NUR 600 PRACTICE EXAM QUESTIONS & CORRECT
ANSWERS LATEST 2026/2027
A patient is prescribed salmeterol with dosage on a 4 to 6 hours schedule for
treatment of exercise induced asthma. What is the recommended dosing schedule
of asthma experts regarding this drug? - ANSWER-30 minutes before exercise to
prevent this during exercise
A 29 years old female patient has sinusitis, so the physician orders a topical nasal
decongestant. What instructions should be given? - ANSWER-Increase fluids to 2
L/ day
71 year old man with a history of heart disease and diabetes, has had an
antihistamine prescribed. The nurse is concerned with this prescription because of
the risk of what? - ANSWER-Cardiac arrhythmias
The nursing instructor is discussing bronchodilators with a group of nursing
students. The students understand the instruction when they identify what drug is
most effective in treating acute bronchospasm? - ANSWER-Epinephrine
The nurse is caring for a patient who is taking the dextromethorphan for cough
suppression. The nurse will assess this patient for hypotension if he also takes
which order medication? - ANSWER-Monoamine oxidase inhibitors (MAO)
A patient with chronic obstructive pulmonary disease (COPD), presents at the
emergency department in acute respiratory distress. The patient's family told the
nurse that the patient's problems began right after the patient took his first dose of
Ipratropium (Atrovent). What would the nurse suspect be the problem? -
ANSWER-An allergy to soy products
,What disorder would the pharmacology instructor tell the nurses students may be
exacerbated by the use of nasal decongestant? - ANSWER-Hypothyroidism
A patient presents at the clinic with sign and symptoms of seasonal allergic
rhinitis. The patient is prescribed a nasal steroids to relieve symptoms. Two days
later, the patient call the clinic and tell the nurse that he's frustrated and wants a
new drug. What is the most appropriate response by the nurse? - ANSWER-It may
take up to two weeks to get full clinical effect. Try to keep using the drug as
ordered.
A patient newly diagnosed with chronic obstructive pulmonary disease (COPD),
call the clinic and ask the nurse to explain what the new prescribed medication are
for. What will be the most appropriate response by the nurse? - ANSWER-The
medication that has been ordered, for you are to relieve the inflammation and
promote dilation of the bronchi.
The nurse is caring for a patient who doesn't have a respiratory disorder, but has
been prescribed acetylcysteine. What is an additional indication for acetylcysteine?
- ANSWER-Antidote for acetaminophen poisoning
The nurse is caring for a patient who needs education on his medication therapy for
allergic rhinitis. The patient is to take clemastine (tavist) daily. In providing
educational interventions regarding this medication, what is the most important
instruction on the action of the medication? - ANSWER-It blocks the effects of
histamine
The nursing instructor is discussing the administration of nasal spray with the
nursing students. What information is most important to include in this discussion?
- ANSWER-Overuse of nasal spray may cause rebound congestion.
,A patient presents to the emergency department having an acute asthma attack. An
ED physician has ordered a symathomimetic (epinephrine). The nurse expects
what as the therapeutic effect of these drug? - ANSWER-Cause dilation of the
bronchi with increased rate and depth of respiration
A patient comes to the clinic with symptoms as seen in a cold. What group of
upper respiratory drugs causes local vasoconstriction, which decreases blood flow
and shrink swollen membranes to improve airflow? - ANSWER-Decongestant
Epinephrine, formerly the drug of choice for acute attacks of broncoconstriction
has been replaced by what? - ANSWER-Nothing has replaced epinephrine as drug
of choice
A patient is in the clinic to have blood drawn to assess his theophylline level. The
patient is taking theophylline and appears to be doing well on the drug. What
serum level the nurse expect the patient to have? - ANSWER-Between 10 to 20
mcg/ml
A patient has an acute asthma attack. A broncodilator is used to bring the
exacerbation under control. What drug would be used to prevent acute
bronchoconstriction? - ANSWER-Salmeterol (serevent)
A patient with chronic bronchial asthma has prescribed montelukast (singular).
What will the nurse instruct the patient to avoid taking? - ANSWER-Aspirin
The nurse is writing a plan of care for a patient newly admitted to the floor with
asthma attacks that occur while exercising. What would be the most appropriate
intervention for this patient? - ANSWER-Teach patient to use an inhaler before
exercising
, A patient has been prescribed a nasal steroids and asked the nurse what's the most
common reason that this medication is used to treat. What is the nurse? Best
response? - ANSWER-Nasal steroids are used to treat allergic rhinitis
Is 76 years old man with asthma is being treated with an anticholinergic. What will
the nurse be careful to assess for? - ANSWER-Prostatic hypertrophy
A healthcare provider is providing staff education on the management of acute
asthma exacerbation. Which information is most important for the stuff to know -
ANSWER-Short acting beta-2 agonist are often included in first line treatment
A patient presents at the clinic with a dry non-productive cough. The patient is
diagnosed with bronchitis, and it has been determined that assistant is needed in
thinningthe sputum so the cough can become productive. What does the nurse
expect? The physician will prescribe - ANSWER-Guaifenesin (mucinex)
Do you have a patient diagnosed with chronic bronchitis. They're asking about
complementary alternative therapy for acute exacerbation of chronic bronchitis.
