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GALEN PHARM 210 EXAM 3 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
The prescriber has changed the patient's medication regimen
to include the leukotriene receptor antagonist montelukast to
treat asthma. The nurse will emphasize which point about
this medication?
The proper technique for inhalation must be followed.
When the asthma symptoms improve, the dosage schedule
can be tapered and eventually discontinued.
It needs to be taken every day on a continuous schedule,
even if symptoms improve.
The patient needs to keep it close by at all times to treat
acute asthma attacks.
It needs to be taken every day on a continuous schedule, even if
symptoms improve.
These drugs are indicated for chronic, not acute, asthma and are
to be taken every day on a continuous schedule, even if
symptoms improve. These drugs are taken orally.
A patient has prescriptions for two inhalers. One inhaler is a
bronchodilator, and the other is a corticosteroid. Which
instruction regarding these inhalers will the nurse give to the
patient?
"Take the bronchodilator inhaler first."
"Take the corticosteroid inhaler first."
"It does not matter which inhaler you use first."
"Take these two drugs at least 2 hours apart."
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"Take the bronchodilator inhaler first."
An inhaled bronchodilator is used before the inhaled
corticosteroid to provide bronchodilation before administration of
the anti-inflammatory drug.
When educating a patient recently placed on inhaled
corticosteroids, the nurse will discuss which potential
adverse effects?
Fatigue and depression
Anxiety and palpitations
Oral candidiasis and dry mouth
Headache and rapid heart rate
Oral candidiasis and dry mouth
A patient is taking guaifenesin as part of treatment for a
sinus infection. Which instruction will the nurse include
during patient teaching?
Avoid driving a car or operating heavy machinery because of
the sedating effects.
Report clear-colored sputum to the prescriber.
Force fluids to help loosen and liquefy secretions.
Report symptoms that last longer than 2 days.
Force fluids to help loosen and liquefy secretions.
A patient is prescribed a decongestant nasal spray that
contains oxymetazoline. What will the nurse teach the
patient?
This drug may be used in maintenance treatment for asthma.
Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
Take this drug at bedtime because it may cause drowsiness.
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Directly spray the medication away from the nasal septum
and gently sniff.
Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
A patient tells the nurse that he has started to take an over-
the-counter antihistamine, diphenhydramine. In teaching
about side effects, what is most important for the nurse to
tell the patient?
Avoid driving a motor vehicle until stabilized on the drug.
Nightmares and nervousness are more likely in an adult.
Medication may cause excessive secretions.
To avoid insomnia, do not to take this drug at bedtime.
Avoid driving a motor vehicle until stabilized on the drug.
The nurse is counseling a woman who will be starting
rifampin as part of antitubercular therapy. The patient is
currently taking oral contraceptives. Which statement is true
regarding rifampin therapy for this patient?
Oral contraceptives are less effective while the patient is
taking rifampin.
Women have a high risk for thrombophlebitis while on this
drug.
The incidence of adverse effects is greater if the two drugs
are taken together.
A higher dose of rifampin will be necessary because of the
contraceptive.
Oral contraceptives are less effective while the patient is taking
rifampin.
Women taking oral contraceptives and rifampin need to be
counseled about other forms of birth control because of the
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impaired effectiveness of the oral contraceptives during
concurrent use of rifampin.
The nurse will assess the patient for which potential
contraindication to antitubercular therapy?
Hepatic impairment
Glaucoma
Heart failure
Anemia
Hepatic impairment
Results of liver function studies (e.g., bilirubin level, liver enzyme
levels) need to be assessed because isoniazid and rifampin may
cause hepatic impairment; severe liver dysfunction is a
contraindication to these drugs. In addition, the patient's history of
alcohol use needs to be assessed.
A patient has been taking antitubercular therapy for 3
months. The nurse will assess for what findings that indicate
a therapeutic response to the drug therapy?
There are two consecutive negative purified protein
derivative (PPD) results over 2 months.
There is a decrease in symptoms of tuberculosis along with
improved chest x-rays and sputum cultures.
The chronic cough is gone.
There is increased tolerance to the medication therapy, and
there are fewer reports of adverse effects.
There is a decrease in symptoms of tuberculosis along with
improved chest x-rays and sputum cultures.
A therapeutic response to antitubercular therapy is manifested by
a decrease in the symptoms of tuberculosis, such as cough and
GALEN PHARM 210 EXAM 3 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
The prescriber has changed the patient's medication regimen
to include the leukotriene receptor antagonist montelukast to
treat asthma. The nurse will emphasize which point about
this medication?
The proper technique for inhalation must be followed.
When the asthma symptoms improve, the dosage schedule
can be tapered and eventually discontinued.
It needs to be taken every day on a continuous schedule,
even if symptoms improve.
The patient needs to keep it close by at all times to treat
acute asthma attacks.
It needs to be taken every day on a continuous schedule, even if
symptoms improve.
These drugs are indicated for chronic, not acute, asthma and are
to be taken every day on a continuous schedule, even if
symptoms improve. These drugs are taken orally.
A patient has prescriptions for two inhalers. One inhaler is a
bronchodilator, and the other is a corticosteroid. Which
instruction regarding these inhalers will the nurse give to the
patient?
"Take the bronchodilator inhaler first."
"Take the corticosteroid inhaler first."
"It does not matter which inhaler you use first."
"Take these two drugs at least 2 hours apart."
, Page | 2
"Take the bronchodilator inhaler first."
An inhaled bronchodilator is used before the inhaled
corticosteroid to provide bronchodilation before administration of
the anti-inflammatory drug.
When educating a patient recently placed on inhaled
corticosteroids, the nurse will discuss which potential
adverse effects?
Fatigue and depression
Anxiety and palpitations
Oral candidiasis and dry mouth
Headache and rapid heart rate
Oral candidiasis and dry mouth
A patient is taking guaifenesin as part of treatment for a
sinus infection. Which instruction will the nurse include
during patient teaching?
Avoid driving a car or operating heavy machinery because of
the sedating effects.
Report clear-colored sputum to the prescriber.
Force fluids to help loosen and liquefy secretions.
Report symptoms that last longer than 2 days.
Force fluids to help loosen and liquefy secretions.
A patient is prescribed a decongestant nasal spray that
contains oxymetazoline. What will the nurse teach the
patient?
This drug may be used in maintenance treatment for asthma.
Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
Take this drug at bedtime because it may cause drowsiness.
, Page | 3
Directly spray the medication away from the nasal septum
and gently sniff.
Limit use of the drug to 5 to 7 days to prevent rebound nasal
congestion
A patient tells the nurse that he has started to take an over-
the-counter antihistamine, diphenhydramine. In teaching
about side effects, what is most important for the nurse to
tell the patient?
Avoid driving a motor vehicle until stabilized on the drug.
Nightmares and nervousness are more likely in an adult.
Medication may cause excessive secretions.
To avoid insomnia, do not to take this drug at bedtime.
Avoid driving a motor vehicle until stabilized on the drug.
The nurse is counseling a woman who will be starting
rifampin as part of antitubercular therapy. The patient is
currently taking oral contraceptives. Which statement is true
regarding rifampin therapy for this patient?
Oral contraceptives are less effective while the patient is
taking rifampin.
Women have a high risk for thrombophlebitis while on this
drug.
The incidence of adverse effects is greater if the two drugs
are taken together.
A higher dose of rifampin will be necessary because of the
contraceptive.
Oral contraceptives are less effective while the patient is taking
rifampin.
Women taking oral contraceptives and rifampin need to be
counseled about other forms of birth control because of the
, Page | 4
impaired effectiveness of the oral contraceptives during
concurrent use of rifampin.
The nurse will assess the patient for which potential
contraindication to antitubercular therapy?
Hepatic impairment
Glaucoma
Heart failure
Anemia
Hepatic impairment
Results of liver function studies (e.g., bilirubin level, liver enzyme
levels) need to be assessed because isoniazid and rifampin may
cause hepatic impairment; severe liver dysfunction is a
contraindication to these drugs. In addition, the patient's history of
alcohol use needs to be assessed.
A patient has been taking antitubercular therapy for 3
months. The nurse will assess for what findings that indicate
a therapeutic response to the drug therapy?
There are two consecutive negative purified protein
derivative (PPD) results over 2 months.
There is a decrease in symptoms of tuberculosis along with
improved chest x-rays and sputum cultures.
The chronic cough is gone.
There is increased tolerance to the medication therapy, and
there are fewer reports of adverse effects.
There is a decrease in symptoms of tuberculosis along with
improved chest x-rays and sputum cultures.
A therapeutic response to antitubercular therapy is manifested by
a decrease in the symptoms of tuberculosis, such as cough and
