The Respiratory System ATI
Pharmacology Made Easy 4.0 Exam
Questions & Answers A+ Grade
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the
following instructions should the nurse include? - ANSWER-Avoid taking non steroidal
anti-inflammatory drugs
Gastric protective measures are essential for clients who are taking oral glucocorticoids.
Anti-inflammatory drugs can cause GI bleeding, so clients should not take them
concurrently with prednisone.
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of
which of the following risks? - ANSWER-Drug abuse
Because it is possible to alter pseudoephedrine and epinephrine into
methamphetamine, a commonly abused drug, the law restricts the drugs' purchase.
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The
nurse should explain that these drugs are effective because they perform which of the
following actions? - ANSWER-Prevent histamine from binding to receptors
Antihistamines treat allergic rhinitis and reduce swelling by blocking histamine from
binding to the receptor sites.
A nurse is teaching a client about albuterol. The nurse should instruct the client to
monitor for and report which of the following as an adverse effect of this drug? -
ANSWER-Palpitations
Although not common at therapeutic doses, beta2 agonists can cause cardiac
stimulation, resulting in chest pain, palpitations, hypertension, and arrhythmias.
A nurse is teaching a client about ipratropium. Which of the following instructions should
the nurse include? - ANSWER-Wait 5 min between using the drug and another inhaled
drug
Ipratropium, an inhaled anticholinergic, requires a 5-min wait between its administration
and that of another inhaled drug to allow for bronchodilation to take effect.
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of
the following findings should the nurse expect to see if the client's drug level indicates
toxicity? - ANSWER-Seizures
, Seizures are likely when plasma drug levels of theophylline, a methylxanthine, are
higher than 30 mcg/mL, which indicates toxicity.
A nurse is teaching a client about the use of beclomethasone to treat asthma. The
nurse should explain that the drug has which of the following therapeutic effects? -
ANSWER-Decreases inflammation
Beclomethasone, an intranasal glucocorticoid, treats asthma by reducing inflammation.
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the
following should the nurse include? - ANSWER--Restlessness
-Insomnia
-Anxiety
Restlessness is correct. Restlessness is an adverse effect of pseudoephedrine, an oral
sympathomimetic.Bradycardia is incorrect. Pseudoephedrine is more likely to cause
tachycardia, not bradycardia.Insomnia is correct. Insomnia is an adverse effect of
pseudoephedrine.Muscle pain is incorrect. Muscle pain is not an adverse effect of
pseudoephedrine. The drug is more likely to cause numbness of the extremities.Anxiety
is correct. Anxiety is an adverse effect of pseudoephedrine.
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse
should include that an expectorant has which of the following therapeutic effects? -
ANSWER-Reduces surface tension
Expectorants act by reducing the surface tension and viscosity of respiratory secretions.
This results in thinning thick mucus, making it easier to cough out of the lungs and drain
out of the nose and sinuses.
A nurse is preparing to administer phenylephrine to a client. The nurse should identify
that which of the following manifestations is an adverse effect of this drug? - ANSWER-
Headache
Oral sympathomimetics stimulate the adrenergic receptors, causing blood vessel
constriction, which can cause nervousness, headache, blurred vision, and tremors.
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy.
Which of the following instructions should the nurse include? - ANSWER-Increase
weight-bearing activity
Weight-bearing activity can help minimize bone loss, which is an adverse effect of
fluticasone propionate/salmeterol, an inhaled glucocorticoid and inhaled long-acting
beta2 agonist (LABA) combination medication.
Pharmacology Made Easy 4.0 Exam
Questions & Answers A+ Grade
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the
following instructions should the nurse include? - ANSWER-Avoid taking non steroidal
anti-inflammatory drugs
Gastric protective measures are essential for clients who are taking oral glucocorticoids.
Anti-inflammatory drugs can cause GI bleeding, so clients should not take them
concurrently with prednisone.
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of
which of the following risks? - ANSWER-Drug abuse
Because it is possible to alter pseudoephedrine and epinephrine into
methamphetamine, a commonly abused drug, the law restricts the drugs' purchase.
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The
nurse should explain that these drugs are effective because they perform which of the
following actions? - ANSWER-Prevent histamine from binding to receptors
Antihistamines treat allergic rhinitis and reduce swelling by blocking histamine from
binding to the receptor sites.
A nurse is teaching a client about albuterol. The nurse should instruct the client to
monitor for and report which of the following as an adverse effect of this drug? -
ANSWER-Palpitations
Although not common at therapeutic doses, beta2 agonists can cause cardiac
stimulation, resulting in chest pain, palpitations, hypertension, and arrhythmias.
A nurse is teaching a client about ipratropium. Which of the following instructions should
the nurse include? - ANSWER-Wait 5 min between using the drug and another inhaled
drug
Ipratropium, an inhaled anticholinergic, requires a 5-min wait between its administration
and that of another inhaled drug to allow for bronchodilation to take effect.
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of
the following findings should the nurse expect to see if the client's drug level indicates
toxicity? - ANSWER-Seizures
, Seizures are likely when plasma drug levels of theophylline, a methylxanthine, are
higher than 30 mcg/mL, which indicates toxicity.
A nurse is teaching a client about the use of beclomethasone to treat asthma. The
nurse should explain that the drug has which of the following therapeutic effects? -
ANSWER-Decreases inflammation
Beclomethasone, an intranasal glucocorticoid, treats asthma by reducing inflammation.
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the
following should the nurse include? - ANSWER--Restlessness
-Insomnia
-Anxiety
Restlessness is correct. Restlessness is an adverse effect of pseudoephedrine, an oral
sympathomimetic.Bradycardia is incorrect. Pseudoephedrine is more likely to cause
tachycardia, not bradycardia.Insomnia is correct. Insomnia is an adverse effect of
pseudoephedrine.Muscle pain is incorrect. Muscle pain is not an adverse effect of
pseudoephedrine. The drug is more likely to cause numbness of the extremities.Anxiety
is correct. Anxiety is an adverse effect of pseudoephedrine.
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse
should include that an expectorant has which of the following therapeutic effects? -
ANSWER-Reduces surface tension
Expectorants act by reducing the surface tension and viscosity of respiratory secretions.
This results in thinning thick mucus, making it easier to cough out of the lungs and drain
out of the nose and sinuses.
A nurse is preparing to administer phenylephrine to a client. The nurse should identify
that which of the following manifestations is an adverse effect of this drug? - ANSWER-
Headache
Oral sympathomimetics stimulate the adrenergic receptors, causing blood vessel
constriction, which can cause nervousness, headache, blurred vision, and tremors.
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy.
Which of the following instructions should the nurse include? - ANSWER-Increase
weight-bearing activity
Weight-bearing activity can help minimize bone loss, which is an adverse effect of
fluticasone propionate/salmeterol, an inhaled glucocorticoid and inhaled long-acting
beta2 agonist (LABA) combination medication.
