NCLEX Pharmacology VATI, RN VATI
Pharmacology Exam 2026 Questions and
Answers
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 - Correct answer-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.
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,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 - Correct answer-b. Tachycardia
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,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 - Correct answer-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
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, b. Constipation
c. Diplopia
d. Electrolyte imbalance - Correct answer-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 - Correct answer-b. Angina pectoris
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Pharmacology Exam 2026 Questions and
Answers
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 - Correct answer-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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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 - Correct answer-b. Tachycardia
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,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 - Correct answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, b. Constipation
c. Diplopia
d. Electrolyte imbalance - Correct answer-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 - Correct answer-b. Angina pectoris
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
