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NUR 2474 Pharm Exam 2 NCLEX
Questions Questions and Correct
Answers/ Latest Update / Already Graded
A 7-year-old child has a cough, runny nose, congestion, and fever, and
the parents ask the nurse to recommend an over-the-counter product.
Which response by the nurse is correct?
a."Any product will be effective when combined with vitamin C and
zinc."
b."It is best to use single-agent medications to treat individual
symptoms."
c."The fever indicates that your child may need an antibiotic
Ans: you should call your provider."
d."You should ask your provider to prescribe a combination
product that will treat multiple symptoms."
;
b."It is best to use single-agent medications to treat individual
symptoms."
Combination medications may provide ingredients that are not
needed or may provide ingredients that are either excessive or
subtherapeutic. It is best to use single-agent drugs to treat
individual symptoms. The efficacy of vitamin C and zinc for
treating colds in children has not been established. Fever may
All rights reserved © 2025/ 2026 |
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accompany viral respiratory infections and not necessarily
bacterial infections that need an antibiotic.
A child is receiving a combination albuterol/ipratropium (DuoNeb)
inhalation treatment. The patient complains of a dry mouth and sore
throat. What will the nurse do?
a.Contact the provider to report systemic anticholinergic side effects.
b.Discontinue the aerosol treatment immediately.
c.Notify the provider of a possible allergic reaction.
d.Reassure the patient that these are expected side effects.
Ans: d.Reassure the patient that these are expected side
effects.
The most common adverse effects of this combination drug are
dry mouth and irritation of the pharynx. The patient should be
reassured that these are common and minor effects. Systemic
anticholinergic side effects are rare. It is not necessary to
discontinue the medication. Patients with peanut allergy may
have severe anaphylactic reactions, but the patient's symptoms
are not those associated with anaphylaxis.
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A diabetic patient is recovering from a myocardial infarction but does
not have symptoms of heart failure. The nurse will expect to teach this
patient about:
a.ACE inhibitors and beta blockers.
b.biventricular pacemakers.
c.dietary supplements and exercise.
d.diuretics and digoxin.
Ans: a.ACE inhibitors and beta blockers.
This patient is classified as having Stage B heart failure with no
current symptoms but with structural heart disease strongly
associated with the development of heart failure. Treatment at
this stage includes an ACE inhibitor and a beta blocker to help
prevent the progression of symptoms. Biventricular pacemakers
are used for patients in Stage C heart failure and have more
advanced structural disease and symptoms. Dietary
supplements and exercise have not been proven to prevent
structural heart disease. Diuretics and digoxin are used for
patients with Stage C heart failure.
A female patient taking an ACE inhibitor learns that she is pregnant.
What will the nurse tell this patient?
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a.The fetus most likely will have serious congenital defects.
b.The fetus must be monitored closely while the patient is taking this
drug.
c.The patient's prescriber probably will change her medication to an
ARB.
d.The patient should stop taking the medication and contact her
provider immediately.
Ans: d.The patient should stop taking the medication and
contact her provider immediately.
ACE inhibitors are known to cause serious fetal injury during
the second and third trimesters of pregnancy. Whether injury
occurs earlier in pregnancy is unknown, and the incidence
probably is low. However, women should be counseled to stop
taking the drug if they become pregnant, and they should not
take it if they are contemplating becoming pregnant. Women
who take ACE inhibitors in the first trimester should be
counseled that the risk to the fetus is probably low. Women
should stop taking the drug when pregnant. ARBs carry the
same risk as ACE inhibitors.
A hospitalized patient complains of acute chest pain. The nurse
administers a 0.3 mg sublingual nitroglycerin tablet, but the patient
All rights reserved © 2025/ 2026 |
NUR 2474 Pharm Exam 2 NCLEX
Questions Questions and Correct
Answers/ Latest Update / Already Graded
A 7-year-old child has a cough, runny nose, congestion, and fever, and
the parents ask the nurse to recommend an over-the-counter product.
Which response by the nurse is correct?
a."Any product will be effective when combined with vitamin C and
zinc."
b."It is best to use single-agent medications to treat individual
symptoms."
c."The fever indicates that your child may need an antibiotic
Ans: you should call your provider."
d."You should ask your provider to prescribe a combination
product that will treat multiple symptoms."
;
b."It is best to use single-agent medications to treat individual
symptoms."
Combination medications may provide ingredients that are not
needed or may provide ingredients that are either excessive or
subtherapeutic. It is best to use single-agent drugs to treat
individual symptoms. The efficacy of vitamin C and zinc for
treating colds in children has not been established. Fever may
All rights reserved © 2025/ 2026 |
, Page |2
accompany viral respiratory infections and not necessarily
bacterial infections that need an antibiotic.
A child is receiving a combination albuterol/ipratropium (DuoNeb)
inhalation treatment. The patient complains of a dry mouth and sore
throat. What will the nurse do?
a.Contact the provider to report systemic anticholinergic side effects.
b.Discontinue the aerosol treatment immediately.
c.Notify the provider of a possible allergic reaction.
d.Reassure the patient that these are expected side effects.
Ans: d.Reassure the patient that these are expected side
effects.
The most common adverse effects of this combination drug are
dry mouth and irritation of the pharynx. The patient should be
reassured that these are common and minor effects. Systemic
anticholinergic side effects are rare. It is not necessary to
discontinue the medication. Patients with peanut allergy may
have severe anaphylactic reactions, but the patient's symptoms
are not those associated with anaphylaxis.
All rights reserved © 2025/ 2026 |
, Page |3
A diabetic patient is recovering from a myocardial infarction but does
not have symptoms of heart failure. The nurse will expect to teach this
patient about:
a.ACE inhibitors and beta blockers.
b.biventricular pacemakers.
c.dietary supplements and exercise.
d.diuretics and digoxin.
Ans: a.ACE inhibitors and beta blockers.
This patient is classified as having Stage B heart failure with no
current symptoms but with structural heart disease strongly
associated with the development of heart failure. Treatment at
this stage includes an ACE inhibitor and a beta blocker to help
prevent the progression of symptoms. Biventricular pacemakers
are used for patients in Stage C heart failure and have more
advanced structural disease and symptoms. Dietary
supplements and exercise have not been proven to prevent
structural heart disease. Diuretics and digoxin are used for
patients with Stage C heart failure.
A female patient taking an ACE inhibitor learns that she is pregnant.
What will the nurse tell this patient?
All rights reserved © 2025/ 2026 |
, Page |4
a.The fetus most likely will have serious congenital defects.
b.The fetus must be monitored closely while the patient is taking this
drug.
c.The patient's prescriber probably will change her medication to an
ARB.
d.The patient should stop taking the medication and contact her
provider immediately.
Ans: d.The patient should stop taking the medication and
contact her provider immediately.
ACE inhibitors are known to cause serious fetal injury during
the second and third trimesters of pregnancy. Whether injury
occurs earlier in pregnancy is unknown, and the incidence
probably is low. However, women should be counseled to stop
taking the drug if they become pregnant, and they should not
take it if they are contemplating becoming pregnant. Women
who take ACE inhibitors in the first trimester should be
counseled that the risk to the fetus is probably low. Women
should stop taking the drug when pregnant. ARBs carry the
same risk as ACE inhibitors.
A hospitalized patient complains of acute chest pain. The nurse
administers a 0.3 mg sublingual nitroglycerin tablet, but the patient
All rights reserved © 2025/ 2026 |
