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Text Mode – Text version of the exam 1. A Cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A nurse provides instructions regarding the side effects of this medication. The nurse tells the client that which undesirable effect is associated with this medication? 2. A client is prescribed with Guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will: 3. A nurse is about to administer Albuterol (Ventolin HFA) 2 puff and Budesonide (Pulmicort Turbohaler) 2 puff by metered dose inhaler. The nurse plans to administer by? 4. A nurse is about to administer Naloxone hydrochloride (Narcan) to a client with known opioid overdose. Which of the following equipment should be readily available at the bedside? 5. A client is receiving theophylline intravenously. After several dosages, the client started to become restless and complains of palpitations. The nurse determines that the client is experiencing theophylline toxicity in which of the following? 6. A client with a chronic obstructive pulmonary disease is prescribed with Ipratropium (Combivent). Upon reviewing the medical history of the patient, the nurse questions the prescription if which of the following is noted? 7. Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored? 8. The nurse is giving medication teachings to a client receiving theophylline. The nurse instruct the client to limit the intake of which of the following? 9. A nurse is giving teachings to a client receiving Desloratadine (Clarinex). Which of the following statements made by the client will need further instructions? 10. A pediatric client with asthma has just received Omalizumab (Xolair). The nurse determines that the client might be suffering a life-threatening effect in which of the following? 11. A client with influenza is prescribed with an antiviral drug. The nurse determines that the client indicates an understanding of the treatment if he or she state the following? 12. A client is to begin taking Rifampin (Rifadin). The nurse correctly teaches the client this medication: 13. A nurse is caring for a client who is starting a long-term therapy of isoniazid (INH). The nurse plans to instruct the client to which of the following? 14. A client has been taking isoniazid (INH). The client went to the health care facility with complaints of numbness and tingling sensation in the extremities. The nurse determines that the client is most likely suffering from? 15. A nurse is monitoring a client receiving an Ethambutol (Myambutol) for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following? 16. A client with tuberculosis is receiving Ethambutol (Myambutol). All of which are laboratories to be examined, except? 17. A nurse is giving instructions to a client receiving Pyrazinamide. Which of the following is not true regarding this medication? 18. A client is taking streptomycin. The nurse explains the nervous system side effects of this medication. The nurse correctly states that this medication causes damage in which cranial nerve? 19. All of which are examples of antiviral influenza medications except? 20. Rifabutin (Mycobutin) is prescribed to a client with active Mycobacterium avium complex disease and tuberculosis. The nurse determines that the client is experiencing side effects in which of the following, except? 1. Answer: A. Wheezing. Cromolyn Sodium (Intal) is used to prevent asthma attacks in people with bronchial asthma. Undesirable side effects associated with the use of inhaler is wheezing, cough, nasal congestion, bronchospasm and throat irritation. 2. Answer: A. Drink extra fluids while taking this medication. Guaifenesin is an expectorant. Drink extra fluids to help loosen the congestion and lubricate the throat while taking this medication. 3. Answer: D. Albuterol inhaler first then the budesonide. If two different inhaled medications are prescribed and one of the medications contains a corticosteroid, administer the bronchodilator (Albuterol) first and the corticosteroid (Budesonide) second. This will allow for the widening of the air passages by the bronchodilator, making the corticosteroids more effective. 4. Answer: B. Resuscitative equipment. While administering Narcan, resuscitation equipment, oxygen, mechanical ventilator should be readily available. 5. Answer: D. Theophylline level of 25mcg/ml. Theophylline toxicity is likely to occur when the serum level is higher than 20 mcg/ml. Early signs of toxicity include restlessness, nervousness, tachycardia, tremors and palpitations. 6. Answer: C. History of allergy to peanut. The client with a peanut allergy should not take ipratropium because the product contains soy lecithin, which is in the same plant family as peanuts. 7. Answer: D. ALT and AST. Montelukast (Singulair) is a leukotriene receptor and is used with caution in clients with impaired renal function. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) should be monitor while taking this medication. 8. Answer: D. Cola and chocolate. Theophylline is a methylxanthine bronchodilator. The nurse instructs the client to limit the intake of xanthine-containing foods such as chocolate, cola, and coffee. 9. Answer: B. “I can take the medicine on an empty stomach”. This medicine should be taken with food or milk to minimize gastrointestinal upset. 10. Answer: C. Swelling of the lips. Omalizumab (Xolair) Xolair is an anti-inflammatory that is used to treat moderate to severe asthma that is caused by allergies. An anaphylactic reaction may happen such as flushing, rash, wheezing or swelling of the face, lips or tongue. 11. Answer: A. “I will take the medication exactly as prescribed”. Antiviral drugs are taken exactly as prescribed 12. Answer: D. Will cause orange discoloration of sweat, urine, and feces. Rifampin causes red-orange discolorations of bodily secretions such as sweat, urine, tears, and feces. 13. Answer: B. To report an incidence of yellowish skin. Isoniazid (INH) is hepatotoxic hence the client is instructed to report signs of jaundice (Yellowish of skin or the sclera). 14. Answer: C. Peripheral neuritis. Isoniazid (INH) causes peripheral neuritis characterized by numbness, tingling, and paresthesias in the extremities. 15. Answer: D. Difficulty distinguishing the color yellow from orange. Ethambutol (Myambutol) causes optic neuritis characterized by decreased visual acuity and the ability to distinguish between the color red from green. 16. Answer: C. Triglyceride level. Triglyceride level is not monitored during the treatment. 17. Answer: C. It enhances the effect of allopurinol. Patients taking pyrazinamide decreases the effects of allopurinol, colchicine, probenecid, and sulfinpyrazone. 18. Answer: B. Cranial nerve VIII. Nervous system side effects of streptomycin include eighth cranial nerve toxicity, which typically affects the vestibular system (Clumsiness, dizziness, unsteadiness), but may also affect the auditory component (Ringing in the ear, loss of hearing). 19. Answer: A. Ethionamide (Trecator). Ethionamide (Trecator) is an antibiotic used in the treatment of tuberculosis. 20. Answer: A. Tingling and numbness of the fingers. Tingling and numbness of the fingers is more associated with the use of isoniazid (INH). Practice Mode
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NCLEX Practice Exam for Pharmacology: Respiratory Medications
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