NURS 1141 practice questions exam 4 new content final
Questions With Complete Solutions
A 13-yr-old pt is taken to the school clinic b/c he started to have
an asthma attack while running outside in the cold air. The
school nurse has two metered-dose inhalers on file for hime:
fluticason and albuterol. Which inhaler is the priority at this
time? Explain your answer. Correct Answers The appropriate
inhaler is the albuterol inhaler because it is a rapid-acting
bronchodilator. Fluticasone is an inhaled corticosteroid and is
used for prevention of asthma attacks, but it does not cause
bronchodilation. It is not appropriate for use as a rescue inhaler.
A 94-yr-old pt has a severe dry cough. He has coughed so hard
that the muscles in his chest are hurting. He is unsteady on his
feet and slightly confused. Which drug would be the best choice
for this pt's cough?
a. Benzonatate (Tessalon Perles)
b. Dextromethorphan (Robitussin-DM) oral solution
c. Codeine cough syrup
d. guaifenesin (Mucinex) Correct Answers b Dextromethorphan
(Robitussin-DM) oral solution
A client is making an appointment for allergy testing. The nurse
instructs the client not take what class of medications at least 4
days before allergy testing?
a Antitussives
b Antihistamines
c Decongestants
,d Bronchodilators Correct Answers b. Antihistamines
An allergist will usually recommend discontinuation of
antihistamine drug therapy at least 4 days before allergy testing.
A pt complains of worsening nasal congestion despite the use of
oxymetazoline (Afrin) nasal spray every 2-4 hrs for the past 5
days. The nurse's response is based on the knowledge that:
a. oxymetazoline is not an effective nasal decongestant
b. sustained use of nasal decongestants over several days may
result in rebound congestion
c. oxymetazoline should be administered in an hourly reginmen
for severe congestion
d. the patient is probably displaying an idiosyncratic reaction to
oxymetazoline Correct Answers b. sustained use of nasal
decongestants over several days may result in rebound
congestion
Oxymetazoline is an effective nasal decongestant, but overuse
results in worsening or "rebound" congestion. It should not be
used more than every 4 hrs.
A pt has been receiving an aminophylline infusion for 24 hrs.
The nurse will assess for which adverse effect when assessing
the pt during the infusion?
a. CNS depression
b. sinus tachycardia
c. increased appetite
, d. temporary urinary retention Correct Answers b. sinus
tachycardia
A pt is prescribed two different types of inhaled medications for
treatment of COPD. After administering the first medication,
how long should the nurse wait to administer the second
medication?
a. 1 min
b. 5 min
c. 10 min
d. 15 min Correct Answers b. 5 min
1 min in between puffs of the same medication
A pt is recovering from an emergency exploratory laparotomy
b/c of an abd mass. He had a cold before his surgery and is now
coughing up large amounts of whitish sputum. He is receiving
IV fluids. He asks the nurse for something to make him stop
coughing. The nurse reviews the medication sheet and sees both
and expectorant and an antitussive ordered. Which medication
would be the best choice at this time? Explain your answer
Correct Answers In these situations it may enhance patient
comfort and reduce respiratory distress to inhibit the cough by
the use of an antitussive drug. Severe coughing may cause his
abdominal incision to weaken and perhaps rupture. The nurse
needs to ensure that the patient is well hydrated and given the
antitussive drug to help reduce the severity of the cough during
this immediate postoperative period.
Questions With Complete Solutions
A 13-yr-old pt is taken to the school clinic b/c he started to have
an asthma attack while running outside in the cold air. The
school nurse has two metered-dose inhalers on file for hime:
fluticason and albuterol. Which inhaler is the priority at this
time? Explain your answer. Correct Answers The appropriate
inhaler is the albuterol inhaler because it is a rapid-acting
bronchodilator. Fluticasone is an inhaled corticosteroid and is
used for prevention of asthma attacks, but it does not cause
bronchodilation. It is not appropriate for use as a rescue inhaler.
A 94-yr-old pt has a severe dry cough. He has coughed so hard
that the muscles in his chest are hurting. He is unsteady on his
feet and slightly confused. Which drug would be the best choice
for this pt's cough?
a. Benzonatate (Tessalon Perles)
b. Dextromethorphan (Robitussin-DM) oral solution
c. Codeine cough syrup
d. guaifenesin (Mucinex) Correct Answers b Dextromethorphan
(Robitussin-DM) oral solution
A client is making an appointment for allergy testing. The nurse
instructs the client not take what class of medications at least 4
days before allergy testing?
a Antitussives
b Antihistamines
c Decongestants
,d Bronchodilators Correct Answers b. Antihistamines
An allergist will usually recommend discontinuation of
antihistamine drug therapy at least 4 days before allergy testing.
A pt complains of worsening nasal congestion despite the use of
oxymetazoline (Afrin) nasal spray every 2-4 hrs for the past 5
days. The nurse's response is based on the knowledge that:
a. oxymetazoline is not an effective nasal decongestant
b. sustained use of nasal decongestants over several days may
result in rebound congestion
c. oxymetazoline should be administered in an hourly reginmen
for severe congestion
d. the patient is probably displaying an idiosyncratic reaction to
oxymetazoline Correct Answers b. sustained use of nasal
decongestants over several days may result in rebound
congestion
Oxymetazoline is an effective nasal decongestant, but overuse
results in worsening or "rebound" congestion. It should not be
used more than every 4 hrs.
A pt has been receiving an aminophylline infusion for 24 hrs.
The nurse will assess for which adverse effect when assessing
the pt during the infusion?
a. CNS depression
b. sinus tachycardia
c. increased appetite
, d. temporary urinary retention Correct Answers b. sinus
tachycardia
A pt is prescribed two different types of inhaled medications for
treatment of COPD. After administering the first medication,
how long should the nurse wait to administer the second
medication?
a. 1 min
b. 5 min
c. 10 min
d. 15 min Correct Answers b. 5 min
1 min in between puffs of the same medication
A pt is recovering from an emergency exploratory laparotomy
b/c of an abd mass. He had a cold before his surgery and is now
coughing up large amounts of whitish sputum. He is receiving
IV fluids. He asks the nurse for something to make him stop
coughing. The nurse reviews the medication sheet and sees both
and expectorant and an antitussive ordered. Which medication
would be the best choice at this time? Explain your answer
Correct Answers In these situations it may enhance patient
comfort and reduce respiratory distress to inhibit the cough by
the use of an antitussive drug. Severe coughing may cause his
abdominal incision to weaken and perhaps rupture. The nurse
needs to ensure that the patient is well hydrated and given the
antitussive drug to help reduce the severity of the cough during
this immediate postoperative period.
