1
QUESTION 1
1. A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He
has been prescribed theophylline by his family doctor. What effect will the patient's smoking
status have on the therapeutic use of theophylline?
A. The patient may require administration of an inhaled bronchodilator before each dose of
theophylline
B. The patient may require higher doses of theophylline than a nonsmoker
C. Theophylline may be contraindicated due to the risk of an anaphylactoid reaction
D. The patient will require serial blood testing to ensure a safe serum level of theophylline
1 points
QUESTION 2
1. A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which
of the following findings would alert the nurse to the need for close monitoring?
A. Need for additional bronchodilation
B. Hypersensitivity to povidone
C. Signs of an active lung infection
D. Enlarged prostate gland
1 points
QUESTION 3
1. A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The
nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before
using it to prevent which of the following?
A. Paradoxic acute bronchospasm
B. Anaphylactoid reaction
C. Asymptomatic elevated hepatic enzymes levels
, 2
D. Symptomatic hepatitis with hyperbilirubinemia
1 points
QUESTION 4
1. A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At
the encouragement of a family member, the patient has announced to the nurse his intention to
complement this treatment with a regimen of herbal remedies. How should the nurse respond
to this patient's statement?
A. “It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make
sure there aren't any interactions.”
B. “It's likely best to begin taking herbal remedies after you've completed this round of
chemotherapy.”
C. “Unfortunately, your current chemotherapy program will likely preclude the use of herbs.”
D. “If that's something in which you and your family see potential benefit, I'd encourage you to
pursue it.”
1 points
QUESTION 5
1. A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse
should instruct her to do which of the following?
A. Drink plenty of fluids
B. Take nonnarcotic analgesics
C. Schedule blood tests
D. Take the drug with food
1 points
QUESTION 6
1. A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are
prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15
years. The nurse will instruct the patient to
A. stop wearing the contact lenses during the pilocarpine therapy.
QUESTION 1
1. A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He
has been prescribed theophylline by his family doctor. What effect will the patient's smoking
status have on the therapeutic use of theophylline?
A. The patient may require administration of an inhaled bronchodilator before each dose of
theophylline
B. The patient may require higher doses of theophylline than a nonsmoker
C. Theophylline may be contraindicated due to the risk of an anaphylactoid reaction
D. The patient will require serial blood testing to ensure a safe serum level of theophylline
1 points
QUESTION 2
1. A 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which
of the following findings would alert the nurse to the need for close monitoring?
A. Need for additional bronchodilation
B. Hypersensitivity to povidone
C. Signs of an active lung infection
D. Enlarged prostate gland
1 points
QUESTION 3
1. A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The
nurse will instruct her to “test spray” the new metered-dose inhaler (MDI) three times before
using it to prevent which of the following?
A. Paradoxic acute bronchospasm
B. Anaphylactoid reaction
C. Asymptomatic elevated hepatic enzymes levels
, 2
D. Symptomatic hepatitis with hyperbilirubinemia
1 points
QUESTION 4
1. A patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At
the encouragement of a family member, the patient has announced to the nurse his intention to
complement this treatment with a regimen of herbal remedies. How should the nurse respond
to this patient's statement?
A. “It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make
sure there aren't any interactions.”
B. “It's likely best to begin taking herbal remedies after you've completed this round of
chemotherapy.”
C. “Unfortunately, your current chemotherapy program will likely preclude the use of herbs.”
D. “If that's something in which you and your family see potential benefit, I'd encourage you to
pursue it.”
1 points
QUESTION 5
1. A female patient has been taking zafirlukast for a week and is experiencing diarrhea. The nurse
should instruct her to do which of the following?
A. Drink plenty of fluids
B. Take nonnarcotic analgesics
C. Schedule blood tests
D. Take the drug with food
1 points
QUESTION 6
1. A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are
prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15
years. The nurse will instruct the patient to
A. stop wearing the contact lenses during the pilocarpine therapy.
