NUR 635 Midterm Exam Questions And Correct Verified Answers New
Updated Version 2026
A patient is to receive a beta agonist. Before administration of this medication, which assessment
finding would most concern the nurse?
A. Pulse oximetry reading of 88%
B. Blood pressure of 100/60 mm Hg
C. Respiratory rate of 28 breaths/minute
D. Heart rate of 110 beats/minute - answer-D. heart rate of 110 beats/minute
A pregnant patient is in premature labor. Which class of drug will she be given?
a. alpha 1 agonist
b. anticholinergic
c. beta2 agonist
d. beta2 antagonist - answer-c. beta2 agonist
A prescriber has ordered pilocarpine [Pilocar]. A nurse understands that the drug stimulates muscarinic receptors
and would expect the drug to have which action?
a. reduction of excessive secretions in a postoperative patient
b. lowering of intraoccqular pressure in patients with glaucoma
c. inhibition of muscular activity in the bladder
d. prevention of hypertensive crisis- answer-b. lowering of intraoccqular pressure in patients with
glaucoma
An older adult patient who lives alone and is somewhat forgetful has an overactive bladder (OAB) and reports
occasional constipation. The patient has tried behavioral therapy to treat the OAB without adequate results. Which
treatment will the nurse anticipate for this patient?
a. oxybutynin short-acting syrup
b. oxybutynin [ditropan XL] extended release tablets
c. oxybutynin [oxytroI] transdermal patch
,d. percutaneous tibial nerve stimulation (PTNS) - answer-c. oxybutynin [oytrol] transdermal patch
A patientis experiencing toxic side effects from atropine, including delirium and hallucinations. Which
medication will the nurse expect to administer?
a. donepezil [aricept]
b. edrophonium [reversol]
c. neostigmine [prostigmin]
d. physostigmine - answer-d. physostigmine
A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal
scopolamine [transderm stop]. The patient asks the nurse why an oral agent is not ordered. The nurse will
explain that the transdermal preparation:
a. can be applied as needed at the first sign of nausea
b. has less intense anticholinergic effects than the oral form
c. is less sedating than the oral preparation
d. provides direct effects, because it is placed close to the vestibular apparatus of the ear - answer-b.has less
intense anticholinergic effects than the oral form
A client is about to begin anticholinergic medication therapy. What instructions will the provider give to best
minimize common side effects?
a. Wear dark glasses both indoors and outdoors.
b. Void just prior to taking the medication.
c. Minimize fiber intake to avoid diarrhea.
d. Hydrate well before engaging in outdoor exercise. - answer-b. void just prior to taking the medication
A prescriber orders clonidine [Kapvay] ER tablets for a 12 year old child. The nurse understands that this drug is
being given to treat which condition?
a. ADHD
b. hypertension
c. severe pain
d. Tourette syndrome - answer-a. ADHD
,A patient complains to the nurse that the clonidine [catapres] recently prescribed for hypertension is
causing drowsiness. Which response by the nurse to this concern is appropriate?
a. "drowsiness is a common side effect initially, but it will lessen with time'
b. "you may also experience orthostatic hypotension along with the drowsiness"
c."you may be at risk for addiction if you have central nervous system side effects"
d. "you should discontinue the medication and contact your prescriber" - answer-a. "drowsiness is a
common side effect initially, but it will lessen with time"
The nurse is discussing home management with a patient who will begin taking an alpha-adrenergic
antagonist for hypertension. Which statement by the patient indicates understanding of the teaching?
a. "I need to stop the medication if my heart rate increases"
b. "I should not drive while taking this medication"
C."1should take the first dose at bedtime"
′ ′
d. |Vwill stop taking the medication if I feel dizzy" - answer-c. "Ishould take the first dose at bedtime"
A nurse is caring for a patient who has myasthenia gravis. The prescriber has ordered neostigmine
[prostigmin]. An important initial nursing action before administration of the medication includes
assessing:
a. the ability to raise the eyelids
b. level of fatigue
c.skeletal muscle strength
d. swallowing ability - answer-d. swallowing ability
Bethanechol [urecholine] is used to treat urinary retention, but is being investigated for use in which other
condition?
a. gastric ulcers
b. gastroesophageal reflux
c. hypotension
d. intestinal obstruction - answer-b. gastroesophageal reflux
, The provider is assessing an older adult male patient prior to beginning a prescribed anticholinergic drug.
Which question concerning preexisting conditions demonstrates the provider's understanding of possible
contraindications to this therapy?
a. "Would you say that diarrhea is a problem you deal with regularly?"
b. "Do you have any vision problems that require a prescribed medication?"
c. "Have you ever been treated for prostate cancer?"
d. "Do you have problems with urinary incontinence? - answer-b. "do you have any vision problems that
require a prescribed medication?"
Dopamine is administered to a patient who has been experiencing hypotensive episodes. Other than an
increase in blood pressure, which indicator would the nurse use to evaluate a successful response?
a. decrease in pulse
b. increase in urine output
c. weight gain
d. improved gastric motility - answer-b. increase in urine output
A patient taking a beta blocker complains of shortness of breath. The patient has respirations of
28breaths/minute, a blood pressure of 162/90 mm Hg, and a pulse of 88 beats/minute. The nurse osculates
crackles in all lung fields. The nurse understands that these assessments are consistent with?
a. bronchoconstriction
b. left-sided heart failure
c. rebound cardiac excitation
d. sinus bradycardia - answer-b. left-sided heart failure
A male patient is being treated for benign prostatic hyperplasia and has stopped taking his alpha-adrenergic
antagonist medication because of ejaculatory difficulties. Which medication does the nurse expect the
provider to prescribe?
a. alfuzosin [uroxatral]
b. prazosin [minipress]
c. silodosin [rapaflo]
d. tamsulosin [flomax] - answer-a. alfuzosin [uroxatral]
Updated Version 2026
A patient is to receive a beta agonist. Before administration of this medication, which assessment
finding would most concern the nurse?
A. Pulse oximetry reading of 88%
B. Blood pressure of 100/60 mm Hg
C. Respiratory rate of 28 breaths/minute
D. Heart rate of 110 beats/minute - answer-D. heart rate of 110 beats/minute
A pregnant patient is in premature labor. Which class of drug will she be given?
a. alpha 1 agonist
b. anticholinergic
c. beta2 agonist
d. beta2 antagonist - answer-c. beta2 agonist
A prescriber has ordered pilocarpine [Pilocar]. A nurse understands that the drug stimulates muscarinic receptors
and would expect the drug to have which action?
a. reduction of excessive secretions in a postoperative patient
b. lowering of intraoccqular pressure in patients with glaucoma
c. inhibition of muscular activity in the bladder
d. prevention of hypertensive crisis- answer-b. lowering of intraoccqular pressure in patients with
glaucoma
An older adult patient who lives alone and is somewhat forgetful has an overactive bladder (OAB) and reports
occasional constipation. The patient has tried behavioral therapy to treat the OAB without adequate results. Which
treatment will the nurse anticipate for this patient?
a. oxybutynin short-acting syrup
b. oxybutynin [ditropan XL] extended release tablets
c. oxybutynin [oxytroI] transdermal patch
,d. percutaneous tibial nerve stimulation (PTNS) - answer-c. oxybutynin [oytrol] transdermal patch
A patientis experiencing toxic side effects from atropine, including delirium and hallucinations. Which
medication will the nurse expect to administer?
a. donepezil [aricept]
b. edrophonium [reversol]
c. neostigmine [prostigmin]
d. physostigmine - answer-d. physostigmine
A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal
scopolamine [transderm stop]. The patient asks the nurse why an oral agent is not ordered. The nurse will
explain that the transdermal preparation:
a. can be applied as needed at the first sign of nausea
b. has less intense anticholinergic effects than the oral form
c. is less sedating than the oral preparation
d. provides direct effects, because it is placed close to the vestibular apparatus of the ear - answer-b.has less
intense anticholinergic effects than the oral form
A client is about to begin anticholinergic medication therapy. What instructions will the provider give to best
minimize common side effects?
a. Wear dark glasses both indoors and outdoors.
b. Void just prior to taking the medication.
c. Minimize fiber intake to avoid diarrhea.
d. Hydrate well before engaging in outdoor exercise. - answer-b. void just prior to taking the medication
A prescriber orders clonidine [Kapvay] ER tablets for a 12 year old child. The nurse understands that this drug is
being given to treat which condition?
a. ADHD
b. hypertension
c. severe pain
d. Tourette syndrome - answer-a. ADHD
,A patient complains to the nurse that the clonidine [catapres] recently prescribed for hypertension is
causing drowsiness. Which response by the nurse to this concern is appropriate?
a. "drowsiness is a common side effect initially, but it will lessen with time'
b. "you may also experience orthostatic hypotension along with the drowsiness"
c."you may be at risk for addiction if you have central nervous system side effects"
d. "you should discontinue the medication and contact your prescriber" - answer-a. "drowsiness is a
common side effect initially, but it will lessen with time"
The nurse is discussing home management with a patient who will begin taking an alpha-adrenergic
antagonist for hypertension. Which statement by the patient indicates understanding of the teaching?
a. "I need to stop the medication if my heart rate increases"
b. "I should not drive while taking this medication"
C."1should take the first dose at bedtime"
′ ′
d. |Vwill stop taking the medication if I feel dizzy" - answer-c. "Ishould take the first dose at bedtime"
A nurse is caring for a patient who has myasthenia gravis. The prescriber has ordered neostigmine
[prostigmin]. An important initial nursing action before administration of the medication includes
assessing:
a. the ability to raise the eyelids
b. level of fatigue
c.skeletal muscle strength
d. swallowing ability - answer-d. swallowing ability
Bethanechol [urecholine] is used to treat urinary retention, but is being investigated for use in which other
condition?
a. gastric ulcers
b. gastroesophageal reflux
c. hypotension
d. intestinal obstruction - answer-b. gastroesophageal reflux
, The provider is assessing an older adult male patient prior to beginning a prescribed anticholinergic drug.
Which question concerning preexisting conditions demonstrates the provider's understanding of possible
contraindications to this therapy?
a. "Would you say that diarrhea is a problem you deal with regularly?"
b. "Do you have any vision problems that require a prescribed medication?"
c. "Have you ever been treated for prostate cancer?"
d. "Do you have problems with urinary incontinence? - answer-b. "do you have any vision problems that
require a prescribed medication?"
Dopamine is administered to a patient who has been experiencing hypotensive episodes. Other than an
increase in blood pressure, which indicator would the nurse use to evaluate a successful response?
a. decrease in pulse
b. increase in urine output
c. weight gain
d. improved gastric motility - answer-b. increase in urine output
A patient taking a beta blocker complains of shortness of breath. The patient has respirations of
28breaths/minute, a blood pressure of 162/90 mm Hg, and a pulse of 88 beats/minute. The nurse osculates
crackles in all lung fields. The nurse understands that these assessments are consistent with?
a. bronchoconstriction
b. left-sided heart failure
c. rebound cardiac excitation
d. sinus bradycardia - answer-b. left-sided heart failure
A male patient is being treated for benign prostatic hyperplasia and has stopped taking his alpha-adrenergic
antagonist medication because of ejaculatory difficulties. Which medication does the nurse expect the
provider to prescribe?
a. alfuzosin [uroxatral]
b. prazosin [minipress]
c. silodosin [rapaflo]
d. tamsulosin [flomax] - answer-a. alfuzosin [uroxatral]
