NUR 545 RESPIRATORY & HEMATOLOGICAL MEDICATIONS
COMPLETE EXAM 2 REVIEW 2026/2027 | HIGH-YIELD STUDY GUIDE |
PHARMACOLOGY PRACTICE QUESTIONS | CORRECT ANSWERS | KEY
MEDICATION CONCEPTS
1. A patient diagnosed with iron deficiency anemia is prescribed ferrous sulfate.
What nursing consideration should be taken into account when administering
this medication?
Check the patient's blood pressure before administration.
Ensure the patient takes the medication with a high-fat meal.
Advise the patient to avoid all dairy products.
Monitor the patient for gastrointestinal side effects.
2. What nursing consideration is important for patients taking theophylline?
Administer the drug with food to reduce gastric pain.
Advise patients to avoid smoking as it increases the drug's half-life.
Administer the drug rapidly to achieve quick therapeutic effects.
Monitor closely for adverse effects once the infusion has started.
3. Which drug class does fluticasone belong to?
Beta-agonists
Anticoagulants
Corticosteroids
Leukotriene modifiers
4. If a patient with hemophilia experiences a bleeding episode, how would the
administration of Hemophilia Factor IX be beneficial?
, It would help to promote clotting and reduce bleeding.
It would increase blood pressure and improve circulation.
It would decrease inflammation in the lungs.
It would enhance oxygen delivery to tissues.
5. What is the primary purpose of using a B2 agonist like albuterol in respiratory
treatment?
To reduce inflammation
To increase blood clotting
To relieve bronchospasm
To stimulate red blood cell production
6. In an acute care setting, what med is frequently used to prevent DVT?
propanolol
enoxaparin
labetalol
lisinopril
7. Why is chest pain considered a priority symptom to report when a patient is
on Epoetin Alfa?
Chest pain indicates that the medication is working effectively.
Chest pain may indicate a serious cardiovascular event, which
requires immediate attention.
Chest pain is unrelated to the effects of Epoetin Alfa.
Chest pain is a common side effect of Epoetin Alfa and is usually not
serious.
,8. If a patient experiences significant gastrointestinal upset after starting ferrous
sulfate, what nursing intervention should be prioritized?
Assess the patient's symptoms and consider adjusting the dosage or
formulation.
Immediately discontinue all medications.
Increase the dosage of ferrous sulfate to counteract the effects.
Provide the patient with an antacid to alleviate symptoms.
9. Describe the significance of monitoring adverse effects when administering
filgrastim to patients.
Monitoring adverse effects is crucial to ensure patient safety and to
manage any complications that may arise from the medication.
Adverse effects are only relevant in the first dose of the medication.
Adverse effects of filgrastim are not significant and do not require
monitoring.
Only the therapeutic effects need to be monitored, not the adverse
effects.
10. The nurse administering ferrous sulfate should monitor for the most common
side effects of the drug that affects which of the following ?
Liver
Gastrointestinal tract
Heart
Blood
11. Describe how albuterol's mechanism of action can lead to its adverse effects.
, Albuterol inhibits acetylcholine, leading to muscle relaxation.
Albuterol stimulates beta-2 adrenergic receptors, which can cause
increased heart rate and tremors.
Albuterol blocks histamine receptors, reducing allergic reactions.
Albuterol reduces inflammation, which prevents adverse effects.
12. If a patient reports abdominal pain and constipation after starting ferrous
sulfate, what should the nurse do?
Switch to a different medication without consulting the physician.
Increase the dosage of ferrous sulfate.
Assess the patient's symptoms and consider dietary adjustments or
medication alternatives.
Continue the medication without changes.
13. What is the primary purpose of administering darbepoetin alfa in patients?
To stimulate red blood cell production
To prevent blood clots
To reduce inflammation
To manage pain
14. Singular (montelukast) is a leukotriene anti-inflammatory agent. It is used
with other drugs to treat asthma and exercise induced bronchospasm. What
is the recommended time for administration?