You suggest: - ANSWER-Humidify atmosphere
The nurse is caring for a patient who is taking an adrenergic bronchodilator. In
what disease process should an adrenergic bronchodilator be used cautiously? -
ANSWER-Heart failure
Why are inhaled steroids used to treat asthma and chronic obstructive pulmonary
disease (COPD)? - ANSWER-They act locally to decrease release of inflammatory
mediators
What statement by 61 years old patient who is to take an antitussive with codeine
indicate that the nurse teaching has been effective? - ANSWER-This medication
ANSWERS LATEST 2026/2027
A patient is prescribed salmeterol with dosage on a 4 to 6 hours schedule for
treatment of exercise induced asthma. What is the recommended dosing schedule
of asthma experts regarding this drug? - ANSWER-30 minutes before exercise to
prevent this during exercise
A 29 years old female patient has sinusitis, so the physician orders a topical nasal
decongestant. What instructions should be given? - ANSWER-Increase fluids to 2
L/ day
71 year old man with a history of heart disease and diabetes, has had an
antihistamine prescribed. The nurse is concerned with this prescription because of
the risk of what? - ANSWER-Cardiac arrhythmias
The nursing instructor is discussing bronchodilators with a group of nursing
students. The students understand the instruction when they identify what drug is
most effective in treating acute bronchospasm? - ANSWER-Epinephrine
The nurse is caring for a patient who is taking the dextromethorphan for cough
suppression. The nurse will assess this patient for hypotension if he also takes
which order medication? - ANSWER-Monoamine oxidase inhibitors (MAO)
A patient with chronic obstructive pulmonary disease (COPD), presents at the
emergency department in acute respiratory distress. The patient's family told the
nurse that the patient's problems began right after the patient took his first dose of
Ipratropium (Atrovent). What would the nurse suspect be the problem? -
ANSWER-An allergy to soy products
,What disorder would the pharmacology instructor tell the nurses students may be
exacerbated by the use of nasal decongestant? - ANSWER-Hypothyroidism
A patient presents at the clinic with sign and symptoms of seasonal allergic
rhinitis. The patient is prescribed a nasal steroids to relieve symptoms. Two days
later, the patient call the clinic and tell the nurse that he's frustrated and wants a
new drug. What is the most appropriate response by the nurse? - ANSWER-It may
take up to two weeks to get full clinical effect. Try to keep using the drug as
ordered.
A patient newly diagnosed with chronic obstructive pulmonary disease (COPD),
call the clinic and ask the nurse to explain what the new prescribed medication are
for. What will be the most appropriate response by the nurse? - ANSWER-The
medication that has been ordered, for you are to relieve the inflammation and
promote dilation of the bronchi.
The nurse is caring for a patient who doesn't have a respiratory disorder, but has
been prescribed acetylcysteine. What is an additional indication for acetylcysteine?
- ANSWER-Antidote for acetaminophen poisoning
The nurse is caring for a patient who needs education on his medication therapy for
allergic rhinitis. The patient is to take clemastine (tavist) daily. In providing
educational interventions regarding this medication, what is the most important
instruction on the action of the medication? - ANSWER-It blocks the effects of
histamine
The nursing instructor is discussing the administration of nasal spray with the
nursing students. What information is most important to include in this discussion?
- ANSWER-Overuse of nasal spray may cause rebound congestion.
,A patient presents to the emergency department having an acute asthma attack. An
ED physician has ordered a symathomimetic (epinephrine). The nurse expects
what as the therapeutic effect of these drug? - ANSWER-Cause dilation of the
bronchi with increased rate and depth of respiration
A patient comes to the clinic with symptoms as seen in a cold. What group of
upper respiratory drugs causes local vasoconstriction, which decreases blood flow
and shrink swollen membranes to improve airflow? - ANSWER-Decongestant
Epinephrine, formerly the drug of choice for acute attacks of broncoconstriction
has been replaced by what? - ANSWER-Nothing has replaced epinephrine as drug
of choice
A patient is in the clinic to have blood drawn to assess his theophylline level. The
patient is taking theophylline and appears to be doing well on the drug. What
serum level the nurse expect the patient to have? - ANSWER-Between 10 to 20
mcg/ml
A patient has an acute asthma attack. A broncodilator is used to bring the
exacerbation under control. What drug would be used to prevent acute
bronchoconstriction? - ANSWER-Salmeterol (serevent)
A patient with chronic bronchial asthma has prescribed montelukast (singular).
What will the nurse instruct the patient to avoid taking? - ANSWER-Aspirin
The nurse is writing a plan of care for a patient newly admitted to the floor with
asthma attacks that occur while exercising. What would be the most appropriate
intervention for this patient? - ANSWER-Teach patient to use an inhaler before
exercising
, A patient has been prescribed a nasal steroids and asked the nurse what's the most
common reason that this medication is used to treat. What is the nurse? Best
response? - ANSWER-Nasal steroids are used to treat allergic rhinitis
Is 76 years old man with asthma is being treated with an anticholinergic. What will
the nurse be careful to assess for? - ANSWER-Prostatic hypertrophy
A healthcare provider is providing staff education on the management of acute
asthma exacerbation. Which information is most important for the stuff to know -
ANSWER-Short acting beta-2 agonist are often included in first line treatment
A patient presents at the clinic with a dry non-productive cough. The patient is
diagnosed with bronchitis, and it has been determined that assistant is needed in
thinningthe sputum so the cough can become productive. What does the nurse
expect? The physician will prescribe - ANSWER-Guaifenesin (mucinex)
Do you have a patient diagnosed with chronic bronchitis. They're asking about
complementary alternative therapy for acute exacerbation of chronic bronchitis.
You suggest: - ANSWER-Humidify atmosphere
The nurse is caring for a patient who is taking an adrenergic bronchodilator. In
what disease process should an adrenergic bronchodilator be used cautiously? -
ANSWER-Heart failure
Why are inhaled steroids used to treat asthma and chronic obstructive pulmonary
disease (COPD)? - ANSWER-They act locally to decrease release of inflammatory
mediators
What statement by 61 years old patient who is to take an antitussive with codeine
indicate that the nurse teaching has been effective? - ANSWER-This medication
