11. Diphenhydramine is classified as which of

11. Diphenhydramine is classified as which of the following? A. Beta 1 adrenergic agonist B. H-1 receptor antagonist C. Choinergic agonist D. Beta 2 adrenergic antagonist 12. A nurse is reviewing a patient’s prescription for diphenhydramine. Which of the following conditions would the nurse expect diphenhydramine to be prescribed for? A. Vomiting B. Chest pain C. Anxiety D. Allergy 13. Which of the following diphenhydramine side effects should the nurse include in his teaching? Select all that apply A. Diarrhea B. Drooling C. Tachycardia D. Sedation E. Tingling 14. During a nursing admission history, a client tells the nurse that he has benign prostatic hypertrophy. The client states that he frequently uses over the counter cold medications that contain diphenhydramine. What is the nurse’s priority action? A. Document the client’s statements in the record B. Advise the client to stop using the medicine C. Collect a urine specimen and culture D. Ask the client if he has a history of glaucoma 15. The nurse completes medication education for the patient receiving diphenhydramine. The nurse evaluates that learning has been achieved when the patient makes which statement? A. I can still have my beer while watching the football game.” B. “There are fewer side effects because this is an over the counter drug.” C. “I should not drive after taking this medication.” D. “I need to limit my sodium intake to 2 grams per day.” 16. The patient asks the nurse why she must continue to take her asthma medications even though she has not had an asthma attack in several months. What is the best response by the nurse? A. The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an attack.” B.You need to take the medicine for at least a year, then, if you have not had an attack you can stop taking the medication.” C. According to your doctor you need to take this medication indefinitely. You should discuss this with him.” D.The medications are still needed to decrease the inflammation in your airways and help prevent an attack. 17. A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? A. Determine the cause of the acute exacerbation B. Obtain a peak flow reading C. Administer an inhaled glucocorticoid D. Administer a short acting beta 2 agonis 18. A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? Select all that apply A. The medication will reduce inflammation B. The medication will open the airways C. The medication will treat wheezing D. The medication will increase wheezing E. The medication reduces post nasal drip 19. When providing discharge teaching to a patient who is newly diagnosed with asthma, which of these points should the nurse emphasize? A. Eliminate or reduce exposure to triggers B. When an attack is imminent, take a steroid pill C. Take a non-steroidal anti-inflammatory tablet daily D. Take your medication only during asthma seaso 20. The nurse is teaching a patient who has asthma how to use a spacer that is attached to the metered dose inhaler. Which of these provides the rationale for using a spacer? A. The spacer focuses the medicine to the oropharynx B. The spacer is only used for pediatric management C. The spacer ensures more medication is delivered to the lungs D. The spacer provides for sterile medication administrati 21. The provider ordered a corticosteroid to a patient with medical diagnosis of asthma. The nurse tells the patient that the rationale for this medication is: A. Promote bronchodilation B. Decrease airway edema C. Promote expectoration of mucus D. Prevent respiratory infecti 22. The nurse will monitor the client taking albuterol for which side effect? A. Bradycardia B. Uterine contractions C. Palpitations D. Sedatio 23. The patient receives montelukast (Singulair) as treatment for asthma. The nurse has completed medication education and evaluates learning has occurred when the patient makes which statement? A. This medication inhibits leukotriene action in my lungs and allow the muscles to relax. ” B.This medication activates my fight-or-flight response.” C. This medication constricts my airway for I can breathe better.” D.This medication is good when I have an acute asthma attack 24. A client comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute. Which of the following actions should be taken first? A. Apply a cardiac monitor to the client B. Give a bronchodilator by nebulizer C. Provide emotional support to the client D. Take a medication and personal