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NURS 1141 practice questions exam 4 new
content Questions and Correct Answers/
Latest Update / Already Graded
What body system will the nurse assess for known common adverse
effects of traditional antihistamines?
a. respiratory
b. cardiovascular
c. CNS
d. GI
Ans: c. CNS
The most common adverse effect of antihistamines is
drowsiness, but the sedative effects vary among the
antihistamine drug class
What advantage does loratadine (Claritin) have compared with
traditional antihistamines such as diphenhydramine (Benadryl)?
a. less sedative effect
b. increase in bronchodilation
All rights reserved © 2025/ 2026 |
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c. minimal GI upset
d. decreased risk of cardiac dysrhythmias
Ans: a. less sedative effect
Loratadine is a nonsedating antihistamine and it does not
readily distribute into the CNS, which diminishes the sedative
effects assoc. w/ traditional antihistamines
A pt complains of worsening nasal congestion despite the use of
oxymetazoline (Afrin) nasal spray every 2-4 hrs for the past 5 days. The
nurse's response is based on the knowledge that:
a. oxymetazoline is not an effective nasal decongestant
b. sustained use of nasal decongestants over several days may result in
rebound congestion
c. oxymetazoline should be administered in an hourly reginmen for
severe congestion
d. the patient is probably displaying an idiosyncratic reaction to
oxymetazoline
Ans: b. sustained use of nasal decongestants over several days
may result in rebound congestion
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Oxymetazoline is an effective nasal decongestant, but overuse
results in worsening or "rebound" congestion. It should not be
used more than every 4 hrs.
Which statement by the client demonstrates an understanding about
beclomethasone diproprionate (Beconase) mechanism of action?
a. I only need to take this medication when my symptoms get bad
b. I will need to taper off the medication to prevent acute adrenal crisis
c. This medication will help prevent the inflammatory response of my
allergies
d. I will monitor my blood sugar b/c I may develop drug-induced
diabetes
Ans: c. This medication will help prevent the inflammat ory
response of my allergies
Beclamethason diproprionate is a steroid spray administered
nasally. It is used to prevent and treat allergy symptoms. Its
effect is localized, and therefore the client does not have
systemic adverse effects with the recommended does. There is
no need to taper off gradually as with oral corticosteroids
All rights reserved © 2025/ 2026 |
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The nurse is discussing use of antitussive medications with a client.
What common adverse effect does the nurse include in the client
teaching?
a. tremors and palpitations
b. drowsiness and dizziness
c. diarrhea and abdominal cramping
d. flushing and decreased heart rate
Ans: b. drowsiness and diiness
Antitussive medications suppress cough through its action on the CNS,
thus causing drowsiness and dizzinesszz
Which instruction should the nurse include when teaching a client who
is prescribed an expectorant?
a. take the medication once a day at bedtime
b. restrict fluids to decrease mucus production
c. increase fluid intake to decrease viscosity of secretions
d. take the drug with oral codeine when cough worsens
Ans: c. increase fluid intake to decrease viscosity of secretions
All rights reserved © 2025/ 2026 |
NURS 1141 practice questions exam 4 new
content Questions and Correct Answers/
Latest Update / Already Graded
What body system will the nurse assess for known common adverse
effects of traditional antihistamines?
a. respiratory
b. cardiovascular
c. CNS
d. GI
Ans: c. CNS
The most common adverse effect of antihistamines is
drowsiness, but the sedative effects vary among the
antihistamine drug class
What advantage does loratadine (Claritin) have compared with
traditional antihistamines such as diphenhydramine (Benadryl)?
a. less sedative effect
b. increase in bronchodilation
All rights reserved © 2025/ 2026 |
, Page |2
c. minimal GI upset
d. decreased risk of cardiac dysrhythmias
Ans: a. less sedative effect
Loratadine is a nonsedating antihistamine and it does not
readily distribute into the CNS, which diminishes the sedative
effects assoc. w/ traditional antihistamines
A pt complains of worsening nasal congestion despite the use of
oxymetazoline (Afrin) nasal spray every 2-4 hrs for the past 5 days. The
nurse's response is based on the knowledge that:
a. oxymetazoline is not an effective nasal decongestant
b. sustained use of nasal decongestants over several days may result in
rebound congestion
c. oxymetazoline should be administered in an hourly reginmen for
severe congestion
d. the patient is probably displaying an idiosyncratic reaction to
oxymetazoline
Ans: b. sustained use of nasal decongestants over several days
may result in rebound congestion
All rights reserved © 2025/ 2026 |
, Page |3
Oxymetazoline is an effective nasal decongestant, but overuse
results in worsening or "rebound" congestion. It should not be
used more than every 4 hrs.
Which statement by the client demonstrates an understanding about
beclomethasone diproprionate (Beconase) mechanism of action?
a. I only need to take this medication when my symptoms get bad
b. I will need to taper off the medication to prevent acute adrenal crisis
c. This medication will help prevent the inflammatory response of my
allergies
d. I will monitor my blood sugar b/c I may develop drug-induced
diabetes
Ans: c. This medication will help prevent the inflammat ory
response of my allergies
Beclamethason diproprionate is a steroid spray administered
nasally. It is used to prevent and treat allergy symptoms. Its
effect is localized, and therefore the client does not have
systemic adverse effects with the recommended does. There is
no need to taper off gradually as with oral corticosteroids
All rights reserved © 2025/ 2026 |
, Page |4
The nurse is discussing use of antitussive medications with a client.
What common adverse effect does the nurse include in the client
teaching?
a. tremors and palpitations
b. drowsiness and dizziness
c. diarrhea and abdominal cramping
d. flushing and decreased heart rate
Ans: b. drowsiness and diiness
Antitussive medications suppress cough through its action on the CNS,
thus causing drowsiness and dizzinesszz
Which instruction should the nurse include when teaching a client who
is prescribed an expectorant?
a. take the medication once a day at bedtime
b. restrict fluids to decrease mucus production
c. increase fluid intake to decrease viscosity of secretions
d. take the drug with oral codeine when cough worsens
Ans: c. increase fluid intake to decrease viscosity of secretions
All rights reserved © 2025/ 2026 |
