PHARMACOLOGY RESPIRATORY NCLEX
QUESTIONS WITH CORRECT ANSWERS NEW
MODIFIED
The nurse is teaching a client about diphenhydramine (Benadryl). Which are
topics to include? (Select all that apply.)
a. Take medication with food to decrease gastric distress.
b. Avoid alcohol and other central nervous system depressants.
c. Notify the health care provider if confusion or hypotension occurs.
d. Take sugarless candy, gum, or ice chips for temporary relief of dry mouth.
e. Avoid handling dangerous equipment or performing dangerous activities until
stabilized on the drug. --CORRECT ANSWER--a. Take medication with food
to decrease gastric distress.
b. Avoid alcohol and other central nervous system depressants.
c. Notify the health care provider if confusion or hypotension occurs.
d. Take sugarless candy, gum, or ice chips for temporary relief of dry mouth.
e. Avoid handling dangerous equipment or performing dangerous activities until
stabilized on the drug.
Page | 1
,The nurse is caring for a client who is taking a first-generation antihistamine.
What is the most important fact for the nurse to teach the client?
a. "Do not drive after taking this medication."
b. "Make sure you drink a lot of liquids while on this medication."
c. "Take this medication on an empty stomach."
d. "Do not take this medication for more than 2 days." --CORRECT ANSWER-
-a. "Do not drive after taking this medication."
The nurse is caring for a client in the clinic who states that he is afraid of taking
antihistamines because he is a truck driver. What is the best information for the
nurse to give this client?
a. "Take the medication only when you are not driving."
b. "Take a lower dose than normal when you have to drive."
c. "You are correct, you should not take antihistamines."
d. "You may be able to safely take a second-generation antihistamine." --
CORRECT ANSWER--d. "You may be able to safely take a second-generation
antihistamine."
A client tells the nurse that he has started to take an OTC antihistamine,
diphenhydramine. In teaching him about side effects, what is most important for
the nurse to tell the client?
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,a. Do not to take this drug at bedtime to avoid insomnia.
b. Avoid driving a motor vehicle until stabilized on the drug.
c. Nightmares and nervousness are more likely in an adult.
d. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound
congestion. --CORRECT ANSWER--b. Avoid driving a motor vehicle until
stabilized on the drug.
The client complains of a sore throat and has been told it is due to beta-
hemolytic streptococcal infection. The nurse realizes this condition is called
what?
a. Acute rhinitis.
b. Acute sinusitis.
c. Acute pharyngitis.
d. Acute rhinorrhea. --CORRECT ANSWER--c. Acute pharyngitis.
A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. What
should the nurse teach the client?
a. Take this drug at bedtime as a sleep aid.
b. Directly spray away from the nasal septum and gently sniff.
c. This drug may be used in maintenance treatment for asthma.
Page | 3
, d. Limit the drug to 5 days of use to prevent rebound nasal congestion. --
CORRECT ANSWER--d. Limit the drug to 5 days of use to prevent rebound
nasal congestion.
A client has been prescribed guaifenesin (Robitussin). The nurse realizes that
the purpose of the drug is to accomplish what?
a. To treat allergic rhinitis and prevent motion sickness
b. To loosen bronchial secretions so they can be eliminated by coughing
c. To compete with histamine for receptor sites, thus preventing a histamine
response
d. To stimulate alpha-adrenergic receptors, thus producing vascular constriction
of capillaries in nasal mucosa --CORRECT ANSWER--b. To loosen bronchial
secretions so they can be eliminated by coughing
Beclomethasone (Beconase) has been prescribed for a client with allergic
rhinitis. The nurse teaches the client that which is the most common side effect
from continuous use?
a. Dizziness
b. Rhinorrhea
c. Hallucinations
d. Dry nasal mucosa --CORRECT ANSWER--d. Dry nasal mucosa
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QUESTIONS WITH CORRECT ANSWERS NEW
MODIFIED
The nurse is teaching a client about diphenhydramine (Benadryl). Which are
topics to include? (Select all that apply.)
a. Take medication with food to decrease gastric distress.
b. Avoid alcohol and other central nervous system depressants.
c. Notify the health care provider if confusion or hypotension occurs.
d. Take sugarless candy, gum, or ice chips for temporary relief of dry mouth.
e. Avoid handling dangerous equipment or performing dangerous activities until
stabilized on the drug. --CORRECT ANSWER--a. Take medication with food
to decrease gastric distress.
b. Avoid alcohol and other central nervous system depressants.
c. Notify the health care provider if confusion or hypotension occurs.
d. Take sugarless candy, gum, or ice chips for temporary relief of dry mouth.
e. Avoid handling dangerous equipment or performing dangerous activities until
stabilized on the drug.
Page | 1
,The nurse is caring for a client who is taking a first-generation antihistamine.
What is the most important fact for the nurse to teach the client?
a. "Do not drive after taking this medication."
b. "Make sure you drink a lot of liquids while on this medication."
c. "Take this medication on an empty stomach."
d. "Do not take this medication for more than 2 days." --CORRECT ANSWER-
-a. "Do not drive after taking this medication."
The nurse is caring for a client in the clinic who states that he is afraid of taking
antihistamines because he is a truck driver. What is the best information for the
nurse to give this client?
a. "Take the medication only when you are not driving."
b. "Take a lower dose than normal when you have to drive."
c. "You are correct, you should not take antihistamines."
d. "You may be able to safely take a second-generation antihistamine." --
CORRECT ANSWER--d. "You may be able to safely take a second-generation
antihistamine."
A client tells the nurse that he has started to take an OTC antihistamine,
diphenhydramine. In teaching him about side effects, what is most important for
the nurse to tell the client?
Page | 2
,a. Do not to take this drug at bedtime to avoid insomnia.
b. Avoid driving a motor vehicle until stabilized on the drug.
c. Nightmares and nervousness are more likely in an adult.
d. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound
congestion. --CORRECT ANSWER--b. Avoid driving a motor vehicle until
stabilized on the drug.
The client complains of a sore throat and has been told it is due to beta-
hemolytic streptococcal infection. The nurse realizes this condition is called
what?
a. Acute rhinitis.
b. Acute sinusitis.
c. Acute pharyngitis.
d. Acute rhinorrhea. --CORRECT ANSWER--c. Acute pharyngitis.
A client is prescribed the decongestant oxymetazoline (Afrin) nasal spray. What
should the nurse teach the client?
a. Take this drug at bedtime as a sleep aid.
b. Directly spray away from the nasal septum and gently sniff.
c. This drug may be used in maintenance treatment for asthma.
Page | 3
, d. Limit the drug to 5 days of use to prevent rebound nasal congestion. --
CORRECT ANSWER--d. Limit the drug to 5 days of use to prevent rebound
nasal congestion.
A client has been prescribed guaifenesin (Robitussin). The nurse realizes that
the purpose of the drug is to accomplish what?
a. To treat allergic rhinitis and prevent motion sickness
b. To loosen bronchial secretions so they can be eliminated by coughing
c. To compete with histamine for receptor sites, thus preventing a histamine
response
d. To stimulate alpha-adrenergic receptors, thus producing vascular constriction
of capillaries in nasal mucosa --CORRECT ANSWER--b. To loosen bronchial
secretions so they can be eliminated by coughing
Beclomethasone (Beconase) has been prescribed for a client with allergic
rhinitis. The nurse teaches the client that which is the most common side effect
from continuous use?
a. Dizziness
b. Rhinorrhea
c. Hallucinations
d. Dry nasal mucosa --CORRECT ANSWER--d. Dry nasal mucosa
Page | 4
