NUR 3145 Review Questions Exam #4 Questions
With Complete Solutions
A, B, D Correct Answers 1. A patient is brought to the
emergency department after ingesting a handful of
diphenhydramine [Benadryl] tablets. The patient has dilated
pupils, a flushed face, and tremors. The patient is agitated and
has a heart rate of 110 beats per minute. The nurse may
anticipate administering which agents? (Select all that apply.)
a. Activated charcoal
b. Atropine
c. Cathartics
d. Lorazepam
e. Second-generation H1 antagonists
A, B, D Correct Answers 1. What are the results of using
glucocorticoid drugs to treat asthma? (Select all that apply.)
a. Reduced bronchial hyperreactivity
b. Reduced edema of the airway
c. Reduced number of bronchial beta2 receptors
d. Increased responsiveness to beta2-adrenergic agonists
e. Increased synthesis of inflammatory mediators
A, B, D Correct Answers 2. Which drugs are used to treat
COPD? (Select all that apply.)
a. Anticholinergic medications
b. Glucocorticoids
,c. Leukotriene modifiers
d. Long-acting beta2 agonists
e. Monoclonal antibodies
A, C, E, F Correct Answers 1. A nurse is conducting a smoking
cessation class in the community and is discussing the
physiologic effects of nicotine. The nurse is correct to teach that
these effects include which of the following? (Select all that
apply.)
a. Increased blood pressure
b. Decreased gastric acid
c. Vomiting
d. Suppression of nausea
e. Increased alertness
f. Suppression of appetite
A, D, E Correct Answers 1. The public health nurse is teaching
a group of parents about immunizations. The nurse tells the
parents that after receiving the varicella virus vaccine, children
should temporarily avoid close contact with whom? (Select all
that apply.)
a. Neonates
b. Siblings
c. Relatives older than 65 years
d. Pregnant women
e. Individuals infected with HIV
A, D, E Correct Answers 1. Which disorders may be treated
with glucocorticoids? (Select all that apply.)
,a. Allergic rhinitis
b. Anaphylaxis
c. Bronchiolitis
d. Gout
e. Ulcerative colitis
a. "A varicella-like rash can occur after the vaccine is given."
Correct Answers 13. An otherwise healthy child receives a
varicella virus vaccine. Three weeks later the parent calls to
report that the child has a mild case of chickenpox and wonders
how this could happen after the vaccination. What will the nurse
tell the parent?
a. "A varicella-like rash can occur after the vaccine is given."
b. "The vaccine was probably ineffective."
c. "This represents a serious vaccine side effect."
d. "Give the child aspirin to treat any fever that may occur."
a. "Allergy symptoms that are severe are caused by mediators
other than histamine." Correct Answers 4. A patient who has
chronic allergies takes loratadine [Claritin] and develops a
severe reaction to bee stings. The patient asks the nurse why the
antihistamine did not prevent the reaction. What will the nurse
say?
a. "Allergy symptoms that are severe are caused by mediators
other than histamine."
b. "H1 blockers do not prevent the release of histamine from
mast cells and basophils."
, c. "Second-generation H1 blockers contain less active drug and
do not work in severe reactions."
d. "Severe allergic reactions occur through actions on
muscarinic receptors."
a. "Antihistamines block H1 receptors to prevent actions of
histamine at these sites." Correct Answers 3. A nurse is
teaching a group of nursing students about antihistamines.
Which statement by a student indicates an understanding of the
mechanism of action of the antihistamines?
a. "Antihistamines block H1 receptors to prevent actions of
histamine at these sites."
b. "Antihistamines block release of histamine from mast cells
and basophils."
c. "H1 antagonists can bind to H1 receptors, H2 receptors, and
muscarinic receptors."
d. "First-generation antihistamines are more selective than
second-generation antihistamines."
a. "At this dose, the concentration in your breast milk is safe."
Correct Answers 15. A woman who is breastfeeding is
prescribed a low pharmacologic dose of a glucocorticoid and
asks the nurse about potential effects on her infant. What will
the nurse tell her about this medication?
a. "At this dose, the concentration in your breast milk is safe."
b. "Contact your provider to discuss lowering the dose."
c. "There will be reversible side effects for your baby."
d. "This drug is likely to cause growth retardation in your baby."
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