EXAM 1 (NURS 3110) QUESTIONS AND
ANSWERS
A client with nasal congestion tells the nurse that his symptoms have worsened
since he has been using oxymetazoline (Afrin). Which question should the nurse ask
the client?
A.
"Have you experienced a recent fever?"
B.
"Have you checked the expiration date on the prescription?"
C.
"How long have you been using the prescription?"
D.
"Are you using any other inhaled prescriptions?" - ANSWER-C.
"How long have you been using the prescription?"
Which assessment finding should the nurse be most concerned about for a client
receiving pseudoephedrine (Sudafed)?
A.
Temperature of 100°F
B.
Heart rate 82 and irregular
C.
Respiratory rate of 22
D.
Complaints of a dry mouth - ANSWER-B.
Heart rate 82 and irregular
The nurse has completed the education for a client prescribed diphenhydramine
(Benadryl) for allergies. Which statement made by the client indicates an
understanding of the teaching?
A.
"I cannot take this medication with pseudoephedrine (Sudafed)."
B.
"I need to watch my intake of sodium with this medication."
C.
"Drowsiness is common but should lessen over time."
D.
"If this medication makes my nose run, I can use a nasal spray." - ANSWER-C.
"Drowsiness is common but should lessen over time."
The nurse has completed the education for a client prescribed an antihistamine.
Which statement made by the client indicates an understanding of the information?
A.
"This medication could make me very sleepy."
B.
"I may experience diarrhea while taking this prescription."
,C.
"I can still have my after-dinner drink."
D.
"This prescription is safe because it is sold over-the-counter (OTC)." - ANSWER-A.
"This medication could make me very sleepy."
The nurse is reviewing the major functions of the upper respiratory tract with a client.
Which information should the nurse include?Select all that apply.
A.
Inward airflow from the trachea branches off to the two bronchi.
B.
The nose warms the air before it reaches the lungs.
C.
The nasal mucosa is the first line of immunological defense.
D.
Activation of the parasympathetic nervous system constricts arterioles in the nose.
E.
Activation of the sympathetic nervous system constricts arterioles in the nose. -
ANSWER-B.
The nose warms the air before it reaches the lungs.
C.
The nasal mucosa is the first line of immunological defense.
E.
Activation of the sympathetic nervous system constricts arterioles in the nose.
A client asks the nurse what has caused her allergic rhinitis. Which statements
should the nurse include in the discussion?Select all that apply.
A.
"Allergic rhinitis can occur after exposure to animal dander."
B.
"Tobacco smoke can cause allergic rhinitis."
C.
"Exposure to pollens from weeds and grass causes an allergic rhinitis."
D.
"Asthma is associated with allergic rhinitis."
E.
"There is a strong genetic predisposition for allergic rhinitis." - ANSWER-A.
"Allergic rhinitis can occur after exposure to animal dander."
B.
"Tobacco smoke can cause allergic rhinitis."
C.
"Exposure to pollens from weeds and grass causes an allergic rhinitis."
E.
"There is a strong genetic predisposition for allergic rhinitis."
The educator has reviewed the role of histamine receptors associated with allergic
symptoms with a nurse. Which statement made by the nurse indicates further
instruction is needed?
A.
"H1
, receptors are found in the stomach."
B.
"H2
receptors are responsible for peptic ulcers."
C.
"H2
receptors increase mucus secretion in the stomach."
D.
"H1
receptors are responsible for allergic symptoms." - ANSWER-A.
"H1
receptors are found in the stomach."
Which symptom should the nurse instruct the client prescribed diphenhydramine
(Benadryl) to report to the healthcare provider?
A.
Weight gain
B.
Sedation
C.
Diarrhea
D.
Urinary hesitancy - ANSWER-D.
Urinary hesitancy
A client prescribed beclomethasone (Beconase) intranasally asks the nurse whether
the prescription is safe. Which response should the nurse provide the client?
A.
"Intranasal glucocorticoids are safe if they are not used too long."
B.
"Intranasal glucocorticoids will provide immediate relief."
C.
"Intranasal glucocorticoids produce almost no serious adverse effects."
