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NURS 3100 Exam 3 Questions And Answers With Verified Study Solutions

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NURS 3100 Exam 3 Questions And Answers With
Verified Study Solutions
A client's heart rate is 72 beats per minute with a regular rhythm. How does the nurse interpret this data in relation to
the client's peripheral nervous system?

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 drug classes?

A. Anticholinergics

B. Parasympathomimetic

C. Parasympatholytic

D. Cholinergic

E. Muscarinic blockers ANS A, C, E

Which is an adrenergic receptor associated with the sympathetic nervous system?

A. Beta

B. Dopamine

C. Muscarinic

D. Norepinephrine ANS A

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 the following?

A. "I would like to wait a few minutes to take this as I just drank some aloe juice."

B. "Can I take this at the same time as my procainamide?"

C. "I have had a headache this morning."

D. "I am allergic to penicillin."

E. "My gallbladder surgery is scheduled for next week." ANS A, B

,The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for a
client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which
statement?

A. "My heart may beat slower while I am on this drug."

B. "It is really important to take my medication on time."

C. "I must take this medication immediately before eating a full meal."

D. "I will need to increase my fluid intake with this medication." ANS B

The health-care provider has ordered bethanechol (Urecholine), a cholinergic drug, for the client with urinary
retention. The client also has an enlarged prostate gland. What is the priority action by the nurse?

A. Administer the drug and measure urinary output.

B. Hold the drug and contact the health-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
the nurse, "Why do I need to take that medication?" What is the best response by the nurse?

A. "It will increase your urinary output during surgery."

B. "It will decrease your respiratory secretions during surgery."

C. "It will help maintain your blood pressure during surgery."

D. "It will help you breathe better during surgery." ANS B

The nurse is preparing to administer benztropine (Cogentin), which is an anticholinergic drug. The nurse
understands this drug is contraindicated in which client?

A. The client with a fractured femur.

B. The client with diarrhea.

C. The client with tachycardia.

D. The client with an irritable colon. ANS C

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 which client?

A. The client with hyperthyroidism.

B. The client with lung cancer.

C. The client with a hiatal hernia.

,D. The client with glaucoma. ANS D

The health-care provider orders dicyclomine (Bentyl), an anticholinergic drug, for a client. What is the nurse's
priority assessment prior to administering this drug?

A. Is the client able to urinate?

B. Does the client have light sensitivity?

C. Is the client dizzy upon standing?

D. Does the client have a history of alcoholism? ANS A

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 the nurse?

A. Is he lethargic?

B. Is he constipated?

C. Is he gaining weight?

D. Is he irritable? ANS B

The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning
has occurred when the students make which statement(s)?

A. "The central nervous system includes the brain and spinal cord."

B. "The peripheral nervous system has mainly sensory functions."

C. "The somatic nervous system gives us voluntary control over our gastrointestinal (GI) tract."

D. "The nervous system helps us react to environmental changes."

E. "The somatic nervous system gives us voluntary control over moving." 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 which statement(s)?

A. "The sympathetic and parasympathetic systems are not always opposite in their effects."

B. "The parasympathetic nervous system is the "fight-or-flight" response."

C. "Sympathetic stimulation causes dilation of arterioles."

D. "The parasympathetic nervous system causes bronchial constriction."

E. "The sympathetic nervous system is activated under stress." ANS A, D, E

, The student nurse asks the nursing instructor, "Do medications actually make more neurotransmitters?" What is the
best response by the nursing instructor?

A. "No, medications can only increase or decrease the action of neurotransmitters."

B. "No, but medications can heal diseases of the autonomic nervous system."

C. "Yes, but the newer drugs that do this have some serious side effects."

D. "Yes, some of the newer medications are very good at doing this." ANS A

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 the instructor's best response?

A. Somatic nervous system.

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 responses are regulated by the sympathetic
nervous system.

A. Pupil dilation.

B. Sex organ stimulation.

C. Stimulates salivation.

D. Bronchial constriction. ANS A

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 was
effective?

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 nervous system?

A. Drugs that bind and then stimulate the postsynaptic neuron.

B. Drugs that prevent the storage of neurotransmitter in vesicles.

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