NRSG 250 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
A client's heart rate is 72 beats per minute with a regular rhythm. How does the nurse
interpret this data in relation to the client's peripheral nervous system?
Answer:
- The parasympathetic system is dominating
- Both parasympathetic and sympathetic systems are influencing cardiac status
- The autonomic nervous system is affecting cardiac status
Question:
A nurse is reading about the development of drugs that inhibit the parasympathetic
nervous
system. The nurse would look for articles about which drug classes?
Answer:
- Anticholinergics
- Parasympatholytics
- Muscarinic blockers
Question:
Which is an adrenergic receptor associated with the sympathetic nervous system?
Answer:
Beta
Question:
A client has been prescribed an oral drug containing atropine. The nurse would hold
the drug and contact the prescriber if the client states which of the following?
Answer:
- "I would like to wait a few minutes to take this as I just drank some aloe juice."
- "Can I take this at the same time as my procainamide?"
Question:
The nurse has completed medication education about pyridostigmine (Mestinon), an
indirect cholinergic drug, for a client with myasthenia gravis. The nurse determines
that learning has occurred when the client makes which statement?
Answer:
"It is really important to take my medication on time."
Question:
The healthcare provider has ordered bethanechol (Urecholine), a cholinergic drug, for
the client with urinary retention. The client also has an enlarged prostate gland. What
is the priority action by the nurse?
Answer:
Hold the drug and contact the healthcare provider.
,Question:
A preoperative client will be receiving glycopyrrolate (Robinul), which is an
anticholinergic drug. The client asks the nurse, "Why do I need to take that
medication?" What is the best response by the nurse?"
Answer:
"It will decrease your respiratory secretions during surgery."
Question:
The nurse is preparing to administer benztropine (Cogentin), which is an
anticholinergic
drug. The nurse understands this drug is contraindicated in which client?
Answer:
The client with tachycardia
Question:
The nurse is preparing to administer medications to a group of clients. One of the
medications is atropine, an anticholinergic drug. This drug is contraindicated in which
client?
Answer:
The client with glaucoma
Question:
The healthcare provider orders dicyclomine (Bentyl), an anticholinergic drug, for a
client. What is the nurse's priority assessment prior to administering this drug?
Answer:
Is the client able to urinate?
Question:
The client is quadriplegic and receives the anticholinergic drug oxybutynin (Ditropan)
to increase his bladder capacity. What is an important assessment of this client by the
nurse?
Answer:
Is he constipated?
Question:
The nursing instructor teaches the student nurses about the nervous system. The
instructor determines that learning has occurred when the students make which
statement(s)?
Answer:
- "The central nervous system includes the brain and spinal cord."
- "The nervous system helps us react to environmental changes."
- "The somatic nervous system gives us voluntary control over moving."
,Question:
The nursing instructor teaches the student nurses about the autonomic nervous system.
The instructor determines that learning has occurred when the students make which
statement(s)?
Answer:
- "The sympathetic and parasympathetic systems are not always opposite in their
effects."
- "The parasympathetic nervous system causes bronchial constriction."
- "The sympathetic nervous system is activated under stress."
Question:
The student nurse asks the nursing instructor, "Do medications actually make more
neurotransmitters?" What is the best response by the nursing instructor?
Answer:
"No, medications can only increase or decrease the action of neurotransmitters."
Question:
A student nurse asks a nursing instructor which part of the nervous system primarily
regulates the ability of a person to use his arm muscles to lift a weight. What is the
instructor's best response?
Answer:
Somatic nervous system
Question:
A nursing instructor is teaching student nurses about the sympathetic nervous
system. The instructor recognizes that learning has occurred when the students say
which of the following responses are regulated by the sympathetic nervous system?
Answer:
Pupil dilation
Question:
A nurse is working with a student nurse. The nurse explains what a client would
experience if the adrenergic receptors are activated. Which of the following comments
by the student nurse indicates that the education was effective?
Answer:
Fight-or-flight effects
Question:
A student nurse is reviewing the autonomic nervous system. The student understands
that which substance would inhibit the function of the autonomic nervous system?
Answer:
Drugs that prevent the storage of neurotransmitter in vesicles
, Question:
A nursing instructor is reviewing receptor types with a nursing student. The instructor
identifies that learning has occurred when the student responds that which type of
receptor is found at the ganglionic synapse of both the sympathetic and
parasympathetic nervous systems?
Answer:
Nicotinic
Question:
A client is prescribed an anticholinergic
drug. What discharge instructions should the nurse provide?
Answer:
- Wear sunglasses in bright light.
- Wear sunglasses in bright light.
- Avoid hot showers.
Question:
A nursing instructor is planning to teach nursing students about exogenous
acetylcholine. The instructor should include which information?
Answer:
Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once
given.
Question:
A student nurse asks a nurse how atropine (Atropair) increases heart rate. What is the
nurse's best response?
Answer:
Blocking the effects of acetylcholine by occupying muscarinic receptors
Question:
A student nurse asks a nurse which client situations are considered involuntary
responses to autonomic nervous system control? What is the nurse's best response(s)?
Answer:
- Sweating when hot
- Salivating at the smell of food
- Breathing deeper when running
Question:
A client has sustained a large blood loss. During the assessment, the nurse realizes that
which findings are under the control of the nervous system?