histor 25. A nurse administers medications to a client who has asthma. Which medication classification is paired correctly with its physiologic response to the medication? A. Bronchodilator: Stabilizes the membranes of mast cells and prevents the release of inflammatory mediators. B. Cholinergic antagonist: Causes bronchodilation by blocking the parasympatheticnervous system. C. Corticosteroid: Relaxes bronchiolar smooth muscles by binding to and activating pulmonary beta 2 receptors. D. Methylxanthines: Are widely prescribed because they have very few side effect 26. A nurse is instructing a client about asthma management with a patient who is newly diagnosed with asthma. Which teaching points should the nurse include in the patient’s discharge instructions? Select all that apply A. Take your inhaler before you do your mile runs B. Avoid smoke, pollen and cold air. C. Take your oral steroid when your wheezing worsens D. Take one extra diphenhydramine during allergy season E. A rescue inhaler should be with you at all times 27. A nurse administered a dose of Albuterol nebulizer to a client. The nurse returns after 30 minutes and auscultates the client’s lungs. Which part of the nursing process is the nursing using? A. Assessment B. Planning C. Implementation D. Evaluation 28. A client arrives to the emergency room and states that he can’t breathe. His respiratory rate is 36 breaths per minute. The nurse auscultates wheezing in all posterior lobes. Which position should the nurse place the client in when the client first arrives? A. Supine B. Trendelenenberg C. High-Fowler’s D. Sims’ 29. A client arrives to the emergency room and states that he can’t breathe because of his asthma. The nurse auscultates wheezing in all posterior lung lobes. Which is the most effective route should the nurse plan to administer this medication? A. Albuterol liquid suspension B. Albuterol multi dose inhaler C. Albuterol nebulizer D. Albuterol tablet 30. The client states that he ran out of his steroid inhaler and states that his albuterol is more important anyways. What is the nurse’s best statement? A. You are correct, increase your albuterol on a daily basis.” B.The steroid controls the inflammation in your lungs.” C. The steroid causes the bronchodilation of your lungs.” D.You are wrong. You have to learn the right ways.” 31. The client states that he believes exercise makes his asthma worse which is why he has quit playing softball. What is the nurse’s best response? A. You are right. Asthmatics should never exercise.” B.Try taking your inhaler just prior to exercise.” C. You should never exercise outdoors anymore.” D.Asthma is not as bad in the winter.” 32. A client has had a nonproductive cough for over one month following a diagnosis of community-acquired pneumonia. Which of the following medications will be most effective at relieving cough? A. diphenhydramine B. albuterol C. codeine D. cromolyn 33. A patient complains of worsening nasal congestion despite the frequent use of Afrin, a nasal decongestant. The patient asks why this is happening. What is the nurse’s best response? A. “You probably have developed pneumonia.” B. “You may have an allergy to Afrin.” C. “You are experiencing rebound congestion.” D. “Take the Afrin more frequently.” 34. Which instruction should the nurse include when teaching a client who is prescribed a decongestant? A. Take additional doses if your symptoms worsen B. Consider purchasing a humidifier C. Take one extra dose of diphenhydramine D. Use your incentive spirometer every hour 35. A nurse notices on a client’s medication reconciliation that the client takes over the counter cold medicines on a regular basis. What is a priority assessment the nurse should ask? A. “Do you have an allergy provider?” B. “Do you have hypertension?” C. “Do you have erectile dysfunction?” D. “Do you have diabetes mellitus? 