NCLEX
Pharmacology
Test
3
A.
glaucoma
-
ANSWER-When
assessing
a
patient
who
is
to
receive
a
decongestant,
the
nurse
will
recognize
that
a
potential
contraindication
to
this
drug
would
be
which
condition?
a.
glaucoma
b.
fever
c.
peptic
ulcer
disease
d.
allergic
rhinitis
C.
hypertension
-
ANSWER-When
giving
decongestants,
the
nurse
must
remember
that
these
drugs
have
alpha-adrenergic-stimulating
effects
that
may
result
in
which
effect?
a.
fever
b.
bradycardia
c.
hypertension
d.
CNS
depression
B.
an
expectorant
-
ANSWER-The
nurse
is
reviewing
a
patient's
medication
orders
for
prn
(as
necessary)
medications
that
can
be
given
to
a
patient
who
has
bronchitis
with
a
productive
cough.
Which
drug
will
the
nurse
choose?
a.
an
antitussive
b.
an
expectorant
c.
an
antihistamine
d.
a
decongestant
C.
a
patient
who
has
had
recent
abdominal
surgery
-
ANSWER-The
nurse
knows
that
an
antitussive
cough
medication
would
be
the
best
choice
for
which
patient?
a.
a
patient
with
a
productive
cough
b.
a
patient
with
chronic
paranasal
sinusitis
c.
a
patient
who
has
had
recent
abdominal
surgery
d.
a
patient
who
has
influenza D.
heart
palpitations
-
ANSWER-A
patient
is
taking
a
decongestant
to
help
reduce
symptoms
of
a
cold.
The
nurse
will
instruct
the
patient
to
observe
for
which
possible
symptom,
which
may
indicate
an
adverse
effect
of
this
drug?
a.
increased
cough
b.
dry
mouth
c.
slower
heart
rate
d.
heart
palpitations
B.
dizziness,
C.
"hangover"
effect,
D.
drowsiness,
F.
dry
mouth
-
ANSWER-The
nurse
is
giving
an
antihistamine
and
will
observe
the
patient
for
which
side
effects?
(select
all
that
apply)
a.
hypertension
b.
dizziness
c.
"hangover"
effect
d.
drowsiness
e.
tachycardia
f.
dry
mouth
A.
a
beat
agonist,
such
as
albuterol
-
ANSWER-A
patient
who
has
a
history
of
asthma
is
experiencing
an
acute
episode
of
shortness
of
breath
and
needs
to
take
a
medication
for
immediate
relief.
The
nurse
will
choose
which
medication
that
is
appropriate
for
this
situation?
a.
a
beat
agonist,
such
as
albuterol
b.
a
leukotriene
receptor
antagonist,
such
as
montelukast
c.
a
corticosteroid,
such
as
fluticasone
d.
an
anticholinergic,
such
as
ipratropium
A.
expected
adverse
effect
of
the
medication
-
ANSWER-After
a
nebulizer
treatment
with
the
beta
agonist
albuterol,
the
patient
complains
of
feeling
a
little
"shaky",
with
slight
tremors
of
the
hands.
The
patient's
heart
rate
of
88
beats/min.
The
nurse
knows
that
this
reaction
is
an
a.
expected
adverse
effect
of
the
medication
b.
allergic
reaction
to
the
medication
c.
indication
that
he
has
received
an
overdose
of
the
medication
d.
idiosyncratic
reaction
to
the
medication B.
sinus
tachycardia
-
ANSWER-A
patient
has
been
receiving
an
aminophylline
(xanthine
derivative)
infusion
for
24
hours.
The
nurse
will
assess
for
which
adverse
effect
when
assessing
the
patient
during
the
infusion?
a.
CNS
depression
b.
sinus
tachycardia
c.
increased
appetite
d.
temporary
urinary
retention
C.
reduces
inflammation
in
the
airway
-
ANSWER-During
a
teaching
session
for
a
patient
who
will
be
receiving
a
new
prescription
for
the
LTRA
montelukast
(Singulair),
the
nurse
will
tell
the
patient
that
the
drug
has
which
therapeutic
effect?
a.
improves
the
respiratory
drive
b.
loosens
and
removes
thickened
secretions
c.
reduces
inflammation
in
the
airway
d.
stimulates
immediate
bronchodilation
B.
rinse
out
the
mouth
with
water
-
ANSWER-After
the
patient
takes
a
dose
of
inhaled
corticosteroid,
such
as
fluticasone
(Flovent),
what
is
the
most
important
action
the
patient
needs
to
do
next?
a.
hold
the
breath
for
60
seconds
b.
rinse
out
the
mouth
with
water
c.
follow
the
corticosteroid
with
a
bronchodilator
inhaler,
if
ordered
d.
repeat
the
dose
in
15
minutes
if
the
patient
feels
short
of
breath
A.
"I
will
rinse
my
mouth
with
water
after
each
dose."
C.
"This
medication
is
taken
twice
a
day,
every
12
hours.''
E.
"I
will
call
my
doctor
if
I
notice
white
patches
inside
my
mouth."
-
ANSWER-The
nurse
is
teaching
a
patient
about
the
inhaler
Advair
(salmeterol/fluticasone).
Which
statements
by
the
patient
indicate
a
correct
understanding
of
this
medication?
(select
all
that
apply)
a.
"I
will
rinse
my
mouth
with
water
after
each
dose."
b.
"I
need
to
use
this
inhaler
whenever
I
feel
short
of
breath,
but
not
less
than
4
hours
between
doses."
c.
"This
medication
is
taken
twice
a
day,
every
12
hours."
d.
"I
can
take
this
inhaler
if
I
get
short
of
breath
while
exercising."
e.
"I
will
call
my
doctor
if
I
notice
white
patches
inside
my
mouth."
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