The Respiratory System Test ATI UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is teaching a client who has a prescription for Have laboratory tests performed at regular intervals.
zileuton. Which of the following instructions should the
nurse include? Zileuton, a leukotriene modifier, can cause liver injury. The nurse should
monitor liver function once a month for 3 months, then every 2 to 3 months
during the first year of treatment.
A nurse if caring for a client who is taking codeine. The Respirations
nurse should identify that which of the following
assessments is priority to make? The greatest risk to clients who are taking codeine, an opioid agonist, is severe
respiratory depression. Therefore, the respiratory rate is the priority assessment.
A nurse is teaching a client about ipratropium. The nurse Muscle tremors is incorrect. Muscle tremors can occur with beta2 agonists,
should include that this drug has which of the following not with inhaled anticholinergics such as ipratropium.
adverse effects? (select all that apply.) Urinary retention is correct. Urinary retention can occur with ipratropium, an
inhaled anticholinergic.
Dry mouth is correct. Ipratropium can dry oral secretions.
Insomnia is incorrect. Methylxanthines, not inhaled anticholinergics such as
ipratropium, can cause insomnia.
Tachycardia is incorrect. Tachycardia can occur with beta2 agonists, not with
inhaled anticholinergics such as ipratropium.
a nurse is teaching a client about the use of cromolyn Reduces inflammation
sodium to prevent bronchospasm. The nurse should
explain that the drug has which of the following Cromolyn sodium, a mast cell stabilizer, reduces inflammation by inhibiting the
therapeutic effects? inflammatory response.
A nurse is preparing to administer phenylephrine to a Headache
client. The nurse should identify that which of the
following manifestations is an adverse effect of this Oral sympathomimetics stimulate the adrenergic receptors, causing blood
drug? vessel constriction, which can cause nervousness, headache, blurred vision,
and tremors.
A nurse is teaching a client who has a prescription for Albuterol will increase the absorption of fluticasone.
albuterol via inhaler and fluticasone/salmeterol via
inhaler for asthma management. For which of the Albuterol, an inhaled, short-acting beta2 agonist, causes bronchodilation,
following reasons should the nurse instruct the client to which will increase the absorption of fluticasone, an inhaled glucocorticoid.
use the albuterol inhaler before using the fluticasone
inhaler?
For which of the following reasons should a nurse Over-the-counter cold products can also contain guaifenesin.
instruct a client to avoid taking guaifenesin with
combination OTC cold products? Many combination over-the-counter cold products contain guaifenesin. A
client taking both might be taking excessive amounts of the drug. Combination
products also contain multiple drugs to treat different manifestations, some of
which the client might not have. All drugs have potential adverse effects, so the
client should use only those drugs required to treat existing symptoms and
only in the recommended amounts
Questions and CORRECT Answers
A nurse is teaching a client who has a prescription for Have laboratory tests performed at regular intervals.
zileuton. Which of the following instructions should the
nurse include? Zileuton, a leukotriene modifier, can cause liver injury. The nurse should
monitor liver function once a month for 3 months, then every 2 to 3 months
during the first year of treatment.
A nurse if caring for a client who is taking codeine. The Respirations
nurse should identify that which of the following
assessments is priority to make? The greatest risk to clients who are taking codeine, an opioid agonist, is severe
respiratory depression. Therefore, the respiratory rate is the priority assessment.
A nurse is teaching a client about ipratropium. The nurse Muscle tremors is incorrect. Muscle tremors can occur with beta2 agonists,
should include that this drug has which of the following not with inhaled anticholinergics such as ipratropium.
adverse effects? (select all that apply.) Urinary retention is correct. Urinary retention can occur with ipratropium, an
inhaled anticholinergic.
Dry mouth is correct. Ipratropium can dry oral secretions.
Insomnia is incorrect. Methylxanthines, not inhaled anticholinergics such as
ipratropium, can cause insomnia.
Tachycardia is incorrect. Tachycardia can occur with beta2 agonists, not with
inhaled anticholinergics such as ipratropium.
a nurse is teaching a client about the use of cromolyn Reduces inflammation
sodium to prevent bronchospasm. The nurse should
explain that the drug has which of the following Cromolyn sodium, a mast cell stabilizer, reduces inflammation by inhibiting the
therapeutic effects? inflammatory response.
A nurse is preparing to administer phenylephrine to a Headache
client. The nurse should identify that which of the
following manifestations is an adverse effect of this Oral sympathomimetics stimulate the adrenergic receptors, causing blood
drug? vessel constriction, which can cause nervousness, headache, blurred vision,
and tremors.
A nurse is teaching a client who has a prescription for Albuterol will increase the absorption of fluticasone.
albuterol via inhaler and fluticasone/salmeterol via
inhaler for asthma management. For which of the Albuterol, an inhaled, short-acting beta2 agonist, causes bronchodilation,
following reasons should the nurse instruct the client to which will increase the absorption of fluticasone, an inhaled glucocorticoid.
use the albuterol inhaler before using the fluticasone
inhaler?
For which of the following reasons should a nurse Over-the-counter cold products can also contain guaifenesin.
instruct a client to avoid taking guaifenesin with
combination OTC cold products? Many combination over-the-counter cold products contain guaifenesin. A
client taking both might be taking excessive amounts of the drug. Combination
products also contain multiple drugs to treat different manifestations, some of
which the client might not have. All drugs have potential adverse effects, so the
client should use only those drugs required to treat existing symptoms and
only in the recommended amounts