36. The nurse is discussing with the client the management of symptoms of upper respiratory inflammation. Which classes of medications are often used in the treatment of upper respiratory inflammation? A. Beta 2 adrenergic agonist B. Anti-cholinergic C. Decongestants D. NSAID 37. A client marks on his health history that he has narrow-angle glaucoma. Which drug should the nurse ? A. Abluterol B. Cromolyn C. Diphenhydramine D. Montelukast 38. Cromolyn belongs to which classification? A. Bronchodilator B. Corticosteroid C. Leukotriene Modifier D. Mast Cell Stabilizer 39. Theophylline is the prototype for which classification? A. Adrenergic Agonist B. Anti-cholinergic C. Methylxanthine D. Coricosteroid 40. A nurse is caring for a 70 year old male client. The nurse notices on the client’s medication reconciliation record that he takes diphenhydramine for sleep. Which condition should the nurse assess the client for? A. Diabetes mellitus Type 2 B. Benign Prostatic Hypertrophy C. Peptic Ulcer Disease D. Multiple Sclerosis 41. A client shows the nurse the over the cold counter cold medication he purchased for cold symptoms. The preparation includes a decongestant, expectorant, and anti-tussive. What is the nurse’s best response? A. “Take the medication for up to two weeks.” B. “Buy single drug preparations for your specific symptoms.” C. “Over the counter drugs have fewer side effects than prescriptions.” D. “You will probably notice a sudden episodes of diarrhea.” 42. Ipratropium (Atrovent) belongs to which classification? A. Adrenergic antagonist B. Anti-cholinergic C. Mast Cell Stabilizer D. Corticosteroid 43. A client calls his primary care clinic and reports to the nurse that he is in the red zone according to his asthma action plan. What is the nurse’s best response? A. “Take an additional dose of your MDI inhaler.” B. “Please call 911 and go to the emergency room.” C. “Take two additional doses of your steroid pill.’ D. “Wait 15 minutes and take your nebulizer.’ 44. A nurse is caring for a client who has been admitted to the hospital with cardiac dysrhthmias. The client has a past medical history of asthma. The provider includes albuterol as a medication. What is the nurse’s recommendation to the provider? A. “Can you order a client an inhaled steroid?” B. “The client cannot have any bronchodilators.” C. “Could you order a drug with fewer cardiac side effects?” D. “The client is not wheezing so medication won’t be needed.” 45. A client has a chronic cough and has been prescribed codeine syrup. Which of the following food items should the nurse recommend to the client? A. Baked chicken and rice pilaf B. Tuna salad and potato chips C. Fresh fruit plate and granola D. Grilled cheese sandwich and soup 46. A client who has been hospitalized for 10 days is set for discharge on the afternoon of the 10th day. The client started oral prednisone therapy on the 8th day of hospitalization. The provider wrote to discontinue the prednisone prior to discharge. What is the nurse’s best response? A. Discontinue the prednisone and discharge the client. B. Advise the client to follow up with a primary care provider in 2 days. C. Notify the discharging physician that prednisone should be tapered. D. Check a blood glucose prior to discharging the client. 47. A patient has been prescribed a methylprednisone dose pack after being treated for an acromian-clavicular separation of the right shoulder. The nurse educates the patient about the medication and gives him the prescription. The patient states, _________, indicating that he understood the nurse’s instructions. A. “I will gradually increase the daily dose to ensure I don’t have an allergic reaction.” B. “I will take my medication as an AM dose and a PM dose until I finish it entirely.” C. “Everyday I will be taking less and less of the medication until I finish it completely.” D. “I can take up to four grams daily of this medication before starting to taper down the dose.” 48. The average length of treatment for a patient diagnosed with a tuberculosis in the lungs is ____: A. 6 to 12 months B. 6 to 12 weeks C. 6 to 12 days D. 6 to 12 hours 49. The nurse is teaching a client about safety with asthma medications. The nurse should educate the client about the importance of monitoring therapeutic levels of which medication? A. Prednisone B. Theophylline C. Cromolyn D. Rifampin 50. The nurse is caring for a client taking theophylline. The nurse should monitor for which of the following symptoms suggesting toxicity? A. Difficulty urinating B. Shortness of breath C. Seizures D. Hyperglycemia 51. The client should discontinue which medication 4 days prior to allergy testing to prevent false negative results? A. Diphenhydramine B. Ipratropium C. Dextromethorphan D. Fluticasone 52. A client presents to an urgent care center. During the health history, the client reports receiving antibiotic treatment for approximately one month after being diagnosed with latent tuberculosis. The client’s primary concern is red-tinged discharge from the eyes. Which of the following actions is most appropriate for the nurse to take? A. Reassure the client this is a side effect of the TB medication. B. Prepare the client for an injection of vitamin K. C. Prepare the client for a non-contrast head CT. D. Place the client on a cardiac monitor 53. The nurse is caring for a client with narrow-angle glaucoma and asthma. Which medication class should be avoided in this client? A. Mast cell stabalizer B. Corticosteroids C. Anticholinergics D. Methylxanthine 54. The nurse is caring for a client with asthma who has been prescribed beclomethasone and albuterol inhalers. Which of the following should the nurse include in the client education? A. Avoid shaking the beclomethasone inhaler before use. B. Administer beclomethasone inhaler prior to albuterol inhaler. C. Do not use beclomethasone for longer than 10 days. D. Rinse your mouth after each use of beclomethasone. 55. The nurse is caring for a client who was prescribed 6 days of oral prednisone for an acute asthma exacerbation. Which of the following conditions should be monitored closely. A. Diabetes mellitus B. Liver disease C. Gallbladder disease D. Kidney disease 56. The expert nurse recognizes which medication may be used 15 minutes prior to exercise to prevent exercise induced bronchospasms and works by promoting bronchodilation? A. Beclomethasone B. Albuterol C. Montelukast D. Theophylline 57. A nurse is caring for a client with cystic fibrosis. The client is concerned due to the unpleasant odor of the medication prescribed. What should the nurse teach the client? A. The medication is likely expired and should be thrown away immediately. B. This is a normal smell with the use of acetylcysteine. Continue as prescribed. C. The patient must be developing acute rhinitis and needs to be evaluated. D. Fluticasone may cause nasal dryness, resulting in an unpleasant odor. 58. An asthmatic patient is admitted to the hospital with an acute asthmatic attack. The nurse is teaching the patient about a new prescription, montelukast. Which statement indicates the patient understands how to take this medication properly? A. “I will take this before I go to bed” B. “I will take this when I have another attack” C. “I will take this 15 mins prior to exercising” D. “I will take Benadryl concurrently” 59. Which of the following medications can cause bronchodilation and can be used as an alternative to albuterol? A. Beclomethasone B. Cromolyn C. Montelukast D. Ipratropium 60. The nurse is educating a client on the side effects of ipratropium. Which statement would be an appropriate recommendation for managing the side effects of this medication? A. “Brush your teeth after use to prevent thrush” B. “You should suck on sugar free hard candies if your mouth feels dry” C. “You should eat plenty of fiber to prevent diarrhea” D. “You might need to buy incontinence pads” 66. A nurse is following up with a patient who has been discharged from the hospital with multiple prescriptions. The patient reports red-orange-colored urine. Which of the following statements made by the nurse would be most appropriate? A. “This is an unexpecting finding with Rifampin” B. “This is an expected finding for Isoniazid” C. “This is an expected finding for Rifampin” D. “You might be dehydrated, make sure to drink more water” 67. A nurse is assessing a laboratory report for a patient who has tuberculosis and currently taking isoniazid. The nurse will monitor for a 1 deficiency for this patient. 1 68. The nurse is providing discharge teaching to a patient who has been prescribed cromolyn. Which of the following should be included in the teaching? Select all that apply A. “Avoid milk while taking this medication” B. “You should take this 4-6 times a day” C. “This might cause some irritation in your throat” D. “You will take this for your pneumonia” E. “This might take several weeks to reach maximum benefit” 69. A patient has been taking albuterol several times a day for their asthma. The patient reports her legs cramping and feeling tired. Which of the following laboratory results should the nurse recommend the physician to order? A. Potassium B. Sodium C. Calcium D. Magnesiu 70. A patient has been diagnosed with chronic obstructive pulmonary disease and the nurse understands this patient may be prescribed which of the following pulmonary drugs and therapies? Select all that apply A. Bronchodilators B. Mucolytics C. Oxygen D. Expectorants E. Cough Suppressant SCIENCE HEALTH SCIENCE NURSING MEDICAL ASSISTANT 2060

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