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Drugs Affecting the Upper Respiratory System_ Complete Questions and answers., Exams of Nursing

Drugs Affecting the Upper Respiratory System_ Complete Questions and answers.

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2024/2025

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Drugs Affecting the Upper Respiratory System
1. A patient presents at the clinic with a dry nonproductive cough. The patient is
diagnosed with bronchitis and it has been determined that assistance is needed in
thinning the sputum so the cough can become productive. What does the nurse
expect the physician will prescribe?
A) Benzonatate (Tessalon)
B) Guaifenesin (Mucinex)
C) Dextromethorphan (Benylin)
D) Hydrocodone (Hycodan)
2. A patient has been using guaifenesin for a cough that accompanied a common
cold. The patient calls the nurse help line and states that she thinks she is having
an adverse reaction to the medication. The nurse knows that which symptoms are
adverse effects of this medication? (Select all that apply.)
A) Nausea
B) Rash
C) constipation
D) Bleeding
E) Headache
3. What would be the nurse’s best response if a patient calls the clinic and
reports that he has had a persistent cough for 2 weeks and asks the nurse
for a recommendation for a cough medicine?
A) Look for dextromethorphan as an ingredient in any OTC cough preparation.
B) The doctor could order an antihistamine, which might dry up your secretions and
stop the cough.
C) You should come to the clinic to be evaluated. A cough that lasts that long
might be an indication of an underlying medical problem.
D) Drink a lot of fluids and take aspirin, which should reduce the irritation in your
throat.
4. What statement by a 61-year-old patient who is to take an antitussive with
codeine indicates that the nurse’s teaching has been effective?
A) I will take this medication anytime I start to cough.
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Drugs Affecting the Upper Respiratory System

  1. A patient presents at the clinic with a dry nonproductive cough. The patient is diagnosed with bronchitis and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the physician will prescribe? A) Benzonatate (Tessalon) B) Guaifenesin (Mucinex) C) Dextromethorphan (Benylin) D) Hydrocodone (Hycodan)
  2. A patient has been using guaifenesin for a cough that accompanied a common cold. The patient calls the nurse help line and states that she thinks she is having an adverse reaction to the medication. The nurse knows that which symptoms are adverse effects of this medication? (Select all that apply.) A) Nausea B) Rash C) constipation D) Bleeding E) Headache
  3. What would be the nurse’s best response if a patient calls the clinic and reports that he has had a persistent cough for 2 weeks and asks the nurse for a recommendation for a cough medicine? A) Look for dextromethorphan as an ingredient in any OTC cough preparation. B) The doctor could order an antihistamine, which might dry up your secretions and stop the cough. C) You should come to the clinic to be evaluated. A cough that lasts that long might be an indication of an underlying medical problem. D) Drink a lot of fluids and take aspirin, which should reduce the irritation in your throat.
  4. What statement by a 61-year-old patient who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective? A) I will take this medication anytime I start to cough.

B) This medication may make me anxious and nervous. C) I should call the physician if I develop nausea, diarrhea, or stomach cramps while taking this medication. D) This medication can cause drowsiness, so I will avoid driving or using power equipment while I take it.

  1. A student nurse is doing research consisting of chart audits of 25 patients with diagnosed chronic pharyngitis; she is attempting to determine what medication has been prescribed most frequently. What type of medication would this nurse expect to find in most of the chart audits? A) Antitussives B) Nasal sprays C) Oral decongestants D) Mucolytics
  2. Parents who treat their children’s cold and flu symptoms at home should be educated concerning the reading and understanding of over-the-counter (OTC) labels. Why is this statement true? A) Many of these preparations contain the same active ingredients so that inadvertent overdose is a common problem. B) Each product is best used for alleviating a particular symptom. C) Some of these products do not contain any drugs. D) Some of these products could interfere with breast-feeding.
  3. A patient presents at the clinic with signs and symptoms of seasonal allergic rhinitis. The patient is prescribed a nasal steroid to relieve symptoms. Two days later, the patient calls the clinic and tells the nurse that he is frustrated and wants a new drug. What is the most appropriate response by the nurse? A) It may take up to 2 weeks to get the full clinical effect. Try to keep using the drug as ordered. B) The drug must not work for you. Let’s change to an oral steroid. C) You probably are administering the drug incorrectly. Come in and we can review the process. D) You probably need to try a different nasal steroid. This one should be effective by now.
  4. A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given? A) Avoid becoming pregnant during decongestant therapy.

