NURSING PROCESS APPROACH EXAMINATION
TEST PAPER 2026 COMPREHENSIVE REVIEW
SOLVED QUESTIONS ANSWERS GRADED A+
◉ A patient with COPD has an acute bronchospasm. The nurse
anticipates that the health care provider will prescribe which
medications.
A. Zafirlukast
B. Epinephrine
C. Dexamethasone
D. Beclomethasone.
Answer: B. Epinephrine
◉ A patient is prescribed aminophylline-theophylline. For what
adverse effect should the nurse monitor the patient?
A. Drowsiness
B. Hypoglycemia
C. Increased heart rate
D. Decreased white blood cell count.
Answer: C. Increased heart rate
,◉ A patient is receiving intravenous aminophylline. The nurse
checks the patient's lab values and sees the serum theophylline level
is 32 mcg/ml. What action should the nurse take?
A. Assess the patient's breath sounds for improvement.
B. Increase the dosage per sliding-scale directions.
C. Notify the health care provider of the level
D. Have the laboratory collect another sample to verify the results..
Answer: C. Notify the health care provider of the level
◉ A patient with COPD is taking the leukotriene antagonist
montelukast. The nurse is aware that this medication is given for
which purpose?
A. Maintenance treatment of asthma
B. Treatment of acute asthmatic attack
C. Reversing bronchospasm associated with chronic obstructive
pulmonary disease
D. Treatment of inflammation in chronic bronchitis.
Answer: A. Maintenance treatment of asthma
◉ A patient is to receive a chemotherapy protocol that includes an
alkylating agent, an antimetabolite, and an antitumor antibiotic. The
patient asks the nurse why so much chemotherapy is needed. What
is the nurse's best response?
, A. A protocol that uses a combination of chemotherapeutic agents
works in the S phase to kill cells.
B. Combinations chemotherapy increases the extent of tumor cell
killing.
C. Combination chemotherapy uses drugs that work the same way.
D. An outcome of the use of combination chemotherapy is that it has
no dose-limiting toxicities..
Answer: B. Combinations chemotherapy increases the extent of
tumor cell killing.
◉ A patient is scheduled to receive chemotherapy drugs that will
cause myelosuppression. Which action by the nurse will be most
important?
A. Monitor for a change in temperature.
B. Evaluate gastrointestinal function
C. Assess for evidence of cardiac compromise
D. Question the patient about changes in sense of taste..
Answer: A. Monitor for a change in temperature.
◉ The nurse is caring for a patient with colorectal cancer who is to
receive fluorouracil. Which symptom will be most important for the
nurse to report to the health care provider.
A. Nausea
B. Decreased appetite