NURS 505 Test 2 Questions and
Complete Solutions
The client is taking cyclobenzaprine for muscle spasms secondary to an injury to the
lumbar spine that occurred while lifting a motor at work. The client is being seen for a
follow-up visit by the physician. The client reports dry mouth, blurred vision, and
constipation. Why is the client having these side effects from cyclobenzaprine?
A. Cyclobenzaprine produces an anticholinergic response, resulting in these side
effects.
B. Cyclobenzaprine acts in the peripheral nervous system, resulting in these side
effects.
C. Cyclobenzaprine has an effect at the neuromuscular junction, resulting in these side
effects.
D. Cyclobenzaprine is structurally similar to amitriptyline, resulting in these side effects.
✅A. Cyclobenzaprine produces an anticholinergic response, resulting in these side
effects.
A nurse is assessing a patient who has come to the emergency department complaining
of back spasms. The patient states that he has a history of opioid addiction and does
not want to take any drug that "puts me at risk of becoming physically dependent."
Which of the following medications would the nurse question, if ordered?
A. Methocarbamol (Robaxin)
B. Orphenadrine (Norflex)
C. Cyclobenzaprine (Flexeril)
D. Metaxalone (Skelaxin) ✅C. Cyclobenzaprine (Flexeril)
A 56-year-old woman will soon begin treatment of her overactive bladder with
tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
A. "It's good to measure your heart rate before you take your Detrol each day, and
withhold it if your heart rate is below 60 beats/minute."
B. "You'll probably need to stop taking your hormone replacement therapy when you're
taking Detrol."
C. "You'll likely find that you have scant amounts of blood in your urine for the first few
days, but this is not unusual or problematic."
D. "You might find that you get a dry mouth or a headache from this drug, but this does
not mean it has to be discontinued." ✅D. "You might find that you get a dry mouth or a
headache from this drug, but this does not mean it has to be discontinued."
A patient is receiving tamsulosin. The nurse understands that this drug is most likely
being given for which reason?
, A. To relax prostatic smooth muscles
B. To decrease vascular tone
C. To promote vasodilation
D. To induce a reflex tachycardia ✅A. To relax prostatic smooth muscles
Which of the following drugs inhibit the conversion of testosterone into 5-alpha-
dihydrotestosterone (DHT) which results in a decrease in prostate gland size and are
useful in the treatment of benign prostatic hypertrophy? Select all that apply:
A. Terazosin (Hytrin)
B. Finasteride (Proscar)
C. Methyltestosterone (Testred)
D. Dutasteride (Avodart)
E. Doxazosin (Cardura) ✅B. Finasteride (Proscar)
D. Dutasteride (Avodart)
Which drug exerts its diuretic effects by increasing the density of the filtrate in the
glomerulus?
A. Mannitol (Osmitrol)
B. Furosemide (Lasix)
C. Hydrochlorothiazide (Microzide)
D. Spironolactone (Aldactone) ✅A. Mannitol (Osmitrol)
A nurse is caring for a patient who is taking sodium polystyrene sulfonate (Kayexalate)
therapy. The nurse will monitor for which of the following?
A. Cardiac arrhythmias
B. Ventricular arrhythmias
C. Hypokalemia
D. Cardiotoxicity ✅C. Hypokalemia
About 80% of water, sodium, potassium, and other substances are reabsorbed during
renal processing; the remaining 20% enters the loop of Henle. What substance is
reabsorbed in the ascending limb of the loop of Henle?
A. Sodium
B. Water
C. Glucose
D. Amino acids ✅A. Sodium
Your patient, a 37-year-old woman, was admitted due to elevated temperature, oliguria,
and dehydration. With adequate hydration, the expected normal urine production would
be approximately:
Complete Solutions
The client is taking cyclobenzaprine for muscle spasms secondary to an injury to the
lumbar spine that occurred while lifting a motor at work. The client is being seen for a
follow-up visit by the physician. The client reports dry mouth, blurred vision, and
constipation. Why is the client having these side effects from cyclobenzaprine?
A. Cyclobenzaprine produces an anticholinergic response, resulting in these side
effects.
B. Cyclobenzaprine acts in the peripheral nervous system, resulting in these side
effects.
C. Cyclobenzaprine has an effect at the neuromuscular junction, resulting in these side
effects.
D. Cyclobenzaprine is structurally similar to amitriptyline, resulting in these side effects.
✅A. Cyclobenzaprine produces an anticholinergic response, resulting in these side
effects.
A nurse is assessing a patient who has come to the emergency department complaining
of back spasms. The patient states that he has a history of opioid addiction and does
not want to take any drug that "puts me at risk of becoming physically dependent."
Which of the following medications would the nurse question, if ordered?
A. Methocarbamol (Robaxin)
B. Orphenadrine (Norflex)
C. Cyclobenzaprine (Flexeril)
D. Metaxalone (Skelaxin) ✅C. Cyclobenzaprine (Flexeril)
A 56-year-old woman will soon begin treatment of her overactive bladder with
tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
A. "It's good to measure your heart rate before you take your Detrol each day, and
withhold it if your heart rate is below 60 beats/minute."
B. "You'll probably need to stop taking your hormone replacement therapy when you're
taking Detrol."
C. "You'll likely find that you have scant amounts of blood in your urine for the first few
days, but this is not unusual or problematic."
D. "You might find that you get a dry mouth or a headache from this drug, but this does
not mean it has to be discontinued." ✅D. "You might find that you get a dry mouth or a
headache from this drug, but this does not mean it has to be discontinued."
A patient is receiving tamsulosin. The nurse understands that this drug is most likely
being given for which reason?
, A. To relax prostatic smooth muscles
B. To decrease vascular tone
C. To promote vasodilation
D. To induce a reflex tachycardia ✅A. To relax prostatic smooth muscles
Which of the following drugs inhibit the conversion of testosterone into 5-alpha-
dihydrotestosterone (DHT) which results in a decrease in prostate gland size and are
useful in the treatment of benign prostatic hypertrophy? Select all that apply:
A. Terazosin (Hytrin)
B. Finasteride (Proscar)
C. Methyltestosterone (Testred)
D. Dutasteride (Avodart)
E. Doxazosin (Cardura) ✅B. Finasteride (Proscar)
D. Dutasteride (Avodart)
Which drug exerts its diuretic effects by increasing the density of the filtrate in the
glomerulus?
A. Mannitol (Osmitrol)
B. Furosemide (Lasix)
C. Hydrochlorothiazide (Microzide)
D. Spironolactone (Aldactone) ✅A. Mannitol (Osmitrol)
A nurse is caring for a patient who is taking sodium polystyrene sulfonate (Kayexalate)
therapy. The nurse will monitor for which of the following?
A. Cardiac arrhythmias
B. Ventricular arrhythmias
C. Hypokalemia
D. Cardiotoxicity ✅C. Hypokalemia
About 80% of water, sodium, potassium, and other substances are reabsorbed during
renal processing; the remaining 20% enters the loop of Henle. What substance is
reabsorbed in the ascending limb of the loop of Henle?
A. Sodium
B. Water
C. Glucose
D. Amino acids ✅A. Sodium
Your patient, a 37-year-old woman, was admitted due to elevated temperature, oliguria,
and dehydration. With adequate hydration, the expected normal urine production would
be approximately:
