a. Atrial flutter
oventricular conduction and can cause
b. Second-degree heart block
c. Atrial fibrillation progression to a complete heart block;
therefore, the nurse should identify sec-
d. Narrow QRS complexes
ond-degree heart block as a contraindi-
cation for digoxin therapy.
A nurse is caring for a client who is post- b. Oliguria
operative following orthopedic surgery
and receiving IV ketorolac. Which of The nurse should identify that the great-
the following findings should the nurse est risk to the client is renal insufficiency
identify as the priority to report to the or renal toxicity, both of which are poten-
, NCLEX Pharmacology VATI, RN VATI Pharmacology Exam with
Verified Answers
provider?
tial adverse effects of ketorolac. There-
a. Dry mouth
fore, oliguria, or decreased urine output,
b. Oliguria
is the priority finding for the nurse to re-
c. Nausea
port to the provider.
d. Altered taste
d. potassium 4.8 mEq/L
A nurse is reviewing the laboratory report Sodium polystyrene sulfonate is a cation-
for a client who has been taking sodi- ic exchange resin administered to treat
um polystyrene sulfonate. Which of the hyperkalemia. A potassium level of 4.8
following findings indicates a therapeutic is within the expected reference range
response to the medication? of 3.5 to 5 mEq/L and indicates that
a. magnesium 1.5 mEq/L the client has experienced a therapeutic
b. calcium 9.2 mg/dL response to the medication. The nurse
c. sodium 140 mEq/L should closely monitor the client's potas-
d. potassium 4.8 mEq/L sium level throughout treatment and noti-
fy the provider when the potassium level
drops within 4 to 5 mEq/L.
A nurse is providing discharge teach-
ing to a client who has a gastric ulcer
and a new prescription for esomepra-
zole. Which of the following information c. Take the medication 60 min before a
should the nurse include in the teaching? meal.
a. Continue taking ibuprofen for pain re-
lief. Food affects the absorption of es-
b. Crush the medication and mix it with omeprazole. For optimal absorption, the
applesauce. client should take the medication at least
c. Take the medication 60 min before a 60 min before a meal
meal.
d. Insomnia is a common adverse effect
of the medication.
A nurse is planning care for a client
who is taking tamoxifen for treatment of
a. Monitor the client's calcium level.
breast cancer. Which of the following in-
b. Monitor the client for pulmonary embo-
terventions should the nurse include in
lus.
the plan? (select all that apply)
c. Advise the client of the potential for
a. Monitor the client's calcium level.
b. Monitor the client for pulmonary embo-
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