Actual Questions & Answers (GCN) 100%
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Q1. A patient arrives in the ED with wheezing,
hypotension, and hives after a bee sting. The provider
orders epinephrine IM. Which assessment finding is the
priority for the nurse to monitor after administration?
A. Urine output
B. Blood glucose
C. Heart rate and blood pressure
D. Bowel sounds
Correct Answer: C. Heart rate and blood pressure
Rationale: Epinephrine stimulates alpha and beta
receptors, increasing heart rate and blood pressure;
tachycardia and hypertension are important adverse
reactions to monitor. Urine output, blood glucose, and
bowel sounds are lower priority in this acute emergency .
,Q2. The nurse is preparing to give an albuterol inhaler to
a client with asthma and type 2 diabetes. Which teaching
point is most appropriate?
A. "This medication may lower your blood sugar."
B. "This drug may cause tremors, nervousness, and
increased heart rate."
C. "You should avoid using this inhaler before exercise."
D. "This medication will constrict your bronchioles."
Correct Answer: B. "This drug may cause tremors,
nervousness, and increased heart rate."
Rationale: Albuterol is a beta-2 agonist that can cause
tremors, nervousness, and tachycardia as common side
effects. It does not lower blood sugar; it can raise it.
Albuterol is a bronchodilator, not a bronchoconstrictor,
and is often used before exercise to prevent
bronchospasm .
Q3. Epinephrine is considered a non-selective adrenergic
agonist because it stimulates which receptors? (Select all
that apply)
, A. Alpha-1 receptors
B. Beta-1 receptors
C. Beta-2 receptors
D. Alpha-2 receptors only
Correct Answer: A, B, C
Rationale: Epinephrine is NON-SELECTIVE: it stimulates
alpha-1 (vasoconstriction → ↑BP), beta-1 (↑HR,
↑contractility), AND beta-2 (bronchodilation). It does
NOT cause vasodilation .
SECTION 2: BETA-BLOCKERS & CLINICAL
CONSIDERATIONS
Q4. A nurse is reviewing home medications for a patient
prescribed atenolol. The patient also has asthma and
type 2 diabetes. Which statement by the patient
indicates a need for further teaching?
A. "I will check my heart rate before taking this
medication."