D.
"Intranasal glucocorticoids are safe only if used once a day." - ANSWER-C.
"Intranasal glucocorticoids produce almost no serious adverse effects."
The nurse teaches a client about the difference between oral and nasal
decongestants. The nurse evaluates that learning has been effective when the client
makes which statement?
A.
"Oral decongestants can cause hypertension."
B.
"Intranasal decongestants are safe to use for a few weeks."
C.
"Oral and nasal decongestants can cause rebound congestion."
D.
"Oral decongestants are the most effective at relieving severe congestion." -
ANSWER-A.
"Oral decongestants can cause hypertension."
, A client asks the nurse when she should use an antitussive. Which response should
the nurse provide the client?
A.
"When have been diagnosed with a respiratory infection."
B.
"When your temperature is 101.2°F."
C.
"When you have a dry cough and cannot rest."
D.
"When you are coughing up secretions" - ANSWER-C.
"When you have a dry cough and cannot rest."
Which condition should the nurse be concerned about for a client prescribed
fluticasone (Flonase)?
A.
Diabetes mellitus
B.
Pregnancy
C.
Pregnancy
D.
Hypertension - ANSWER-B.
Pregnancy
Which information should the nurse include in the teaching for a client prescribed
dextromethorphan (Delsym)?
A.
Dextromethorphan can be used with a chronic cough.
B.
Decrease your alcohol intake while taking this prescription.
C.
Avoid grapefruit juice.
D.
The prescription may have a slow onset of action. - ANSWER-C.
Avoid grapefruit juice.
A client asks the nurse why he cannot take his monoamine oxidase inhibitor (MAOI)
with diphenhydramine (Benadryl). Which response should the nurse provide?
A.
"The MAOI prescription decreases the effectiveness of diphenhydramine
(Benadryl)."
B.
"The diphenhydramine (Benadryl) interferes with the therapeutic effect of the MAOI."
C.
"You are at risk for the development of seizures."
D.
"You may develop a hypertensive crisis." - ANSWER-D.
"You may develop a hypertensive crisis."
ANSWERS
A client with nasal congestion tells the nurse that his symptoms have worsened
since he has been using oxymetazoline (Afrin). Which question should the nurse ask
the client?
A.
"Have you experienced a recent fever?"
B.
"Have you checked the expiration date on the prescription?"
C.
"How long have you been using the prescription?"
D.
"Are you using any other inhaled prescriptions?" - ANSWER-C.
"How long have you been using the prescription?"
Which assessment finding should the nurse be most concerned about for a client
receiving pseudoephedrine (Sudafed)?
A.
Temperature of 100°F
B.
Heart rate 82 and irregular
C.
Respiratory rate of 22
D.
Complaints of a dry mouth - ANSWER-B.
Heart rate 82 and irregular
The nurse has completed the education for a client prescribed diphenhydramine
(Benadryl) for allergies. Which statement made by the client indicates an
understanding of the teaching?
A.
"I cannot take this medication with pseudoephedrine (Sudafed)."
B.
"I need to watch my intake of sodium with this medication."
C.
"Drowsiness is common but should lessen over time."
D.
"If this medication makes my nose run, I can use a nasal spray." - ANSWER-C.
"Drowsiness is common but should lessen over time."
The nurse has completed the education for a client prescribed an antihistamine.
Which statement made by the client indicates an understanding of the information?
A.
"This medication could make me very sleepy."
B.
"I may experience diarrhea while taking this prescription."
,C.
"I can still have my after-dinner drink."
D.
"This prescription is safe because it is sold over-the-counter (OTC)." - ANSWER-A.
"This medication could make me very sleepy."
The nurse is reviewing the major functions of the upper respiratory tract with a client.
Which information should the nurse include?Select all that apply.
A.
Inward airflow from the trachea branches off to the two bronchi.
B.
The nose warms the air before it reaches the lungs.
C.
The nasal mucosa is the first line of immunological defense.
D.
Activation of the parasympathetic nervous system constricts arterioles in the nose.
E.