C) Gentamicin D) Ketoconazole

  1. A student nurse is doing research consisting of chart audits of 25 patients with diagnosed chronic pharyngitis; she is attempting to determine what medication has been prescribed most frequently. What type of medication would this nurse expect to find in most of the chart audits? A) Antitussives B) Nasal sprays C) Oral decongestants D) Mucolytics
  2. The nurse is teaching a group of patients with allergic rhinitis about the use of their medications. What would be the most essential information to give these patients about preventing possible drug interactions? A) Over-the-counter (OTC) medications are safe to use. B) Use only one pharmacy so the pharmacist can check drug interactions. C) Read drug labels before taking OTC medications. D) Ask the pharmacy tech for assistance in selecting an OTC medication
  3. The family nurse practitioner is caring for a Hispanic woman who is 83 years old. The patient has been noncompliant with the care regimen the nurse practitioner has previously outlined for treatment of sinusitis. What should the nurse practitioner do that can assist the patient in being more compliant with the prescribed treatment regimen? A) Provide instructions in writing. B) Provide the instructions in large type. C) Give the treatment instructions to a member of her family. D) Give the treatment instructions to the woman’s husband.
  4. The nurse is caring for a patient who is scheduled to receive acetylcysteine because of an acetaminophen overdose. The nurse would notify the physician before administering the medication if the patient had which condition? (Select all that apply.) A) Bronchospasm B) Hypertension

C) Nephrotic syndrome D) Peptic ulcer E) Esophageal varices

Drugs Affecting the Lower Respiratory System

  1. A 70-year-old man is being treated for chronic obstructive pulmonary disease (COPD) with theophylline (Theo-Dur). What will be a priority assessment by the nurse? A) Ingestion of fatty foods B) Weight C) Activity level D) Use of nicotine
  2. A patient is taking aminophylline for their chronic obstructive pulmonary disease. The patient is about to undergo emergency surgery and will receive an neuromuscular junction (NMJ) blocker as part of the procedure. It is important for the nurse to take what action? A) Make sure the patient receives the aminophylline on a regular schedule to maintain therapeutic levels. B) Monitor the patient very closely for signs of early arousal and return of muscle function. C) Carefully explain all that is going on because the patient will be unable to talk. D) Switch the patient to theophyllines before the procedure begins.
  3. The 64-year-old patient has smoked since age 15 and has been diagnosed with chronic obstructive pulmonary disease. What classification of adrenergic blocking antagonist would be safest for this patient to treat angina? A) Nonselective adrenergic blocking agents B) Nonselective alpha-adrenergic blocking agents C) Alpha 1 -selective adrenergic blocking agents D) Beta 1 -selective adrenergic blocking agents
  4. What drug would the nurse administer to treat a patient diagnosed with bronchospasm associated with chronic obstructive pulmonary disease (COPD)?

B) Flavoxate C) Glycopyrrolate D) Ipratropium

  1. A 66-year-old female patient is on long-term oral glucocorticoid therapy to treat chronic obstructive pulmonary disease. When providing drug teaching, the nurse will inform this patient that she is at particular risk for what? A) Hyponatremia B) Spontaneous fractures C) Respiratory depression

D) Ineffective temperature regulation

  1. The nurse provides teaching to a patient with chronic obstructive pulmonary disease who has been prescribed budesonide (Pulmicort) two puffs and fluticasone (Flovent) three puffs t.i.d. The nurse evaluates that further teaching is needed when the patient makes what statement? A) Take all five puffs as quickly as possible. B) Replace the inhalers before they run out. C) Rinse the mouth after taking the medication. D) Continue medication even when symptoms start to subside.
  2. A patient is taking low-dose corticosteroids on a long-term basis for chronic obstructive pulmonary disease. The nurse assesses this patient knowing prolonged use of corticosteroids puts the patient at risk for what? A) Adrenal storm B) Adrenal atrophy C) Stunted growth D) Hypothalamic insufficiency
  3. While assessing a new patient on the unit, the nurse notes the following: productive cough, respiratory rate of 22, oxygen saturation of 90%, and increased secretions. The patient has a 20-year history of smoking 1.5 packs of cigarettes daily. What chronic condition might this patient have? A) Pneumonia

B) Cystic fibrosis C) Pleural effusion D) Chronic obstructive pulmonary disease (COPD)

  1. The clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what they could have done to minimize the risk of contracting this disease. What would be the nurse’s best answer? A) The most important risk factor for COPD is inadequate nutrition. B) The most important risk factor for COPD is regular exercise. C) The most important risk factor for COPD is exposure to dust and pollen. D) The most important risk factor for COPD is cigarette smoking.
  2. The nurse has admitted a patient (who takes ipratropium) to the respiratory unit with an acute exacerbation of chronic obstructive pulmonary disease (COPD). While writing a plan of care for this patient, what would be the most appropriate nursing diagnosis to use? A) Deficient knowledge regarding alternative therapy B) Imbalanced nutrition: Less than body requirements C) Acute pain related to renal effects of the drug D) Disturbed thought processes related to central nervous system (CNS) effects
  3. A patient, newly diagnosed with chronic obstructive pulmonary disease (COPD), calls the clinic and asks the nurse to explain what the newly prescribed medications are for. What would be the most appropriate response by the nurse? A) The medications that have been ordered for you are what the physician thinks will help you the most. B) The medications that have been ordered for you are to help you breathe easier. C) The medications that have been ordered for you are designed to work together to help you feel better. D) The medications that have been ordered for you are to help relieve the inflammation and promote dilation of the bronchi.
  4. A patient with chronic obstructive pulmonary disease (COPD) presents at the emergency department in acute respiratory distress. The patient’s family tells the nurse that the patient’s problems began right after the patient took his or her first dose of ipratropium (Atrovent). What would the nurse suspect is the problem? A) An allergy to milk

D) Cause dilation of the bronchi with increased rate and depth of

respiration

  1. The nursing instructor is discussing bronchodilators with a group of nursing students. The students understand the instruction when they identify what drug is most effective in treating acute bronchospasm? A) Ipratropium bromide (Atrovent) B) Epinephrine (Adrenalin) C) Cromolyn (Intal) D) Ephedrine
  2. Epinephrine, formerly the drug of choice for acute attacks of bronchoconstriction, has been replaced by what? A) Short-acting bronchodilators are the drug of choice in this situation. B) Nothing has replaced epinephrine as drug of choice in this situation. C) Self-administered metered-dose inhalers (MDIs)

D) Long-acting beta 2 -adrenergic agonists (LABAs)

  1. What action do sympathomimetic drugs have in the body? A) Decreased heart rate B) Decreased blood pressure C) Increased respirations D) Increased intraocular pressure
  2. The nursing students are studying sympathomimetic drugs. How do these drugs act on the body? A) Stimulate beta receptors and block alpha-receptors B) Stimulate alpha-receptors and block beta-receptors C) Block adrenergic receptors

D) Stimulate both alpha and beta-receptors

  1. The pharmacology instructor is discussing adrenergic agonists with the nursing class. Which drugs would the instructor tell the nursing students are generally indicated for the treatment of shock, bronchospasm, and some types of asthma? A) Sympathomimetic drugs

B) Beta-blocking drugs C) Parasympathetic stimulating drugs D) Anticatecholamine drugs

  1. When transcribing new orders for sympathomimetic medications prescribed for a geriatric patient, the nurse expects the dosage will be what? A) The average adult dosage B) Slightly higher than adult dosages C) The lowest possible effective dosage
  2. The nursing instructor is discussing the use of sympathomimetics in patients who have acute bronchospasm. The instructor shares with the students that this classification of drugs is contraindicated or only used with great caution in patients with what disorders? (Select all that apply.) A) Hypothyroidism B) Cardiac disease C) Kidney disease D) Diabetes mellitus E) Peripheral vascular disease
  3. The nurse caring for a 38-year-old patient started on albuterol (Proventil) should advise the patient that he or she may experience what adverse effect? A) Polydipsia B) Tachycardia C) Hypotension D) Diarrhea

Anti-infective Drugs

  1. A patient asks the nurse how an anti-infective produces a therapeutic effect. What key point will the nurse explain to this patient? A) Drugs used to treat infections date back to the 17th century. B) All anti-infectives work in the same way to destroy organisms. C) Selective toxicity determines the appropriate drug dosage needed.

D) It is very important to take the full course of an antibiotic as prescribed and not save remaining drugs for future infections.

  1. A patient is told that he or she will have to undergo extensive dental surgery. The dentist prescribes a

course of antibiotic therapy before beginning the procedures and continuing for 5 days after the procedure. What is this is an example of? A) Chemotherapy B) Curative treatment C) Prophylaxis D) Synergism

  1. A patient is admitted to the unit and the nurse assesses whether he or she is at increased risk for infection when what factors are determined? (Select all that apply.) A) Malnutrition B) Hypertension C) Suppression of immune system D) Advanced age E) Decreased amylase levels
  2. A patient calls the clinic to talk to the nurse. The patient states that he or she saw the physician last week and was prescribed penicillin for a strep throat. The patient goes on to say that they feel so much better they stopped taking the drug today, even though there are a few pills left. What is the nurse’s best response? A) Okay, thank you for letting me know. I will document in your medical record that the treatment was effective. B) It is important that you take all the medication so all the germs are killed. Otherwise they could come right back and be even stronger. C) What you have described is the halo effect of the drug, making you feel better when you are still infected. You’ll feel sick again when the drug is out of your system. D) You will need to come to the clinic and be evaluated by your physician to make sure the infection is really gone.
  3. Overuse of anti-infective agents is known to contribute to the onset of superinfections in the body. What is a causative agent of a superinfection? A) Escherichia coli B) Probenecid C) Protozoans D) Pseudomonas

taking this medication? A) Respiratory system B) Ophthalmic system C) Renal system D) Musculoskeletal system

  1. The nurse is caring for a 62-year-old patient who is receiving IV gentamicin (Garamycin). The patient complains of difficulty hearing. What should the nurse do? A) Hold the dose and notify the physician immediately. B) Administer the dose and speak in a louder voice when talking to the patient. C) Administer the dose and report this information to the oncoming nurse. D) Administer the dose and document the finding in the nurse’s notes.
  2. The nurse is caring for a patient who is receiving an aminoglycoside. What would be a priority assessment on this patient? A) Respiratory function B) Vision C) Cardiac function D) Liver function
  3. The patient is admitted to the acute care facility with acute septicemia and has orders to receive gentamicin and ampicillin IV. The nurse is performing an admission assessment that includes a complete nursing history. What information provided by the patient would indicate the need to consult the health care provider before administering the ordered medication? A) Takes furosemide (Lasix), a potent diuretic, daily B) Had prostate surgery 3 months ago C) History of hypothyroidism D) Allergic to peanuts and peanut products
  4. When the nurse cares for a patient receiving an antibiotic, what instructions will the nurse provide no matter what medication is prescribed? (Select all that apply.) A) Drink plenty of fluids to avoid kidney damage. B) Take all medications as prescribed until all of the medication is gone. C) Report difficulty breathing, severe headache, or changes in urine output.

D) Take antibiotic with food to avoid gastrointestinal (GI) upset. E) Take safety precautions such as changing position slowly.

  1. A patient comes to the clinic with a herpes outbreak. The nurse notes from the patient’s chart that the patient is just beginning a course of antibiotics prescribed by another physician in the clinic. What classification of antibiotic should not be taken with an antiviral medication used to treat herpes? A) Penicillin B) Beta-Lactam C) Aminoglycoside D) Macrolide
  2. A patient scheduled for surgery is to have a nondepolarizing neuromuscular junction (NMJ) blocker as adjunctive anesthesia. The nurse will have cause for concern about prolonged paralysis if the patient has been taking what medication? A) An aminoglycoside B) Aminophylline C) A barbiturate anesthetic D) A cephalosporin
  3. The nurse is talking with a group of nursing students. What drug would the nurse tell them, when combined with furosemide (Lasix), is likely to cause hearing loss? A) Codeine B) Ciprofloxacin (Cipro) C) Digoxin (Lanoxin) D) Gentamicin (Garamycin)
  4. The nurse is caring for a female patient whose tests confirm she is 10 weeks pregnant and has contracted tuberculosis. The health care provider orders a combination of antimycobacterials. What combination of drugs would the nurse identify as safest for this pregnant patient? A) Isoniazid, ethambutol, and rifampin B) Rifabutin, streptomycin, and rifampin C) Capreomycin, cycloserine, and ethionamide

D) Dapsone, ethambutol, and cycloserine

and the benefit often does not outweigh the risk. D) Individual antiviral drugs are often effective in treating many different viruses because one virus in a category behaves like others in the same category.

  1. What medication is only administered intravenously and is used to treat cytomegalovirus (CMV)? A) Cidofovir ( Vistide ) B) Foscarnet ( Foscavir ) C) Valacyclovir ( Valtrex ) D) Valganciclovir ( Valcyte )
  2. A hospitalized patient is receiving an antiviral drug to treat cytomegalovirus. What is the nurse’s priority action after administering the antiviral drug? A) Monitor vital signs every hour. B) Decrease fluid intake. C) Keep side rails up. D) Encourage the patient to ambulate 10 minutes after each dose.
  3. The nurse is caring for a patient with hepatitis B. The patient is taking adefovir ( Hepsera). Which medication would the nurse question if it were ordered? A) Cimetidine (Tagament) B) Diltiazem (Cardizem) C) Diphenhydramine (Benadryl) D) Telbivudine (Tyzeka)
  4. A nurse is caring for a stroke victim in the intensive care unit. The nurse notices a cold sore and requests medication. Docosanol (Abreva) is ordered. Before applying the medication, the nurse would first? A) Clean the area to be treated and then pat it dry. B) Assess the area for open lesions or abrasions.

C) Put gloves on to protect herself.

D) Prepare applicator for drug administration.

  1. A patient with AIDS is taking an antiviral agent. What comment by the patient would indicate that the teaching plan was effective?

A) I feel like I do when I have the flu. B) I will continue to take the over-the-counter medication for my allergies. C) Excessive fatigue and a severe headache are common adverse effects of my medication. D) This drug will cure AIDS.

  1. A patient has just been diagnosed with HIV. When developing the teaching plan, what information would the nurse share with this patient related to use of alternative or complementary therapies? A) Complementary therapies such as acupuncture or herbal therapy are dangerous to patients with HIV and you are discouraged from exploring these types of therapy. B) Researchers have not looked at the benefits of alternative therapy for patients with HIV, so it is suggested you avoid these therapies until research data are available. C) Alternative therapies have benefits and risks. Are there any types of alternative or complementary therapies that you follow or are there any herbs or supplements that you take? D) You do not take herbs or practice some type of alternative medicine such as acupuncture, massage therapy, hypnosis, or diet therapy, do you?
  2. The nurse is assessing a patient admitted with AIDS who is taking a nonnucleoside reverse transcriptase inhibitor. What nursing diagnosis is most likely to be appropriate for this patient? A) Risk for injury related to central nervous system (CNS) effects of the drug B) Excess fluid volume related to renal failure C) Imbalanced nutrition: Less than body requirements, related to gastrointestinal (GI) effects of the drugs D) Ineffective health maintenance related to spiritual distress
  3. The nurse is caring for a patient hospitalized with hepatitis B. The family comes to visit and a family member asks the nurse if it is safe to visit. What is the nurse’s best response? A) You seem fearful. Why do you think you are at risk? B) Don’t worry, you will not contract the disease from the patient. C) There is no risk unless you come in contact with blood and body fluids.