Erudiway

RN Nursing School · Pharmacology · 95 questions

Medications Affecting the Respiratory System practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Medications Affecting the Respiratory System, practise in the app.

Practise Medications Affecting the Respiratory System in the appAbout the RN Nursing School program →
  1. 1The nurse is caring for a client who is to be prescribed a mucolytic. Which of the following medications would be administered?Answer →
  2. 2A nurse is caring for a client on theophylline. Which finding requires immediate intervention?Answer →
  3. 3A patient presents with a common cold complaining only of nasal congestion. They ask about using an over-the-counter combination cold remedy. Which advice is MOST appropriate for this patient?Answer →
  4. 4Which medication is administered first to a patient who has acute dyspnea, wheezing, hypercapnea, and hypoxemia?Answer →
  5. 5A parent of an adolescent who started montelukast therapy 2 weeks ago reports the child has become increasingly irritable, is experiencing vivid nightmares, and "doesn't seem like himself." Which action should the nurse take first?Answer →
  6. 6A nurse is counseling clients at a community health fair about the safe use of over-the-counter medications. Which of the following clients should the nurse advise to consult a healthcare provider before taking antihistamines?Answer →
  7. 7A client is discharging from the hospital with treatment for tuberculosis. The client asks why they need to take pyridoxine (Vitamin B6) in addition to isoniazid (INH). Which of the following responses by the nurse best explains the drug combination to the client?Answer →
  8. 8A patient received albuterol 2 puffs with a repeat 2 puffs 10 minutes later for persistent wheezing. The nurse knows to look for which common adverse effect, particularly with repeated dosing.Answer →
  9. 9When planning care for a client with COPD who is on long-term corticosteroid therapy, which complication is the nurse most concerned about?Answer →
  10. 10Drag the words from the choices below to fill in each blank in the following sentence. When caring for a client with tuberculosis, the priority interventions include monitoring ____Target 1______, reinforcing the importance of ____Target 2______, and ensuring ____Target 3______ throughout the treatment plan.Answer →
  11. 11The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?Answer →
  12. 12Emily, a nursing student, encounters a client with resistant TB. She recalls that resistance to isoniazid and rifampin most likely occurs due to:Answer →
  13. 13A patient with seasonal allergic conjunctivitis asks how long it will take for cromolyn eye drops to relieve symptoms. Which of the following responses is MOST accurate?Answer →
  14. 14A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  15. 15Montelukast (Singulair®) and Zileuton (Zyflo®) are drugs that block the effects of which are generated through the arachidonic acid cascade.Answer →
  16. 16A patient with seasonal allergic conjunctivitis asks how long it will take for cromolyn eye drops to relieve symptoms. Which of the following responses is MOST accurate?Answer →
  17. 17A patient is prescribed guaifenesin (Mucinex). The nurse determines that the patient understands the proper administration of this medication if they state:Answer →
  18. 18Which drug class should be initiated prior to allergen exposure for optimal prevention of allergic rhinitis symptoms?Answer →
  19. 19A patient is concerned about the adverse effects of the beta-2 agonist albuterol. The patient reports the following since starting albuterol: yellow-colored urine, decreased wheezing, palpitations, occasional tremors, and diarrhea. From the patient's list, identify which symptoms are known adverse effects of albuterol.Answer →
  20. 20A 40-year-old patient with allergic rhinitis has been using an over-the-counter antihistamine containing diphenhydramine, but reports feeling excessively drowsy during the day. Despite this, the patient wishes to continue antihistamine therapy for symptom relief. What recommendation would be MOST appropriate for managing the patient's sedation while maintaining effective treatment?Answer →
  21. 21A patient presents with a common cold complaining only of nasal congestion. They ask about using an over-the-counter combination cold remedy. Which advice is MOST appropriate for this patient?Answer →
  22. 22Which statement BEST describes the mechanism of action of H1 antagonists?Answer →
  23. 23A nurse is assessing a patient who takes oral theophylline for chronic bronchitis. Which of the following findings should indicate to the nurse that the patient might be experiencing theophylline toxicity?Answer →
  24. 24A patient with exercise-induced asthma is prescribed a medication to prevent airway inflammation by inhibiting the release of histamine and other mediators from mast cells. Which medication should the nurse anticipate administering?Answer →
  25. 25A patient with a history of seasonal allergies presents with complaints of itchy, red, watery eyes. He has been self-medicating with an ocular decongestant for the past 3 weeks but now reports worsening redness. Which is the MOST appropriate next step in managing this patient?Answer →
  26. 26A child with persistent allergic rhinitis requires intranasal corticosteroid therapy. The NP wants to minimize systemic absorption while effectively controlling symptoms. Which nasal spray would be the MOST appropriate initial choice?Answer →
  27. 27A client is admitted to the emergency department after having an asthma attack. The nurse prepares to administer Albuterol via nebulizer and the client asks if there are any side effects. How should the nurse respond?Answer →
  28. 28A 40-year-old patient with allergic rhinitis has been using an over-the-counter antihistamine containing diphenhydramine, but reports feeling excessively drowsy during the day. Despite this, the patient wishes to continue antihistamine therapy for symptom relief. What recommendation would be MOST appropriate for managing the patient's sedation while maintaining effective treatment?Answer →
  29. 29A patient with COPD is prescribed a medication to help reduce bronchospasm by blocking muscarinic receptors in the airways, leading to bronchodilation. Which medication should the nurse anticipate administering?Answer →
  30. 30A 60-year-old patient is newly diagnosed with primary open-angle glaucoma. The nurse practitioner prescribes a prostaglandin analog. Which of the following BEST explains the mechanism of action of this drug class?Answer →
  31. 31In asthma, the early asthmatic response results in in FEV1.Answer →
  32. 32A 10-year-old child with persistent allergic rhinitis has started on intranasal fluticasone propionate (Flonase). The parent asks why the nurse practitioner chose this medication instead of an older option like beclomethasone. Which of the following best explains the rationale for this choice?Answer →
  33. 33A patient has prescriptions for an inhaled bronchodilator, albuterol, and an inhaled corticosteroid, budesonide. What is the priority nursing instruction?Answer →
  34. 34A 32-year-old patient is prescribed triamcinolone acetonide 0.025% cream for atopic dermatitis on the forearms. Which of the following is the MOST important patient teaching point?Answer →
  35. 35To control asthma a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system which provides an inhaled powdered form of these combined medications Which instruction should the nurse provide to this clients caregiversAnswer →
  36. 36An albuterol inhaler is prescribed to a patient with asthma. A nurse provides instructions regarding potential side effects of this medication. Which of the following should the nurse include?Answer →
  37. 37A nurse is about to administer 2 puffs of albuterol and 2 puffs of a steroid inhaler to a patient. The nurse should plan to administer by:Answer →
  38. 38A 45-year-old patient with chronic non-allergic rhinitis has been using over-the-counter triamcinolone (Nasacort) daily for several weeks. The patient reports nasal burning and frequent nosebleeds. Which of the following is the MOST appropriate counseling point?Answer →
  39. 39A middle-aged adult is diagnosed with tuberculosis. Which is true of treatment for this diagnosis?Answer →
  40. 40A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?Answer →
  41. 41A patient presents with persistent nasal congestion, sneezing, and rhinorrhea consistent with allergic rhinitis. According to the American Academy of Otolaryngology's (AAO) Clinical Practice Guideline (2015), which initial pharmacologic therapy would be MOST appropriate?Answer →
  42. 42True or False: A nurse is caring for a patient who is starting on inhaled fluticasone for control of asthma. The nurse should teach the patient that this medication is considered a rescue inhaler for relief of acute asthma attacks.Answer →
  43. 43A patient with latent tuberculosis is prescribed isoniazid (INH). Which patient education point is most important to emphasize?Answer →
  44. 44A new nurse is learning about therapeutic outcomes in patients that are prescribed an inhaled corticosteroid for asthma. Identify each as a therapeutic response, adverse effect, or unrelated effect to the use of inhalers.Answer →
  45. 45Which of the following statements are true regarding the use of Long-Acting Beta Agonists (LABAs) in asthma management? (Select All that Apply.)Answer →
  46. 46A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  47. 47The nurse is caring for a patient who is experiencing an acute asthma attack and is very short of breath. What medication will the nurse administer?Answer →
  48. 48Which of the following anti-inflammatory drugs can cause oropharyngeal candidiasis as local adverse effect?Answer →
  49. 49A 48-year-old patient presents with persistent rhinorrhea, nasal congestion, and postnasal drip for several months. The patient denies itching, bouts of sneezing, or seasonal variation in symptoms. Skin testing for allergens is negative. Which of the following medications is MOST appropriate to add to the treatment plan?Answer →
  50. 50A patient presents with persistent nasal congestion, sneezing, and rhinorrhea consistent with allergic rhinitis. According to the American Academy of Otolaryngology's (AAO) Clinical Practice Guideline (2015), which initial pharmacologic therapy would be MOST appropriate to recommend for effective symptom control?Answer →
  51. 51A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?Answer →
  52. 52The client has arterial blood gas values of pH 7.38, Pao2 77, Paco2 40, Hco3 24. Which Intervention should the critical care nurse implement?Answer →
  53. 53A nurse is providing teaching to a client who has active tuberculosis and is to begin taking rifampin. Which of the following information should the nurse include?Answer →
  54. 54A patient with persistent asthma is prescribed an inhaled corticosteroid as part of long-term control therapy. The nurse explains that this medication helps prevent future exacerbations rather than provide immediate relief. Which action best explains how corticosteroids improve asthma control?Answer →
  55. 55A patient with COPD is prescribed a long-acting beta-agonist (LABA). Which of the following actions should the nurse prioritize when educating the patient about their new medication? (Select all that apply)Answer →
  56. 56A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?Answer →
  57. 57The nurse cares for a patient who has smoked a pack of cigarettes a day for the past 20 years. The patient's normal ciliated columnar epithelial cells have been replaced with squamous epithelial cells. Which option best describes this cellular change?Answer →
  58. 58A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?Answer →
  59. 59A patient is admitted to the emergency department in severe respiratory distress with a history of asthma. After administering bronchodilators, the nurse notes that the patient is still experiencing wheezing and has a peak expiratory flow rate (PEFR) of 40% of their personal best. What should be the nurse's priority action?Answer →