Activation of the sympathetic nervous system constricts arterioles in the nose. -
ANSWER-B.
The nose warms the air before it reaches the lungs.
C.
The nasal mucosa is the first line of immunological defense.
E.
Activation of the sympathetic nervous system constricts arterioles in the nose.
A client asks the nurse what has caused her allergic rhinitis. Which statements
should the nurse include in the discussion?Select all that apply.
A.
"Allergic rhinitis can occur after exposure to animal dander."
B.
"Tobacco smoke can cause allergic rhinitis."
C.
"Exposure to pollens from weeds and grass causes an allergic rhinitis."
D.
"Asthma is associated with allergic rhinitis."
E.
"There is a strong genetic predisposition for allergic rhinitis." - ANSWER-A.
"Allergic rhinitis can occur after exposure to animal dander."
B.
"Tobacco smoke can cause allergic rhinitis."
C.
"Exposure to pollens from weeds and grass causes an allergic rhinitis."
E.
"There is a strong genetic predisposition for allergic rhinitis."
The educator has reviewed the role of histamine receptors associated with allergic
symptoms with a nurse. Which statement made by the nurse indicates further
instruction is needed?
A.
"H1
, receptors are found in the stomach."
B.
"H2
receptors are responsible for peptic ulcers."
C.
"H2
receptors increase mucus secretion in the stomach."
D.
"H1
receptors are responsible for allergic symptoms." - ANSWER-A.
"H1
receptors are found in the stomach."
Which symptom should the nurse instruct the client prescribed diphenhydramine
(Benadryl) to report to the healthcare provider?
A.
Weight gain
B.
Sedation
C.
Diarrhea
D.
Urinary hesitancy - ANSWER-D.
Urinary hesitancy
A client prescribed beclomethasone (Beconase) intranasally asks the nurse whether
the prescription is safe. Which response should the nurse provide the client?
A.
"Intranasal glucocorticoids are safe if they are not used too long."
B.
"Intranasal glucocorticoids will provide immediate relief."
C.
"Intranasal glucocorticoids produce almost no serious adverse effects."
D.
"Intranasal glucocorticoids are safe only if used once a day." - ANSWER-C.
"Intranasal glucocorticoids produce almost no serious adverse effects."
The nurse teaches a client about the difference between oral and nasal
decongestants. The nurse evaluates that learning has been effective when the client
makes which statement?
A.
"Oral decongestants can cause hypertension."
B.
"Intranasal decongestants are safe to use for a few weeks."
C.
"Oral and nasal decongestants can cause rebound congestion."
D.
"Oral decongestants are the most effective at relieving severe congestion." -
ANSWER-A.
"Oral decongestants can cause hypertension."
, A client asks the nurse when she should use an antitussive. Which response should
the nurse provide the client?
A.
"When have been diagnosed with a respiratory infection."
B.
"When your temperature is 101.2°F."
C.
"When you have a dry cough and cannot rest."
D.
"When you are coughing up secretions" - ANSWER-C.
"When you have a dry cough and cannot rest."
Which condition should the nurse be concerned about for a client prescribed
fluticasone (Flonase)?
A.
Diabetes mellitus
B.
Pregnancy
C.
Pregnancy
D.
Hypertension - ANSWER-B.
Pregnancy
Which information should the nurse include in the teaching for a client prescribed
dextromethorphan (Delsym)?
A.
Dextromethorphan can be used with a chronic cough.
B.
Decrease your alcohol intake while taking this prescription.
C.
Avoid grapefruit juice.
D.
The prescription may have a slow onset of action. - ANSWER-C.
Avoid grapefruit juice.
A client asks the nurse why he cannot take his monoamine oxidase inhibitor (MAOI)
with diphenhydramine (Benadryl). Which response should the nurse provide?
A.
"The MAOI prescription decreases the effectiveness of diphenhydramine
(Benadryl)."
B.
"The diphenhydramine (Benadryl) interferes with the therapeutic effect of the MAOI."
C.
"You are at risk for the development of seizures."
D.
"You may develop a hypertensive crisis." - ANSWER-D.
"You may develop a hypertensive crisis."
