ATI PHARMACOLOGY PROCTORED
COMPREHENSIVE SCRIPT TEST BANK ONE
THREE HUNDRED PLUS SOLVED QUESTIONS
RATIONALES 2026
◉ 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. Answer: 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. 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
b. Constipation
c. Diplopia
d. Electrolyte imbalance. 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. Answer: 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. Answer: 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. Answer: b. Oliguria
The nurse should identify that the greatest risk to the client is renal
insufficiency or renal toxicity, both of which are potential adverse effects
of ketorolac. Therefore, oliguria, or decreased urine output, is the
priority finding for the nurse to report to the provider.
◉ A nurse is reviewing the laboratory report for a client who has been
taking sodium polystyrene sulfonate. Which of the following findings
indicates a therapeutic response to the medication?
a. magnesium 1.5 mEq/L
b. calcium 9.2 mg/dL
c. sodium 140 mEq/L
d. potassium 4.8 mEq/L. Answer: d. potassium 4.8 mEq/L
COMPREHENSIVE SCRIPT TEST BANK ONE
THREE HUNDRED PLUS SOLVED QUESTIONS
RATIONALES 2026
◉ 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. Answer: 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. 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
b. Constipation
c. Diplopia
d. Electrolyte imbalance. 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. Answer: 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. Answer: 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. Answer: b. Oliguria
The nurse should identify that the greatest risk to the client is renal
insufficiency or renal toxicity, both of which are potential adverse effects
of ketorolac. Therefore, oliguria, or decreased urine output, is the
priority finding for the nurse to report to the provider.
◉ A nurse is reviewing the laboratory report for a client who has been
taking sodium polystyrene sulfonate. Which of the following findings
indicates a therapeutic response to the medication?
a. magnesium 1.5 mEq/L
b. calcium 9.2 mg/dL
c. sodium 140 mEq/L
d. potassium 4.8 mEq/L. Answer: d. potassium 4.8 mEq/L