Q4H, PRN
1/2 hour before bedtime
BID
COMPLETE EXAM 2 REVIEW 2026/2027 | HIGH-YIELD STUDY GUIDE |
PHARMACOLOGY PRACTICE QUESTIONS | CORRECT ANSWERS | KEY
MEDICATION CONCEPTS
1. A patient diagnosed with iron deficiency anemia is prescribed ferrous sulfate.
What nursing consideration should be taken into account when administering
this medication?
Check the patient's blood pressure before administration.
Ensure the patient takes the medication with a high-fat meal.
Advise the patient to avoid all dairy products.
Monitor the patient for gastrointestinal side effects.
2. What nursing consideration is important for patients taking theophylline?
Administer the drug with food to reduce gastric pain.
Advise patients to avoid smoking as it increases the drug's half-life.
Administer the drug rapidly to achieve quick therapeutic effects.
Monitor closely for adverse effects once the infusion has started.
3. Which drug class does fluticasone belong to?
Beta-agonists
Anticoagulants
Corticosteroids
Leukotriene modifiers
4. If a patient with hemophilia experiences a bleeding episode, how would the
administration of Hemophilia Factor IX be beneficial?
, It would help to promote clotting and reduce bleeding.
It would increase blood pressure and improve circulation.
It would decrease inflammation in the lungs.
It would enhance oxygen delivery to tissues.
5. What is the primary purpose of using a B2 agonist like albuterol in respiratory
treatment?
To reduce inflammation
To increase blood clotting
To relieve bronchospasm
To stimulate red blood cell production
6. In an acute care setting, what med is frequently used to prevent DVT?
propanolol
enoxaparin
labetalol
lisinopril
7. Why is chest pain considered a priority symptom to report when a patient is
on Epoetin Alfa?
Chest pain indicates that the medication is working effectively.
Chest pain may indicate a serious cardiovascular event, which
requires immediate attention.
Chest pain is unrelated to the effects of Epoetin Alfa.
Chest pain is a common side effect of Epoetin Alfa and is usually not
serious.
,8. If a patient experiences significant gastrointestinal upset after starting ferrous
sulfate, what nursing intervention should be prioritized?
Assess the patient's symptoms and consider adjusting the dosage or
formulation.
Immediately discontinue all medications.
Increase the dosage of ferrous sulfate to counteract the effects.
Provide the patient with an antacid to alleviate symptoms.
9. Describe the significance of monitoring adverse effects when administering
filgrastim to patients.
Monitoring adverse effects is crucial to ensure patient safety and to
manage any complications that may arise from the medication.
Adverse effects are only relevant in the first dose of the medication.
Adverse effects of filgrastim are not significant and do not require
monitoring.
Only the therapeutic effects need to be monitored, not the adverse
effects.
10. The nurse administering ferrous sulfate should monitor for the most common
side effects of the drug that affects which of the following ?
Liver
Gastrointestinal tract
Heart
Blood
11. Describe how albuterol's mechanism of action can lead to its adverse effects.
, Albuterol inhibits acetylcholine, leading to muscle relaxation.
Albuterol stimulates beta-2 adrenergic receptors, which can cause
increased heart rate and tremors.
Albuterol blocks histamine receptors, reducing allergic reactions.
Albuterol reduces inflammation, which prevents adverse effects.
12. If a patient reports abdominal pain and constipation after starting ferrous
sulfate, what should the nurse do?
Switch to a different medication without consulting the physician.
Increase the dosage of ferrous sulfate.
Assess the patient's symptoms and consider dietary adjustments or
medication alternatives.
Continue the medication without changes.
13. What is the primary purpose of administering darbepoetin alfa in patients?
To stimulate red blood cell production
To prevent blood clots
To reduce inflammation
To manage pain
14. Singular (montelukast) is a leukotriene anti-inflammatory agent. It is used
with other drugs to treat asthma and exercise induced bronchospasm. What
is the recommended time for administration?
Q4H, PRN
1/2 hour before bedtime
BID
