PREFINALS - Review Quiz

Question 1

You are caring for a patient with ASTHMA. The doctor ordered THEOPHYLLINE. The nurse administers the medication knowing the primary action of the drug is to:

Answer 1

Relax the smooth muscle of the bronchial passages.

Question 2

A nurse teaches a client about the use of respirator inhalers. Which action by the client indicates the NEED FOR FURTHER teaching?

Answer 2

Inhales the mist and quickly exhales.

Question 3

A nurse is assessing a client with CHRONIC AIRFLOW LIMITATION and notes that the client has BARREL CHEST. Which of the following respiratory meds are part of the adjunct treatment for COPD?

Answer 3

Antibiotics

Question 4

You are instructing patient about the possible side effects of IPRATROPIUM. Which of the following is NOT an expected effect?

Answer 4

Increased salivation

Question 5

Your 34 week parturient is receiving THEOPHYLLINE via IV for premature labor. Which of the following should be reported to the attending physician?

Answer 5

HR 115/min

Question 6

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection prior to administering meds. Which of the following finds would be expected?

Answer 6

Coarse crackles and bronchi

Question 7

Liquefying bronchial secretions and mucus reduction is one of the goals of treatments for COPD. This is the action of which drug?

Answer 7

N-Acetylcysteine

Question 8

Which of the following health teachings will best address the patients complaint of DRY MOUTH when taking IPRATROPIUM for COPD?

Answer 8

Suck on sugarless candy or gum

Question 9

A 50-year-old widower had TRANSIENT ISCHEMIC ATTACK. What is the most common VASODILATOR used for his treatment?

Answer 9

Nitroprusside

Question 10

Teaching about NITRATE administration, the nurse should instruct the client to:

Answer 10

Change positions slowly

Question 11

Which of the following clients is most likely to experience adverse effect from treatment with DIURETICS?

Answer 11

A 75-year-old man

Question 12

A CALCIUM CHANNEL BLOCKER was prescribed for your patient with HYPERTENSION. She asks you the specific action of the drug. Your best response would be:

Answer 12

It decreases cardiac output by reducing the force of contraction and decreasing frequency of beats.

Question 13

ACE INHIBITORS causes which effect in relation to RENIN-ANGIOTENSIN-ALDOSTERONE-SYSTEM (RAAS) to have which of the following physiologic effect?

Answer 13

Inhibit conversion of Angiotensin I - Angiotensin II

Question 14

BETA BLOCKERS should be avoided in which of the following conditions?

Answer 14

Bronchoconstriction

Question 15

A patient with CONGESTIVE HEART FAILURE was admitted to your unit. DIGOXIN was ordered to help his ailing heart. As the nurse, you know that its action is to:

Answer 15

Increase the force of constriction and decrease the number of times the heart contracts.

Question 16

For LIPID-LOWERING AGENTS to be successful, drug therapy should LOWER

Answer 16

LDL

Question 17

THALIDOMIDE is an example of which of the following agents?

Answer 17

Fetotoxic

Question 18

A woman was brought in to your department for admission. She is 34 weeks AOG and have been experiencing increased blood pressure and uterine contractions of increasing frequency and intensity. TOCOLYTICS are expected to be used to help manage the symptoms. Which of the following if ordered by the physician needs clarification?

Answer 18

Oxytocin

Question 19

A nurse is caring for a client who has PREECLAMPSIA and is receiving MAGNESIUM SULFATE IV INFUSION. Which of the following findings should the nurse report to the provider?

Answer 19

14 ml/hr urine output
(NORMAL: 30 - 40 ml/hr)

Question 20

A nurse is caring for a client who has a new prescription for OXYTOCIN to stimulate uterine contractions. Which of the following interventions should the nurse make? SATA.

Answer 20

35:47

Question 21

A nurse is reviewing a new prescription for TERBUTALINE with a client who has history of preterm of labor. Which of the following statements indicates understanding of the teaching?

Answer 21

“I will report increasing intensity of contractions to my doctor.”

Question 22

Which of the following would the nurse expect to administer to a patient with traveler’s diarrhea?

Answer 22

Loperamide

Question 23

A client complains of CONSTIPATION and requires a LAXATIVE. Which of the following will the nurse include in her teaching as causes of constipation?

Answer 23

Poor dietary habits

Question 24

A client who has CONSTIPATION is prescribed a BISACODYL SUPPOSITORY (a chemical stimulant). What is the action of this medication?

Answer 24

It absorbs water into the intestines to increase the bulk and peristalsis.

Question 25

A patient is taking BISACODYL to treat CONSTIPATION. The nurse suggests that the patient take the drug at which time?

Answer 25

Before going to bed

Question 26

When a client is given SUCRALFATE (carafate), the nurse knows that its mode of action is to:

Answer 26

Combine with a protein to form a viscous substance that forms a protective covering of ulcer.

Question 27

A nurse is providing teaching to a female client who is taking TESTOSTERONE to treat ADVANCED BREAST CANCER. The nurse should tell the client that which of the following are adverse effects of this medication? SATA.

Answer 27

1. Facial hair 2. Deeping voice 3. Weight gain 45:40

Question 28

A nurse is providing teaching on a client who will start ALFUZOSIN for treatment of BENIGN PROSTATIC HYPERPLASIA. The nurse should instruct the client that which of the following is an adverse reaction:

Answer 28

Hypotension

Question 29

A nurse is caring for a client who has angina and asks about obtaining a prescription for SILDENAFIL to treat ERECTILE DYSFUNCTION. Which of the following medications is contraindicated with sildenafil?

Answer 29

Isosorbide

Question 30

A nurse is planning a DISCHARGE TEACHING for a female client who has a new prescription for TRIMETHOPRIMSULFAMETHOXOZOLE. Which of the following information should the nurse include?

Answer 30

Take it on an empty stomach.