Conceptual Actual Exam Questions With
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1. What is a contraindication for class II antiarrhythmics? - ANSWER
asthma
2. To help liquefy cold-related secretions, the nurse should encourage the
client to implement which measure? - ANSWER increase fluid intake
3. A 76-year-old client has been prescribed an oral antihistamine. What
adverse effect presents a priority safety concern for older adult clients? -
ANSWER drowsiness
4. A client comes to the clinic with what appears to be a cold. What group of
upper respiratory drugs cause local vasoconstriction, which decreases blood
flow and shrinks swollen membranes to improve air flow? - ANSWER
decongestants
5. The client has a diagnosis of atherosclerosis. When a branch of the coronary
artery becomes completely blocked, what event will the nurse expect to
occur? - ANSWER MI
,6. What is the chemical mediator released in immune and inflammatory
response to allergic reactions? - ANSWER histamine
7. A patient, diagnosed with congestive heart failure, would like the nurse to
explain what it means. What would the nurse explain about congestive
heart failure? - ANSWER heart muscle fails, blood backs up and the
system becomes congested
8. A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic
effect by: - ANSWER inhibit movement of calcium across cardiac muscle
cell membrane
9. When administering milrinone (Primacor), the nurse should observe the
client for which adverse effect? - ANSWER hypotension
10.The nurse is preparing discharge teaching for a client prescribed chronic
antiarrhythmic medication therapy. Which signs/symptoms should be
reported to the health care provider immediately? - ANSWER dyspnea,
heart palpitations, chest pain
11.The pharmacology instructor is discussing the adverse effects of
diphenhydramine. Which is not one of these effects? - ANSWER
excessive salivation
,12.When describing the benefits of second-generation H1 receptor antagonists
to those of first-generation H1 receptor antagonists, the nurse should cite
what advantage? - ANSWER decreased sedation
13.A new nurse on the cardiac unit is taking a class in the anatomy and
physiology of the heart. What does the nurse learn is the cardiac action
potential? - ANSWER the cycle of depolarization and repolarization
14.The nurse is teaching a group of clients with allergic rhinitis about the use
of their medications. What would be the most essential information to give
these clients about preventing possible drug interactions? - ANSWER
read drug labels on OTC meds
15.Which property is related to the ability of the heart cells to transmit an
action potential of electrical impulse? - ANSWER conductivity
16.Propranolol is ordered for a client who has a cardiac arrhythmia. It will be
important for the nurse to determine if the person has a history of: -
ANSWER hypersensitivity to beta blockers
17.When the use of antihistamines result in dryness of the mouth, the nurse
should recommend which to relieve the dryness? Select all that apply. -
ANSWER suck on sugarless candy, frequent sips of water, ice chips
18.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? - ANSWER dextromethorphan works in the
medulla to suppress the cough reflex
19.A female client presents at the clinic with a dry, nonproductive cough. The
client is diagnosed with bronchitis, and it is determined that she will need
help thinning sputum so that the cough can become productive. What does
the nurse expect will be prescribed for the client? - ANSWER
guaifenesin
20.When heart failure occurs, one of the results is increased preload. What is
this? - ANSWER the amount of blood returning to the heart
21.Pseudoephedrine (Sudafed) is prescribed for a client suffering from nasal
and sinus congestion. What is the most important assessment the nurse
should complete before the client leaves the clinic to purchase the
medication? - ANSWER obtain clients BP
22.What type of cough is best treated with dextromethorphan? - ANSWER
dry, nonproductive cough
23.The nurse prepares to administer a phosphodiesterase inhibitor by what
route? - ANSWER IV
24.An older client diagnosed with hypertension is requesting an oral nasal
decongestant for cold symptoms. Which statement by the nurse best
describes the effect of decongestants on blood pressure? - ANSWER
nasal decongestants increase BP due to vasoconstriction of blood vessels