NUR 600 Pharmacology Exam 4| High-Yield
Questions &Answers , Rationales & Advanced
Study Guide |100% Guarantee Pass | Graded A+
,Well Reviewed |Most Highly Tested Questions
|Newest Version and Latest Exam!!!!
A patient presents with sudden onset shortness of breath and
chest pain. Which diagnostic test is the priority to confirm
pulmonary embolism?
A. Chest X-ray
B. CT pulmonary angiography
C. ECG
D. D-dimer only
Correct Answer: B
Rationale: CT pulmonary angiography is the gold standard for
diagnosing pulmonary embolism. While D-dimer can screen, it is
not confirmatory.
A patient is prescribed salmeterol with dosage on a 4 to 6 hours
schedule for treatment of exercise induced asthma. What is the
recommended dosing schedule of asthma experts regarding this
drug?
CORRECT ANSWER:
30 minutes before exercise to prevent this during exercise
A 29 years old female patient has sinusitis, so the physician orders a
topical nasal decongestant. What instructions should be given?
,CORRECT ANSWER:
Increase fluids to 2 L/ day
71 year old man with a history of heart disease and diabetes, has had
an antihistamine prescribed. The nurse is concerned with this
prescription because of the risk of what?
CORRECT ANSWER:
Cardiac arrhythmias
The nursing instructor is discussing bronchodilators with a group of
nursing students. The students understand the instruction when they
identify what drug is most effective in treating acute bronchospasm?
CORRECT ANSWER:
Epinephrine
The nurse is caring for a patient who is taking the dextromethorphan
for cough suppression. The nurse will assess this patient for
hypotension if he also takes which order medication?
CORRECT ANSWER:
Monoamine oxidase inhibitors (MAO)
A patient with chronic obstructive pulmonary disease (COPD),
presents at the emergency department in acute respiratory distress.
The patient's family told the nurse that the patient's problems began
right after the patient took his first dose of Ipratropium (Atrovent).
What would the nurse suspect be the problem?
CORRECT ANSWER:
An allergy to soy products
What disorder would the pharmacology instructor tell the nurses
students may be exacerbated by the use of nasal decongestant?
CORRECT ANSWER:
,Hypothyroidism
A patient presents at the clinic with sign and symptoms of seasonal
allergic rhinitis. The patient is prescribed a nasal steroids to relieve
symptoms. Two days later, the patient call the clinic and tell the
nurse that he's frustrated and wants a new drug. What is the most
appropriate response by the nurse?
CORRECT ANSWER:
It may take up to two weeks to get full clinical effect. Try to keep
using the drug as ordered.
A patient newly diagnosed with chronic obstructive pulmonary
disease (COPD), call the clinic and ask the nurse to explain what the
new prescribed medication are for. What will be the most
appropriate response by the nurse?
CORRECT ANSWER:
The medication that has been ordered, for you are to relieve the
inflammation and promote dilation of the bronchi.
The nurse is caring for a patient who doesn't have a respiratory
disorder, but has been prescribed acetylcysteine. What is an
additional indication for acetylcysteine?
CORRECT ANSWER:
Antidote for acetaminophen poisoning
The nurse is caring for a patient who needs education on his
medication therapy for allergic rhinitis. The patient is to take
clemastine (tavist) daily. In providing educational interventions
regarding this medication, what is the most important instruction on
the action of the medication?
CORRECT ANSWER:
It blocks the effects of histamine
, The nursing instructor is discussing the administration of nasal
spray with the nursing students. What information is most important
to include in this discussion?
CORRECT ANSWER:
Overuse of nasal spray may cause rebound congestion.
A patient presents to the emergency department having an acute
asthma attack. An ED physician has ordered a symathomimetic
(epinephrine). The nurse expects what as the therapeutic effect of
these drug?
CORRECT ANSWER:
Cause dilation of the bronchi with increased rate and depth of
respiration
A patient comes to the clinic with symptoms as seen in a cold. What
group of upper respiratory drugs causes local vasoconstriction,
which decreases blood flow and shrink swollen membranes to
improve airflow?
CORRECT ANSWER:
Decongestant
Epinephrine, formerly the drug of choice for acute attacks of
broncoconstriction has been replaced by what?
CORRECT ANSWER:
Nothing has replaced epinephrine as drug of choice
A patient is in the clinic to have blood drawn to assess his
theophylline level. The patient is taking theophylline and appears to
be doing well on the drug. What serum level the nurse expect the
patient to have?