  60. 60Identify each prompt as either an intended response, side effect, or effect that is unrelated to first-generation antihistamines.Answer →
  61. 61A client reports using phenylephrine nasal spray every 2–3 hours for the past 5 days due to severe nasal congestion. The client now states, "My congestion is worse than before, and I can't breathe without the spray." What is the nurse's best response?Answer →
  62. 62A nurse is teaching a client who has allergy-related sinus headaches about diphenhydramine. Which of the following statements should the nurse make to explain how diphenhydramine helps with this condition?Answer →
  63. 63A patient requests a medication to help relieve a cough and asks the nurse what will provide the best relief. Which of the following statements made by the nurse is true?Answer →
  64. 64A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  65. 65A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?Answer →
  66. 66Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  67. 67A patient with a history of seasonal allergies presents with complaints of itchy, red, watery eyes. He has been self-medicating with an ocular decongestant for the past 3 weeks but now reports worsening redness. Which is the MOST appropriate next step in managing this patient?Answer →
  68. 68A nurse is assessing a patient with a chest tube in place for a pneumothorax. Which of the following are NOT expected findings? (Select All that Apply.)Answer →
  69. 69A client is prescribed albuterol for asthma exacerbation. Which of the following assessments should the nurse prioritize to monitor for potential side effects of albuterol? Select all that apply.Answer →
  70. 70Which statement BEST explains safe prescribing considerations for antihistamines?Answer →
  71. 71A nurse is assessing a client with COPD who reports increased dyspnea and fatigue. The client's ABG shows respiratory acidosis: What is the most appropriate nursing intervention?Answer →
  72. 72A client is beginning therapy for active tuberculosis (TB). The client asks, "Why do I have to take so many drugs"? What is the best response by the nurse?Answer →
  73. 73A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?Answer →
  74. 74A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  75. 75A nurse in an emergency department is caring for a client who is experiencing severe dyspnea and wheezing following a bee sting. After administering epinephrine, the client is still experiencing manifestations. Which of the following medications should the nurse plan to administer?Answer →
  76. 76A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?Answer →
  77. 77Which patient will benefit from the administration of guaifenesin?Answer →
  78. 78A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  79. 79The patient uses their Albuterol inhaler as needed. What is the expected outcome after using this medication?Answer →
  80. 80A 24-year-old college student presents with bilateral eye redness, watery discharge, and intense itching after spending the weekend hiking during spring. Examination reveals no purulent discharge. Which of the following is the MOST appropriate first-line management?Answer →
  81. 81To control asthma a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system which provides an inhaled powdered form of these combined medications Which instruction should the nurse provide to this clients caregiversAnswer →
  82. 82A nurse assesses a client who has been using fluticasone by metered-dose inhaler for several weeks and notes white patches on the tongue and oral mucosa. What is the nurse's best action to address this finding?Answer →
  83. 83A client with asthma is prescribed Albuterol via inhaler. The nurse explains that this medication is an adrenergic agonist. Which assessment finding indicates the medication is working?Answer →
  84. 84A new nurse is reviewing morning medications for her patients, which includes pseudoephedrine for congestion. The new nurse knows which patient should not receive this medication:Answer →
  85. 85A pregnant patient in her second trimester presents with allergic rhinitis and asks about starting loratadine, which previously controlled her symptoms. What is the MOST appropriate response by the NP?Answer →
  86. 86Ipratropium has a similar structure to atropine giving it good distribution across the blood brain barrier.Answer →
  87. 87A 22-year-old college student presents with clear rhinorrhea, bouts of repetitive sneezing, nasal congestion, itchy eyes and scratchy throat which worsens every spring. Dark periorbital circles are observed. Which of the following BEST explains the condition?Answer →
  88. 88An older adult patient with seasonal allergies is prescribed diphenhydramine but reports new symptoms of dry mouth, constipation, and difficulty initiating urination. Which action would be MOST appropriate based on your knowledge of H1 antagonists?Answer →
  89. 89Match the mechanism of action with the drug's name:Answer →
  90. 90A nurse is assessing the injection site of a client who has received a Purified Protein Derivative (PPD). Which finding indicates a need for further evaluation?Answer →
  91. 91A client with COPD is experiencing increased shortness of breath and has been prescribed a long-acting beta-agonist (LABA) for management. What key instruction should the nurse provide to ensure effective use of this medication?Answer →
  92. 92A public health nurse is evaluating the factors contributing to the high prevalence of tuberculosis (TB) in a developing country. Which factor should the nurse prioritize addressing to effectively reduce TB transmission?Answer →
  93. 93Identify the appropriate nursing interventions and client education strategies for a client with latent tuberculosis on a medication regimen including isoniazid.Answer →
  94. 94A patient with chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. The patient reports understanding of the medication when they state:Answer →
  95. 95Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →