NSG290 Exam 3 Questions
And Answers
A 35-year-old man is at his follow-up visit for GERD. Antacids have not been effective for
his reflux, and the health care provider is prescribing a proton pump inhibitor. Why
might the provider prescribe a PPI rather than an H2RA? - ANSWER PPI's suppress acid
more strongly and for a longer period of time
A 27-year-old athlete with newly diagnosed asthma presents for patient education
regarding situations that could precipitate an asthma attack. The nurse teaches that
acute episodes of asthma may last minutes to hours. In this teaching, which precipitants
would the nurse state may cause the asthma? (Select all that apply.) - ANSWER
pollutants, exercise, and allergens
The nurse should warn a client taking aluminum- and calcium-containing antacids about
which adverse effects? - ANSWER constipation
A nurse is preparing to administer a diuretic that antagonizes the action of aldosterone.
Which drug would the nurse be most likely to administer? - ANSWER spironolactone
The nurse is talking with nursing students about the drugs that affect the
gastrointestinal secretions. What group of drugs would the nurse tell the students is
used to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the
lumen of the stomach? - ANSWER Proton Pump Inhibitor- because it suppresses the
secretion of hydrochloric acid into the lumen of the stomach.
What function does the kidney perform to assist in maintaining acid-base balance within
the necessary normal range? - ANSWER return bicarb to the body's circulation
A nurse is caring for a patient with chronic bronchiectasis. The nurse should assess the
patient for which clinical manifestation? - ANSWER purulent cough
Which statement by a 62-year-old patient indicates that the patient understands the
nurse's teaching about diuretics? - ANSWER i will weigh myself daily and report any
significant changes
A nurse is providing education to a 56-year-old man who is admitted to the emergency
department with an acute asthma attack. The nurse's initial assessment reveals that the
patient has a history of pneumonia, drinks large quantities of coffee, and eats a
high-calorie diet. Albuterol is prescribed for him. The important consideration when the
nurse is preparing a teaching plan will be that the patient - ANSWER has a high coffee
intake- because caffeine has a sumpathomimetic effects that may increase the risk for
adverse effects in albuterol
, A male client is concerned because ever since he began his antiasthma medication, his
GERD symptoms are worse. The nurse explains that his symptoms are worse because
his asthma medications have what effect? - ANSWER they relax the gastroesophageal
sphincter
A female client is diagnosed with hyponatremia. What type of diuretic would most likely
cause this symptom? - ANSWER a loop diuretic because the LOOSE up to 10 times
greater than a thiazide.
The health care provider orders furosemide for a pediatric client. The nurse knows that
the established dose of the drug should not exceed how many milligrams per kilogram of
body weight per day? - ANSWER 6mg/kg
Which agent would a nurse identify as the prototype histamine-2 receptor antagonist? -
ANSWER cimetidine
which would the nurse identify as being involved with asthma - ANSWER hyperactive
airways
A deficiency in antidiuretic hormone (ADH) would be primarily associated with which
condition? - ANSWER fluid imbalance
The nurse admits a client who reports having taken a proton pump inhibitor for more
than a decade. What assessment question will the nurse ask this client? - ANSWER are
you experiencing any diarrhea?
What medical condition is likely to be exacerbated by the medication therapy associated
with asthma? - ANSWER GERD
Where should the nurse initially direct a client who is interested in learning more about
the management of asthma? - ANSWER GINA- GLOBAL INITIATIVE FOR ASTHMA
When providing care for older adults who are taking furosemide on a regular basis, the
nurse should prioritize assessments that are relevant to what health problem? -
ANSWER dehydration
A client is receiving a liquid antacid. Which would the nurse instruct the client to do? -
ANSWER shake the liquid antiacid thoroughly before drinking
A male client arrives at his sick call reporting chronic abdominal pain. Having a 40-pack
year history, he reports his smoking has decreased to approximately 20 packs/year. The
health care provider, after thorough assessment and evaluation and labs, prescribes a
treatment regimen for a duodenal ulcer caused by H. pylori infection. What type of
medication might be used to treat the ulcer? - ANSWER two antimicrobials and either a
PPI or H2RA
A 6-year-old client, with a history of asthma, presents at the primary care office with an
elevated temperature, bilateral ear pain, and irritability. He has a history of asthma.
What instructions should the nurse convey to the boy's parents regarding the use of
And Answers
A 35-year-old man is at his follow-up visit for GERD. Antacids have not been effective for
his reflux, and the health care provider is prescribing a proton pump inhibitor. Why
might the provider prescribe a PPI rather than an H2RA? - ANSWER PPI's suppress acid
more strongly and for a longer period of time
A 27-year-old athlete with newly diagnosed asthma presents for patient education
regarding situations that could precipitate an asthma attack. The nurse teaches that
acute episodes of asthma may last minutes to hours. In this teaching, which precipitants
would the nurse state may cause the asthma? (Select all that apply.) - ANSWER
pollutants, exercise, and allergens
The nurse should warn a client taking aluminum- and calcium-containing antacids about
which adverse effects? - ANSWER constipation
A nurse is preparing to administer a diuretic that antagonizes the action of aldosterone.
Which drug would the nurse be most likely to administer? - ANSWER spironolactone
The nurse is talking with nursing students about the drugs that affect the
gastrointestinal secretions. What group of drugs would the nurse tell the students is
used to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the
lumen of the stomach? - ANSWER Proton Pump Inhibitor- because it suppresses the
secretion of hydrochloric acid into the lumen of the stomach.
What function does the kidney perform to assist in maintaining acid-base balance within
the necessary normal range? - ANSWER return bicarb to the body's circulation
A nurse is caring for a patient with chronic bronchiectasis. The nurse should assess the
patient for which clinical manifestation? - ANSWER purulent cough
Which statement by a 62-year-old patient indicates that the patient understands the
nurse's teaching about diuretics? - ANSWER i will weigh myself daily and report any
significant changes
A nurse is providing education to a 56-year-old man who is admitted to the emergency
department with an acute asthma attack. The nurse's initial assessment reveals that the
patient has a history of pneumonia, drinks large quantities of coffee, and eats a
high-calorie diet. Albuterol is prescribed for him. The important consideration when the
nurse is preparing a teaching plan will be that the patient - ANSWER has a high coffee
intake- because caffeine has a sumpathomimetic effects that may increase the risk for
adverse effects in albuterol
, A male client is concerned because ever since he began his antiasthma medication, his
GERD symptoms are worse. The nurse explains that his symptoms are worse because
his asthma medications have what effect? - ANSWER they relax the gastroesophageal
sphincter
A female client is diagnosed with hyponatremia. What type of diuretic would most likely
cause this symptom? - ANSWER a loop diuretic because the LOOSE up to 10 times
greater than a thiazide.
The health care provider orders furosemide for a pediatric client. The nurse knows that
the established dose of the drug should not exceed how many milligrams per kilogram of
body weight per day? - ANSWER 6mg/kg
Which agent would a nurse identify as the prototype histamine-2 receptor antagonist? -
ANSWER cimetidine
which would the nurse identify as being involved with asthma - ANSWER hyperactive
airways
A deficiency in antidiuretic hormone (ADH) would be primarily associated with which
condition? - ANSWER fluid imbalance
The nurse admits a client who reports having taken a proton pump inhibitor for more
than a decade. What assessment question will the nurse ask this client? - ANSWER are
you experiencing any diarrhea?
What medical condition is likely to be exacerbated by the medication therapy associated
with asthma? - ANSWER GERD
Where should the nurse initially direct a client who is interested in learning more about
the management of asthma? - ANSWER GINA- GLOBAL INITIATIVE FOR ASTHMA
When providing care for older adults who are taking furosemide on a regular basis, the
nurse should prioritize assessments that are relevant to what health problem? -
ANSWER dehydration
A client is receiving a liquid antacid. Which would the nurse instruct the client to do? -
ANSWER shake the liquid antiacid thoroughly before drinking
A male client arrives at his sick call reporting chronic abdominal pain. Having a 40-pack
year history, he reports his smoking has decreased to approximately 20 packs/year. The
health care provider, after thorough assessment and evaluation and labs, prescribes a
treatment regimen for a duodenal ulcer caused by H. pylori infection. What type of
medication might be used to treat the ulcer? - ANSWER two antimicrobials and either a
PPI or H2RA
A 6-year-old client, with a history of asthma, presents at the primary care office with an
elevated temperature, bilateral ear pain, and irritability. He has a history of asthma.
What instructions should the nurse convey to the boy's parents regarding the use of