CORRECT ANSWER:
Between 10 to 20 mcg/ml
Questions &Answers , Rationales & Advanced
Study Guide |100% Guarantee Pass | Graded A+
,Well Reviewed |Most Highly Tested Questions
|Newest Version and Latest Exam!!!!
A patient presents with sudden onset shortness of breath and
chest pain. Which diagnostic test is the priority to confirm
pulmonary embolism?
A. Chest X-ray
B. CT pulmonary angiography
C. ECG
D. D-dimer only
Correct Answer: B
Rationale: CT pulmonary angiography is the gold standard for
diagnosing pulmonary embolism. While D-dimer can screen, it is
not confirmatory.
A patient is prescribed salmeterol with dosage on a 4 to 6 hours
schedule for treatment of exercise induced asthma. What is the
recommended dosing schedule of asthma experts regarding this
drug?
CORRECT ANSWER:
30 minutes before exercise to prevent this during exercise
A 29 years old female patient has sinusitis, so the physician orders a
topical nasal decongestant. What instructions should be given?
,CORRECT ANSWER:
Increase fluids to 2 L/ day
71 year old man with a history of heart disease and diabetes, has had
an antihistamine prescribed. The nurse is concerned with this
prescription because of the risk of what?
CORRECT ANSWER:
Cardiac arrhythmias
The nursing instructor is discussing bronchodilators with a group of
nursing students. The students understand the instruction when they
identify what drug is most effective in treating acute bronchospasm?
CORRECT ANSWER:
Epinephrine
The nurse is caring for a patient who is taking the dextromethorphan
for cough suppression. The nurse will assess this patient for
hypotension if he also takes which order medication?
CORRECT ANSWER:
Monoamine oxidase inhibitors (MAO)
A patient with chronic obstructive pulmonary disease (COPD),
presents at the emergency department in acute respiratory distress.
The patient's family told the nurse that the patient's problems began
right after the patient took his first dose of Ipratropium (Atrovent).
What would the nurse suspect be the problem?
CORRECT ANSWER:
An allergy to soy products
What disorder would the pharmacology instructor tell the nurses
students may be exacerbated by the use of nasal decongestant?
CORRECT ANSWER:
,Hypothyroidism
A patient presents at the clinic with sign and symptoms of seasonal
allergic rhinitis. The patient is prescribed a nasal steroids to relieve
symptoms. Two days later, the patient call the clinic and tell the
nurse that he's frustrated and wants a new drug. What is the most
appropriate response by the nurse?
CORRECT ANSWER:
It may take up to two weeks to get full clinical effect. Try to keep
using the drug as ordered.
A patient newly diagnosed with chronic obstructive pulmonary
disease (COPD), call the clinic and ask the nurse to explain what the
new prescribed medication are for. What will be the most
appropriate response by the nurse?
CORRECT ANSWER:
The medication that has been ordered, for you are to relieve the
inflammation and promote dilation of the bronchi.
The nurse is caring for a patient who doesn't have a respiratory
disorder, but has been prescribed acetylcysteine. What is an
additional indication for acetylcysteine?
CORRECT ANSWER:
Antidote for acetaminophen poisoning
The nurse is caring for a patient who needs education on his
medication therapy for allergic rhinitis. The patient is to take
clemastine (tavist) daily. In providing educational interventions
regarding this medication, what is the most important instruction on
the action of the medication?
CORRECT ANSWER:
It blocks the effects of histamine
, The nursing instructor is discussing the administration of nasal
spray with the nursing students. What information is most important
to include in this discussion?
CORRECT ANSWER:
Overuse of nasal spray may cause rebound congestion.
A patient presents to the emergency department having an acute
asthma attack. An ED physician has ordered a symathomimetic
(epinephrine). The nurse expects what as the therapeutic effect of
these drug?
CORRECT ANSWER:
Cause dilation of the bronchi with increased rate and depth of
respiration
A patient comes to the clinic with symptoms as seen in a cold. What
group of upper respiratory drugs causes local vasoconstriction,
which decreases blood flow and shrink swollen membranes to
improve airflow?
CORRECT ANSWER:
Decongestant
Epinephrine, formerly the drug of choice for acute attacks of
broncoconstriction has been replaced by what?
CORRECT ANSWER:
Nothing has replaced epinephrine as drug of choice
A patient is in the clinic to have blood drawn to assess his
theophylline level. The patient is taking theophylline and appears to
be doing well on the drug. What serum level the nurse expect the
patient to have?
CORRECT ANSWER:
Between 10 to 20 mcg/ml