Answer:
- Heart rate
- Blood pressure
- Pupil size
- Bowel sounds
CORRECT ANSWERS
Question:
A client's heart rate is 72 beats per minute with a regular rhythm. How does the nurse
interpret this data in relation to the client's peripheral nervous system?
Answer:
- The parasympathetic system is dominating
- Both parasympathetic and sympathetic systems are influencing cardiac status
- The autonomic nervous system is affecting cardiac status
Question:
A nurse is reading about the development of drugs that inhibit the parasympathetic
nervous
system. The nurse would look for articles about which drug classes?
Answer:
- Anticholinergics
- Parasympatholytics
- Muscarinic blockers
Question:
Which is an adrenergic receptor associated with the sympathetic nervous system?
Answer:
Beta
Question:
A client has been prescribed an oral drug containing atropine. The nurse would hold
the drug and contact the prescriber if the client states which of the following?
Answer:
- "I would like to wait a few minutes to take this as I just drank some aloe juice."
- "Can I take this at the same time as my procainamide?"
Question:
The nurse has completed medication education about pyridostigmine (Mestinon), an
indirect cholinergic drug, for a client with myasthenia gravis. The nurse determines
that learning has occurred when the client makes which statement?
Answer:
"It is really important to take my medication on time."
Question:
The healthcare provider has ordered bethanechol (Urecholine), a cholinergic drug, for
the client with urinary retention. The client also has an enlarged prostate gland. What
is the priority action by the nurse?
Answer:
Hold the drug and contact the healthcare provider.
,Question:
A preoperative client will be receiving glycopyrrolate (Robinul), which is an
anticholinergic drug. The client asks the nurse, "Why do I need to take that
medication?" What is the best response by the nurse?"
Answer:
"It will decrease your respiratory secretions during surgery."
Question:
The nurse is preparing to administer benztropine (Cogentin), which is an
anticholinergic
drug. The nurse understands this drug is contraindicated in which client?
Answer:
The client with tachycardia
Question:
The nurse is preparing to administer medications to a group of clients. One of the
medications is atropine, an anticholinergic drug. This drug is contraindicated in which
client?
Answer:
The client with glaucoma
Question:
The healthcare provider orders dicyclomine (Bentyl), an anticholinergic drug, for a
client. What is the nurse's priority assessment prior to administering this drug?
Answer:
Is the client able to urinate?
Question:
The client is quadriplegic and receives the anticholinergic drug oxybutynin (Ditropan)
to increase his bladder capacity. What is an important assessment of this client by the
nurse?
Answer:
Is he constipated?
Question:
The nursing instructor teaches the student nurses about the nervous system. The
instructor determines that learning has occurred when the students make which
statement(s)?
Answer:
- "The central nervous system includes the brain and spinal cord."
- "The nervous system helps us react to environmental changes."
- "The somatic nervous system gives us voluntary control over moving."
,Question:
The nursing instructor teaches the student nurses about the autonomic nervous system.
The instructor determines that learning has occurred when the students make which
statement(s)?
Answer:
- "The sympathetic and parasympathetic systems are not always opposite in their
effects."
- "The parasympathetic nervous system causes bronchial constriction."
- "The sympathetic nervous system is activated under stress."
Question:
The student nurse asks the nursing instructor, "Do medications actually make more
neurotransmitters?" What is the best response by the nursing instructor?
Answer:
"No, medications can only increase or decrease the action of neurotransmitters."
Question:
A student nurse asks a nursing instructor which part of the nervous system primarily
regulates the ability of a person to use his arm muscles to lift a weight. What is the
instructor's best response?
Answer:
Somatic nervous system
Question:
A nursing instructor is teaching student nurses about the sympathetic nervous
system. The instructor recognizes that learning has occurred when the students say
which of the following responses are regulated by the sympathetic nervous system?
Answer:
Pupil dilation
Question:
A nurse is working with a student nurse. The nurse explains what a client would
experience if the adrenergic receptors are activated. Which of the following comments
by the student nurse indicates that the education was effective?
Answer:
Fight-or-flight effects
Question:
A student nurse is reviewing the autonomic nervous system. The student understands
that which substance would inhibit the function of the autonomic nervous system?
Answer:
Drugs that prevent the storage of neurotransmitter in vesicles
, Question:
A nursing instructor is reviewing receptor types with a nursing student. The instructor
identifies that learning has occurred when the student responds that which type of
receptor is found at the ganglionic synapse of both the sympathetic and
parasympathetic nervous systems?
Answer:
Nicotinic
Question:
A client is prescribed an anticholinergic
drug. What discharge instructions should the nurse provide?
Answer:
- Wear sunglasses in bright light.
- Wear sunglasses in bright light.
- Avoid hot showers.
Question:
A nursing instructor is planning to teach nursing students about exogenous
acetylcholine. The instructor should include which information?
Answer:
Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once
given.
Question:
A student nurse asks a nurse how atropine (Atropair) increases heart rate. What is the
nurse's best response?
Answer:
Blocking the effects of acetylcholine by occupying muscarinic receptors
Question:
A student nurse asks a nurse which client situations are considered involuntary
responses to autonomic nervous system control? What is the nurse's best response(s)?
Answer:
- Sweating when hot
- Salivating at the smell of food
- Breathing deeper when running
Question:
A client has sustained a large blood loss. During the assessment, the nurse realizes that
which findings are under the control of the nervous system?
Answer:
- Heart rate
- Blood pressure
- Pupil size
- Bowel sounds
