NUR2474 EXAM 4 2026 TEST PAPER SOLVED
QUESTIONS AND SOLUTIONS
◉ INR lab values Answer: 2-3
◉ Which of these statements is correct regarding sucralfate?
Answer: B: sucralfate becomes a sticky gel that adheres to the ulcer
and protects it from hydrogen bonds
◉ A student nurse is reviewing common drugs used to treat
constipation. Answer: A: bisacodyl
◉ A client is going to be started on prophylaxis therapy for NSAID-
induced ulcers. Answer: B: omeprazole
◉ The nurse understands that which of the following statements is
true about ipratropium bromide? Answer: B: it is used for the
management of asthma and chronic obstructive pulmonary disease
◉ The nurse understands that which statement is correct regarding
the mechanism of action of ipratropium? Answer: C: blocking
muscarinic cholinergic receptors in the bronchi
,◉ A 54-year-old client with a history of hypertension is experiencing
a cough, runny nose, congestion, and fever. Answer: B:
sympathomimetics
◉ Asthma treatment response Answer: The client's asthma is not
responding to the current treatment plan, evidenced by the need to
use their rescue inhaler six times a week.
◉ Omalizumab Answer: The medication expected to be ordered to
inhibit the action of immunoglobulin IgE.
◉ Cromolyn sodium inhaler side effects Answer: The nurse tells the
client to immediately report bronchospasm.
◉ Senna usage Answer: A client who has taken senna for several
days and now is experiencing yellowish-brown urine is experiencing
expected side effects of medication.
◉ Proton pump inhibitor side effects Answer: The nurse tells the
client to immediately report diarrhea.
◉ Inhaled glucocorticoid response Answer: The best response by
the nurse is to ask whether the patient is rinsing the mouth after
each dose.
,◉ Theophylline serum level Answer: A serum theophylline level of
25 mcg/mL is above therapeutic range.
◉ Albuterol side effects Answer: The client receiving their first dose
of albuterol may experience tachycardia.
◉ Ondansetron contraindication Answer: The nurse would withhold
a dose of ondansetron for a client with long QT syndrome.
◉ Laxatives indications Answer: Laxatives are not indicated for
correcting obstruction of the bowel.
◉ Asthma attack medication Answer: To abort an ongoing asthma
attack, the nurse selects inhaled albuterol.
◉ Dextromethorphan mechanism Answer: Dextromethorphan is a
nonopioid that acts in the CNS to suppress cough.
◉ Misoprostol contraindication Answer: A positive pregnancy test
would cause the nurse to withhold the dose of misoprostol.
◉ Antacid and cimetidine administration Answer: The antacid
should be taken one hour after the cimetidine.
, ◉ Spacer usage Answer: More medication will reach the site of
action in the lungs when using a spacer.
◉ Beta-blockers mechanism Answer: Beta-blockers block the
actions of alpha receptor sites.
◉ Atrial flutter medication Answer: The nurse anticipates an order
for amiodarone to prevent the dysrhythmia from recurring.
◉ Diuretics diuresis Answer: Loop diuretics produce the greatest
diuresis.
◉ Diuretics effects Answer: Diuretics do not prolong survival of
clients with heart failure.
◉ Furosemide and digoxin interaction Answer: Furosemide can
cause a loss of potassium creating a higher risk of digoxin induced
dysrhythmias.
◉ Metoprolol addition reason Answer: Metoprolol was added to
prevent reflex tachycardia.
QUESTIONS AND SOLUTIONS
◉ INR lab values Answer: 2-3
◉ Which of these statements is correct regarding sucralfate?
Answer: B: sucralfate becomes a sticky gel that adheres to the ulcer
and protects it from hydrogen bonds
◉ A student nurse is reviewing common drugs used to treat
constipation. Answer: A: bisacodyl
◉ A client is going to be started on prophylaxis therapy for NSAID-
induced ulcers. Answer: B: omeprazole
◉ The nurse understands that which of the following statements is
true about ipratropium bromide? Answer: B: it is used for the
management of asthma and chronic obstructive pulmonary disease
◉ The nurse understands that which statement is correct regarding
the mechanism of action of ipratropium? Answer: C: blocking
muscarinic cholinergic receptors in the bronchi
,◉ A 54-year-old client with a history of hypertension is experiencing
a cough, runny nose, congestion, and fever. Answer: B:
sympathomimetics
◉ Asthma treatment response Answer: The client's asthma is not
responding to the current treatment plan, evidenced by the need to
use their rescue inhaler six times a week.
◉ Omalizumab Answer: The medication expected to be ordered to
inhibit the action of immunoglobulin IgE.
◉ Cromolyn sodium inhaler side effects Answer: The nurse tells the
client to immediately report bronchospasm.
◉ Senna usage Answer: A client who has taken senna for several
days and now is experiencing yellowish-brown urine is experiencing
expected side effects of medication.
◉ Proton pump inhibitor side effects Answer: The nurse tells the
client to immediately report diarrhea.
◉ Inhaled glucocorticoid response Answer: The best response by
the nurse is to ask whether the patient is rinsing the mouth after
each dose.
,◉ Theophylline serum level Answer: A serum theophylline level of
25 mcg/mL is above therapeutic range.
◉ Albuterol side effects Answer: The client receiving their first dose
of albuterol may experience tachycardia.
◉ Ondansetron contraindication Answer: The nurse would withhold
a dose of ondansetron for a client with long QT syndrome.
◉ Laxatives indications Answer: Laxatives are not indicated for
correcting obstruction of the bowel.
◉ Asthma attack medication Answer: To abort an ongoing asthma
attack, the nurse selects inhaled albuterol.
◉ Dextromethorphan mechanism Answer: Dextromethorphan is a
nonopioid that acts in the CNS to suppress cough.
◉ Misoprostol contraindication Answer: A positive pregnancy test
would cause the nurse to withhold the dose of misoprostol.
◉ Antacid and cimetidine administration Answer: The antacid
should be taken one hour after the cimetidine.
, ◉ Spacer usage Answer: More medication will reach the site of
action in the lungs when using a spacer.
◉ Beta-blockers mechanism Answer: Beta-blockers block the
actions of alpha receptor sites.
◉ Atrial flutter medication Answer: The nurse anticipates an order
for amiodarone to prevent the dysrhythmia from recurring.
◉ Diuretics diuresis Answer: Loop diuretics produce the greatest
diuresis.
◉ Diuretics effects Answer: Diuretics do not prolong survival of
clients with heart failure.
◉ Furosemide and digoxin interaction Answer: Furosemide can
cause a loss of potassium creating a higher risk of digoxin induced
dysrhythmias.
◉ Metoprolol addition reason Answer: Metoprolol was added to
prevent reflex tachycardia.
