NSG 3100 EXAM 3 REVIEW
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QUESTIONS WITH CORRECT
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ANSWERS ALL VERIFIED BY
AN EXPERT A+ GRADED
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(LATEST UPDATE)
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,Aclient's heart rate is 72 beats per minute with a regular rhythm. How does the nurse interpret
this data in relation to theclient's peripheral nervoussystem?
A.The sympathetic system is in control.
B. The parasympathetic system is dominating.
C. Both parasympathetic and sympathetic systems are influencing cardiac status.
D. The autonomic nervous system is affecting cardiac status.
E. The somatic nervous system is affecting cardiac status. - ANS B, C, D
A nurse is reading about the development of drugs that inhibit the parasympathetic nervous
system. The nurse would look for articles about which drugclasses?
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A. Anticholinergics
B. Parasympathomimetics
C. Parasympatholytics
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D. Cholinergics
E. Muscarinic blockers - ANS A, C, E
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Which is an adrenergic receptor associated with the sympathetic nervoussystem?
A. Beta
B. Dopamine
C. Muscarinic
D. Norepinephrine - ANS A
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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 thefollowing?
A. "I would like to wait a few minutes to take this as I just drank some aloejuice."
B. "Can I take this at the same time as myprocainamide?"
C. "I have had a headache thismorning."
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D. "I am allergic topenicillin."
E. "My gallbladder surgery is scheduled for nextweek." - ANS A, B
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The nurse has completed medication education about pyridostigmine(Mestinon), an indirect
cholinergicdrug, for a client with myasthenia gravis. The nurse determines that learning has
occurred when the client makes whichstatement?
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A. "My heart may beat slower while I am on thisdrug."
B. "It is really important to take my medication ontime."
C. "I must take this medication immediately before eating a fullmeal."
D. "I will need to increase my fluid intake with thismedication." - ANS B
Thehealth-care provider has ordered bethanechol(Urecholine), a cholinergicdrug, for the client
with urinary retention. The client also has an enlarged prostate gland. What is the priority action
by thenurse?
A. Administer the drug and measure urinary output.
B. Hold the drug and contact thehealth-care provider.
C. Hold the drug and prepare to catheterize the client.
,D. Administer the drug and push fluids. - ANS B
A preoperative client will be receiving glycopyrrolate(Robinul), which is an anticholinergic drug.
The client asks thenurse, "Why do I need to take thatmedication?" What is the best response
by thenurse?
A. "It will increase your urinary output duringsurgery."
B. "It will decrease your respiratory secretions duringsurgery."
C. "It will help maintain your blood pressure duringsurgery."
D. "It will help you breathe better duringsurgery." - ANS B
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The nurse is preparing to administer benztropine(Cogentin), which is an anticholinergic drug.
The nurse understands this drug is contraindicated in whichclient?
A. The client with a fractured femur.
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B. The client with diarrhea.
C. The client with tachycardia.
D. The client with an irritable colon. - ANS C
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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 whichclient?
A. The client with hyperthyroidism.
B. The client with lung cancer.
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C. The client with a hiatal hernia.
D. The client with glaucoma. - ANS D
Thehealth-care provider orders dicyclomine(Bentyl), an anticholinergicdrug, for a client. What
is thenurse's priority assessment prior to administering thisdrug?
A. Is the client able tourinate?
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B. Does the client have lightsensitivity?
C. Is the client dizzy uponstanding?
D. Does the client have a history ofalcoholism? - ANS A
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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 thenurse?
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A. Is helethargic?
B. Is heconstipated?
C. Is he gainingweight?
D. Is heirritable? - ANS B
The nursing instructor teaches the student nurses about the nervous system. The instructor
determines that learning has occurred when the students make whichstatement(s)?
A. "The central nervous system includes the brain and spinalcord."
B. "The peripheral nervous system has mainly sensoryfunctions."
C. "The somatic nervous system gives us voluntary control over our gastrointestinal(GI) tract."
D. "The nervous system helps us react to environmentalchanges."
, E. "The somatic nervous system gives us voluntary control overmoving." - ANS A, D, E
The nursing instructor teaches the student nurses about the autonomic nervous system. The
instructor determines that learning has occurred when the students make whichstatement(s)?
A. "The sympathetic and parasympathetic systems are not always opposite in theireffects."
B. "The parasympathetic nervous system is the"fight-or-flight" response."
C. "Sympathetic stimulation causes dilation ofarterioles."
D. "The parasympathetic nervous system causes bronchialconstriction."
E. "The sympathetic nervous system is activated understress." - ANS A, D, E
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The student nurse asks the nursinginstructor, "Do medications actually make more
neurotransmitters?" What is the best response by the nursinginstructor?
A. "No, medications can only increase or decrease the action ofneurotransmitters."
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B. "No, but medications can heal diseases of the autonomic nervoussystem."
C. "Yes, but the newer drugs that do this have some serious sideeffects."
D. "Yes, some of the newer medications are very good at doingthis." - ANS A
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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 theinstructor's best
response?
A. Somatic nervous system.
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B. Sympathetic nervous system.
C. Autonomic nervous system.
D. Parasympathetic nervous system. - ANS A
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
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responses are regulated by the sympathetic nervous system.
A. Pupil dilation.
B. Sex organ stimulation.
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C. Stimulates salivation.
D. Bronchial constriction. - ANS A
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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 waseffective?
A. Fight-or-flight effects.
B. Rest-and-digest effects.
C. Bronchial constriction.
D. Increased blood volume. - ANS A
A student nurse is reviewing the autonomic nervous system. The student understands that
which substance would inhibit the function of the autonomic nervoussystem?
A. Drugs that bind and then stimulate the postsynaptic neuron.