NR293 Exam 2 Actual Exam Style V2 | NR
293 Pharmacology for Nursing Practice |
Chamberlain
1. A patient with acute asthma symptoms is prescribed albuterol. Which instruction should
the nurse prioritize during teaching?
A. This medication is for emergency use and should be used during an attack.
B. Rinse your mouth with water immediately after using this inhaler.
C. Take the medication only before bedtime to prevent night attacks.
D. Expect the medication to take at least 30 minutes to provide relief.
Correct Answer: A
Expert Explanation: Albuterol is a short-acting beta-2 agonist (SABA) intended for rescue
use during acute bronchospasm. It has a rapid onset of action, typically providing relief
within minutes. Patients must understand that this is not a long-term maintenance drug
but a life-saving tool for emergencies.
2. A patient is starting therapy with levothyroxine for hypothyroidism. When is the best time
for the nurse to advise the patient to take this medication?
A. With a high-fiber breakfast to aid digestion.
B. Right before bedtime to prevent daytime drowsiness.
C. At least 30 to 60 minutes before breakfast on an empty stomach.
,D. With lunch to ensure maximum absorption with fats.
Correct Answer: C
Expert Explanation: Levothyroxine absorption is significantly decreased by food,
minerals, and certain medications. Taking it on an empty stomach in the morning ensures
consistent therapeutic blood levels. The nurse should also instruct the patient to avoid
taking calcium or iron supplements within 4 hours of this dose.
3. The nurse is preparing to administer insulin lispro to a patient. When should the nurse
ensure the patient’s meal tray is available?
A. Within 15 minutes of administration.
B. Exactly 1 hour after administration.
C. 30 minutes before administration.
D. Only after the patient finishes eating.
Correct Answer: A
Expert Explanation: Insulin lispro is a rapid-acting insulin with an onset of 15 minutes.
Administering it without food immediately available puts the patient at high risk for severe
hypoglycemia. The nurse must verify the meal tray is present on the unit before giving the
injection.
4. A patient taking omeprazole for GERD is concerned about long-term use. Which risk should
the nurse discuss with the patient?
A. Hypermagnesemia
, B. Vitamin C deficiency
C. Increased risk of osteoporosis and hip fractures
D. Excessive weight gain
Correct Answer: C
Expert Explanation: Long-term use of Proton Pump Inhibitors (PPIs) like omeprazole is
associated with decreased bone mineral density. This increases the risk of fractures,
particularly in the hip, wrist, and spine. Patients should be encouraged to ensure adequate
calcium and vitamin D intake while on this medication.
5. A patient is prescribed beclomethasone dipropionate via inhaler. What is the most
important nursing intervention to prevent a common side effect?
A. Instruct the patient to rinse their mouth after use.
B. Assess for heart palpitations after administration.
C. Monitor for sudden weight loss.
D. Administer a bronchodilator 30 minutes after the steroid.
Correct Answer: A
Expert Explanation: Inhaled corticosteroids can cause oral candidiasis, also known as
thrush, due to localized immunosuppression in the mouth. Rinsing the mouth and spitting
out the water helps remove drug residue from the oral mucosa. This simple hygiene step is
critical for preventing fungal infections in the oral cavity.
293 Pharmacology for Nursing Practice |
Chamberlain
1. A patient with acute asthma symptoms is prescribed albuterol. Which instruction should
the nurse prioritize during teaching?
A. This medication is for emergency use and should be used during an attack.
B. Rinse your mouth with water immediately after using this inhaler.
C. Take the medication only before bedtime to prevent night attacks.
D. Expect the medication to take at least 30 minutes to provide relief.
Correct Answer: A
Expert Explanation: Albuterol is a short-acting beta-2 agonist (SABA) intended for rescue
use during acute bronchospasm. It has a rapid onset of action, typically providing relief
within minutes. Patients must understand that this is not a long-term maintenance drug
but a life-saving tool for emergencies.
2. A patient is starting therapy with levothyroxine for hypothyroidism. When is the best time
for the nurse to advise the patient to take this medication?
A. With a high-fiber breakfast to aid digestion.
B. Right before bedtime to prevent daytime drowsiness.
C. At least 30 to 60 minutes before breakfast on an empty stomach.
,D. With lunch to ensure maximum absorption with fats.
Correct Answer: C
Expert Explanation: Levothyroxine absorption is significantly decreased by food,
minerals, and certain medications. Taking it on an empty stomach in the morning ensures
consistent therapeutic blood levels. The nurse should also instruct the patient to avoid
taking calcium or iron supplements within 4 hours of this dose.
3. The nurse is preparing to administer insulin lispro to a patient. When should the nurse
ensure the patient’s meal tray is available?
A. Within 15 minutes of administration.
B. Exactly 1 hour after administration.
C. 30 minutes before administration.
D. Only after the patient finishes eating.
Correct Answer: A
Expert Explanation: Insulin lispro is a rapid-acting insulin with an onset of 15 minutes.
Administering it without food immediately available puts the patient at high risk for severe
hypoglycemia. The nurse must verify the meal tray is present on the unit before giving the
injection.
4. A patient taking omeprazole for GERD is concerned about long-term use. Which risk should
the nurse discuss with the patient?
A. Hypermagnesemia
, B. Vitamin C deficiency
C. Increased risk of osteoporosis and hip fractures
D. Excessive weight gain
Correct Answer: C
Expert Explanation: Long-term use of Proton Pump Inhibitors (PPIs) like omeprazole is
associated with decreased bone mineral density. This increases the risk of fractures,
particularly in the hip, wrist, and spine. Patients should be encouraged to ensure adequate
calcium and vitamin D intake while on this medication.
5. A patient is prescribed beclomethasone dipropionate via inhaler. What is the most
important nursing intervention to prevent a common side effect?
A. Instruct the patient to rinse their mouth after use.
B. Assess for heart palpitations after administration.
C. Monitor for sudden weight loss.
D. Administer a bronchodilator 30 minutes after the steroid.
Correct Answer: A
Expert Explanation: Inhaled corticosteroids can cause oral candidiasis, also known as
thrush, due to localized immunosuppression in the mouth. Rinsing the mouth and spitting
out the water helps remove drug residue from the oral mucosa. This simple hygiene step is
critical for preventing fungal infections in the oral cavity.
