NUR635 FINAL EXAM PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS NEW MODIFIED
GRADED A+
Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no
more than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight
gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation --CORRECT
ANSWER--2. Beclomethasone needs to be used every day to treat her
asthma
When prescribing montelukast (Singulair) for asthma, patients or
parents of patients should be instructed:
Page 1 of 64
,1. Montelukast twice a day is started when there is an asthma
exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. -
CORRECT ANSWER--3. Aggression, anxiety, depression, and/or
suicidal thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the
provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma
exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
4. They can triple the dose number of inhalations of medication during
colds to prevent needing systemic steroids --CORRECT ANSWER--3.
Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Page 2 of 64
,Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient
taking diphenhydramine would include assessing for:
Urinary retention
Cardiac output
Peripheral edema
Skin for rash --CORRECT ANSWER--Urinary retention
Second generation antihistamines such as loratadine (Claritin) are
prescribed for seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol --CORRECT
ANSWER--B.Less sedating than the first generation antihistamines
The first-line drug choice for a previously healthy adult patient
diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
Page 3 of 64
, 3.Amoxicillin
4.Doxycycline --CORRECT ANSWER--2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with
fever and lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in
4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens --CORRECT
ANSWER--2. Ruling out a hypersensitivity reaction that may lead to
multiorgan failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized
for acute psychosis due to medication noncompliance. He was treated
with IM long-acting haloperidol. Besides monitoring his schizophrenia
symptoms, the patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
Page 4 of 64
WITH VERIFIED SOLUTIONS NEW MODIFIED
GRADED A+
Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no
more than eight puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight
gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her
corticosteroid MDI to facilitate bronchodilation --CORRECT
ANSWER--2. Beclomethasone needs to be used every day to treat her
asthma
When prescribing montelukast (Singulair) for asthma, patients or
parents of patients should be instructed:
Page 1 of 64
,1. Montelukast twice a day is started when there is an asthma
exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. -
CORRECT ANSWER--3. Aggression, anxiety, depression, and/or
suicidal thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the
provider should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma
exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
4. They can triple the dose number of inhalations of medication during
colds to prevent needing systemic steroids --CORRECT ANSWER--3.
Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Page 2 of 64
,Howard is a seventy-two-year-old male who occasionally takes
diphenhydramine for his seasonal allergies. Monitoring for this patient
taking diphenhydramine would include assessing for:
Urinary retention
Cardiac output
Peripheral edema
Skin for rash --CORRECT ANSWER--Urinary retention
Second generation antihistamines such as loratadine (Claritin) are
prescribed for seasonal allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol --CORRECT
ANSWER--B.Less sedating than the first generation antihistamines
The first-line drug choice for a previously healthy adult patient
diagnosed with community-acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
Page 3 of 64
, 3.Amoxicillin
4.Doxycycline --CORRECT ANSWER--2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with
fever and lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in
4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ
failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens --CORRECT
ANSWER--2. Ruling out a hypersensitivity reaction that may lead to
multiorgan failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized
for acute psychosis due to medication noncompliance. He was treated
with IM long-acting haloperidol. Besides monitoring his schizophrenia
symptoms, the patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
Page 4 of 64
