N262 PHARM 1 FINAL EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS GRADED A++
Which agent acts directly on the medullary cough center?
A. Benzonatate
B. Codeine
C. Ephedrine
D. tetrahydrozoline
B. Codeine
A 43-year-old man is taking pseudoephedrine (Sudafed) for sinusitis. He calls the
clinic to report that it feels like his heart is racing and that he can "feel his heart
beating fast." The nurse will instruct him to:
A. continue taking the drug because the sensations will resolve with time.
B. decrease the dosage by one half.
C. stop taking the medication and come to the clinic as ordered by the health care
provider.
D. lie down after each dose.
C. stop taking medication and come to clinic as covered by provider
The nursing instructor is discussing over-the-counter cold remedies. According
to the instructor, these products typically combine
A. an antihistamine, a stimulant, and a decongestant.
B. a stimulant, a decongestant, and an antitussive.
,C. a decongestant, an analgesic, and an antihistamine.
D. an analgesic, an antitussive, and an antiviral.
C. a decongestant, an analgesic, and an antihistamine.
A client with cystic fibrosis may use which type of medication to reduce the
viscosity of respiratory secretions?
A. Mucolytic
B. Centrally acting antitussive
C. Expectorant
D. Peripherally acting antitussive
E. Antihistamine
A. Mucolytic
A 45-year-old female client is being seen in the health care provider's office for a
dry, hacking cough that is keeping her up at night. The provider prescribes
dextromethorphan for the cough. Which statement is true about
dextromethorphan?
A. Dextromethorphan works in the medulla to suppress the cough reflex.
B. Dextromethorphan works on the receptors in the throat to prevent a cough.
C. Dextromethorphan works by inhibiting allergen response.
D. Dextromethorphan works by relaxing the smooth muscles in the bronchioles.
A. Dextromethorphan works in the medulla to suppress the cough reflex.
A client presents at the clinic with a dry, nonproductive cough. The client is
diagnosed with bronchitis, and it is determined that they will need help thinning
sputum so that the cough can become productive. What does the nurse expect
,will be prescribed for the client?
A. Codeine
B. Guaifenesin
C. Dextromethorphan
D. Aspirin
B. Guaifenesin
A client has just been admitted for an overdose of pseudoephedrine. The nurse's
assessment of the client should prioritize what system?
A. cardiovascular
B. neurological
C. gastrointestinal
D. renal
A. cardiovascular
What home remedies are effective for mouth dryness and cough? (Select all that
apply.)
A. Administration of over-the-counter antihistamine
B. Adequate fluid intake
C. Humidification of the environment
D. Sucking on hard candy or throat lozenges
E. Swishing the mouth with astringent mouthwash.
B, C, D
The nursing instructor is teaching their lab students the best position for the
administration of nasal sprays. What position would the instructor teach the
, students?
A. Supine
B. Semi-Fowler's
C. High Fowler's
D. Side-lying
C. High Fowler's
A client is taking pseudoephedrine to reduce nasal congestion. The nurse should
caution the client against use of this decongestant if the client is currently taking
what other type of drug?
A. Anti-infective agents
B. Anti-inflammatory agents
C. Proton pump inhibitors (PPIs)
D. thyroid preparations
D. thyroid preparations
The use of centrally acting antitussives, such as codeine, increase the risk for
injury related to which conditions? (Select all that apply.)
A. Vomiting
b. Drowsiness
c. Decrease heart rate
d. Dizziness
e. Bowel obstruction
b, d
WITH COMPLETE SOLUTIONS GRADED A++
Which agent acts directly on the medullary cough center?
A. Benzonatate
B. Codeine
C. Ephedrine
D. tetrahydrozoline
B. Codeine
A 43-year-old man is taking pseudoephedrine (Sudafed) for sinusitis. He calls the
clinic to report that it feels like his heart is racing and that he can "feel his heart
beating fast." The nurse will instruct him to:
A. continue taking the drug because the sensations will resolve with time.
B. decrease the dosage by one half.
C. stop taking the medication and come to the clinic as ordered by the health care
provider.
D. lie down after each dose.
C. stop taking medication and come to clinic as covered by provider
The nursing instructor is discussing over-the-counter cold remedies. According
to the instructor, these products typically combine
A. an antihistamine, a stimulant, and a decongestant.
B. a stimulant, a decongestant, and an antitussive.
,C. a decongestant, an analgesic, and an antihistamine.
D. an analgesic, an antitussive, and an antiviral.
C. a decongestant, an analgesic, and an antihistamine.
A client with cystic fibrosis may use which type of medication to reduce the
viscosity of respiratory secretions?
A. Mucolytic
B. Centrally acting antitussive
C. Expectorant
D. Peripherally acting antitussive
E. Antihistamine
A. Mucolytic
A 45-year-old female client is being seen in the health care provider's office for a
dry, hacking cough that is keeping her up at night. The provider prescribes
dextromethorphan for the cough. Which statement is true about
dextromethorphan?
A. Dextromethorphan works in the medulla to suppress the cough reflex.
B. Dextromethorphan works on the receptors in the throat to prevent a cough.
C. Dextromethorphan works by inhibiting allergen response.
D. Dextromethorphan works by relaxing the smooth muscles in the bronchioles.
A. Dextromethorphan works in the medulla to suppress the cough reflex.
A client presents at the clinic with a dry, nonproductive cough. The client is
diagnosed with bronchitis, and it is determined that they will need help thinning
sputum so that the cough can become productive. What does the nurse expect
,will be prescribed for the client?
A. Codeine
B. Guaifenesin
C. Dextromethorphan
D. Aspirin
B. Guaifenesin
A client has just been admitted for an overdose of pseudoephedrine. The nurse's
assessment of the client should prioritize what system?
A. cardiovascular
B. neurological
C. gastrointestinal
D. renal
A. cardiovascular
What home remedies are effective for mouth dryness and cough? (Select all that
apply.)
A. Administration of over-the-counter antihistamine
B. Adequate fluid intake
C. Humidification of the environment
D. Sucking on hard candy or throat lozenges
E. Swishing the mouth with astringent mouthwash.
B, C, D
The nursing instructor is teaching their lab students the best position for the
administration of nasal sprays. What position would the instructor teach the
, students?
A. Supine
B. Semi-Fowler's
C. High Fowler's
D. Side-lying
C. High Fowler's
A client is taking pseudoephedrine to reduce nasal congestion. The nurse should
caution the client against use of this decongestant if the client is currently taking
what other type of drug?
A. Anti-infective agents
B. Anti-inflammatory agents
C. Proton pump inhibitors (PPIs)
D. thyroid preparations
D. thyroid preparations
The use of centrally acting antitussives, such as codeine, increase the risk for
injury related to which conditions? (Select all that apply.)
A. Vomiting
b. Drowsiness
c. Decrease heart rate
d. Dizziness
e. Bowel obstruction
b, d
