Pharmacology Test 6 1
You have one hour to complete the test. When you are done, you may leave the room; if you leave the room, please stay in
the hall until everyone is done.
1. Antihistamines block the actions of histamine at the:
a. B1 receptor site.
b. B2 receptor site.
c. H1 receptor site.
d. H2 receptor site.
2. Oral decongestants differ from intranasal decongestants in that oral decongestants:
a. Have high efficacy.
b. Have more systemic effects.
c. Can cause rebound congestion.
d. Are more effective at relieving severe congestion.
3. Centrally acting antitussives, such as opioids, are used to:
a. Break down mucus.
b. Relieve severe cough.
c. Relieve mild cough.
d. Decrease nasal congestion.
4. An important aspect of client teaching regarding use of intranasal glucocorticoids is:
a. Do not shake the inhaler prior to spraying.
b. Take oral medications prior to using an intranasal glucocorticoid inhaler.
c. Use the intranasal glucocorticoid prior to using the decongestant spray.
d. Avoid swallowing medication.
5. The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty
a. Diaphragmatic breathing
b. Use of accessory muscles
c. Pursed-lip breathing
d. Controlled breathing
6. The client receives beclomethasone (Beconase) intranasally as treatment for allergic rhinitis. He asks the nurse if this drug is safe
because it is a glucocorticoid. What is the best response by the nurse?
a. “Intranasal glucocorticoids produce almost no serious adverse effects.”
b. “Intranasal glucocorticoids are safe if they are not used too long.”
c. “Intranasal glucocorticoids are safe if you do not swallow too much while using them.”
d. “Intranasal glucocorticoids are safe only if used once a day.”
7. The mother asks the nurse when she should give her child cough medicine. What is the best response by the nurse?
a. “When he has bronchitis.”
b. “When he has a dry cough and cannot rest.”
c. “When he is coughing up green secretions.”
d. “When he has a temperature over 102°F.”
8. The physician orders ipratropium bromide (Atrovent) for the client. The nurse would hold the drug and contact the physician with
which assessment finding?
a. The client has hypertension.
b. The client is pregnant.
c. The client has diabetes mellitus.
d. The client has glaucoma.
Pharmacology Test 6 2
9. The client asks the nurse about the advantages of mast cell stabilizers over antihistamines in the treatment of allergies. What is
the best response by the nurse?
a. “They relieve the clinical symptoms more effectively.”
b. “They act on a cellular level to produce a better response.”
c. “They can be used to prevent a clinical response.”
d. “They are newer and more effective drugs.”
10. A client with asthma has been placed on salmeterol (Serevent) dry powder inhaler. The nurse will teach the client to report:
a. A bitter taste in the mouth.
c. Dry mouth.
11. The nurse would observe for fungal infection of the throat for which class of medications?
a. Mast cell inhibitors
b. Beta-adrenergic agonists
12. Which of the following is an adverse effect of a beta-adrenergic agonist?
c. Runny nose
13. The physician has ordered salmeterol (Serevent) for the client with asthma. The client asks the nurse how to use the medication.
What is the best response by the nurse?
a. “Use it frequently because its action is very short.”
b. “Use it when you have an acute asthma attack.”
c. “Take it 5 to 10 minutes before you exercise.”
d. “Take it 30 to 60 minutes before you exercise.”
14. The physician has prescribed cromolyn (Intal) for the client with asthma. The nurse plans to do medication education. What will the
best plan of the nurse include?
a. This medication can affect blood glucose levels.
b. This medication is indicated for acute asthma attacks.
c. This medication will help prevent asthma attacks.
d. This medication can result in hypertension.
15. The client receives ipratropium (Atrovent) via inhalation for the treatment of chronic asthma. The nurse plans to do medication
education with the client. What will the best plan of the nurse include? Select all that apply.
a. The medication may also be used for acute asthma attacks.
b. Report any changes in urinary pattern.
c. Wait 15 minutes before using any other inhaled medications.
d. Report a change in the color or amount of sputum.
e. Use the medication consistently, not occasionally.
16. The client receives beclomethasone (Beconase). What will the best assessment of the nurse include? Select all that apply.
a. Assess if the client alternates nares with administration of nasal spray.
b. Assess the client’s blood glucose prior to administration of nasal spray.
c. Assess the client’s mouth for any sign of fungal infection.
d. Assess the client for any hoarseness or change in voice.
e. Assess if the client has blown his nose prior to administration of nasal spray.
Pharmacology Test 6 3
17. The nurse plans to teach an adolescent about inhalation therapy as part of the treatment plan for the client’s asthma. What does
the best plan of the nurse include?
a. Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications.
b. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.
c. Inhalation therapy is effective because it provides systemic relief of symptoms as well as local relief.
d. Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage.
18. The client asks the nurse why she must continue taking her asthma medication 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 for at least a year; then, if you have not had an acute attack, you can stop it.”
b. “The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an acute attack.”
c. “The medication needs to be taken indefinitely according to your doctor, so you should discuss this with him.”
d. “The medication is still needed to decrease inflammation in your airways and help prevent an attack.”
19. The nurse teaches a medication class on bronchodilators for clients with asthma. The nurse evaluates that learning has occurred
when the clients make which statement?
a. “The medication widens our airways because it stimulates the fight-or-flight response of our nervous system.”
b. “The medication widens our airways because it acts on the parasympathetic nervous system.”
c. “The medication widens our airways because it decreases the production of mucous that narrows our airways.”
d. “The medication widens our airways because it decreases the production of histamine that narrows our airways.”
20. The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can’t just take a pill. What is the best response by
a. “Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it.”
b. “Because pills cannot help your illness; you must have inhaled medications for relief of symptoms.”
c. “Because the surface of your lungs, and their blood supply, results in a rapid onset of action of the drug when inhaled.”
d. “Because pills would produce too many side effects; you will have very few side effects with inhaled medications.”
21. Leukotriene modifiers are primarily used for:
a. Prophylaxis of asthma symptoms.
c. Bronchodilation in asthma.
d. Status asthmaticus.
22. This type of pneumonia refers to the condition occurring from abnormal entry of secretions or substances from the mouth or
stomach into the trachea and subsequently the lungs.
23. Pharmacotherapy for asthma is aimed at treating which of the following? Select all that apply.
e. Diaphragmatic breathing
Pharmacology Test 6 4
24. The nurse is teaching students about intermediate duration inhaler for her severe persistent asthma. Which of the following are
considered intermediate duration agents? Select all that apply.
25. The client is ordered an inhaled bronchodilator and an inhaled steroid. The nurse gives instructions on how to take these
a. The bronchodilator is taken at least an hour before the steroid.
b. The steroid is taken at least 10 minutes before the bronchodilator.
c. The steroid is taken in the morning and the bronchodilator is taken at night.
d. The bronchodilator is taken at least 10 minutes before the steroid.
26. Factors causing bronchial hyperresponsiveness in bronchial asthma are: select all that apply
a. Allergens, e.g. pollen, house-dust, mite
b. Drugs, e.g. NSAIDs, aspirin
c. Viral infections, e.g. common cold
d. Stress, e.g. emotional upset
e. Sitting up straight, e.g. sudden change in position
27. The classic symptoms of asthma are: select all that apply.
a. Chest tightness
d. Acid reflux
28. A client presents with respiratory distress. Which finding by the nurse is most compatible with a worsening clinical state?
a. Increased respiratory rate
29. For the hospitalized client, which factor would the nurse asses to be symptom of pulmonary embolism?
a. Slow increase in heart rate and respiratory rate
b. Cyanosis of the upper torso
c. Abrupt onset of dyspnea and apprehension
d. Significant bilateral wheezing
Pharmacology Test 6 5
30. The nurse wears gloves when assessing a child with respiratory syncytial virus (RSV). After removing the gloves, what should the
nurse do next?
a. Discard the gloves in the laundry basket.
b. Inspect the gloves for holes or fraying.
c. Remind the parents to wear gloves.
d. Wash hands
31. The nurse teaches a mother how to attach a spacer to the metered-dose inhaler for a young child, explaining that a spacer:
a. Makes the device look less intimidating to a small child.
b. Makes it unnecessary to shake the inhaler before administering the drug.
c. Decreases the chances for undesired side effects of medication.
d. Reduces the risk for oral yeast by depositign medication more deeply in the airways.
32. The nurse teaching health maintenance strategies for the client with COPD (chronic obstructive pulmonary disease) should include
which of the following items?
a. Yearly influenza immunizations
b. Annual tuberculin skin test
c. Limitation of physical activity
d. Fluid restriction
33. The nurse understands that in the absence of pathology, a client’s respiratory center is stimulated by:
b. Lactic acid
c. Calcium ions
d. Carbon dioxide
34. The position in which a client with dyspnea should be placed is:
35. A client is admitted with suspected atelectasis. When assessing this individual, the nurse would expect:
a. Slow, deep respirations
b. Diminished breath sounds
c. A dry, nonproductive cough
d. A normal oral temperature
Pharmacology Test 6 6
For the math questions, write the answers on the back of the scan-tron.
36. The order for Amoxicillin is 20 mg/kg. The child weighs 24 lb. How many milliliters will you administer to the child if the label reads
200 mg in 5 mL?
37. A child has been admitted to the hospital with a fever of unknown origin (FUO). The body temperature is 104 ° F. The pediatrician
orders cefaclor 20 mg/kg daily every 8 hours PO (by mouth). The child weighs 32 pounds. The label reads 187 mg/5mL. How
many mL in this dose?
38. A child weighs 18 kg; the order for ibuprofin (Motrin) is 8.1 mg/kg PO. The vial is labeled 100 mg /5 mL. How many milliliters will
39. Cromolyn (Opticrom) nasal solution has been prescribed for its anti-asthmatic action. The solution is labeled 5.2 mg/metered
spray. If the patient administers 3 metered sprays via an inhaler, how many milligrams are inhaled?
40. Aminophylline (Phyllocontin) is frequently ordered for patients with chronic obstructive disease — specifically, bronchial asthma.
The usual dosage is 600 milligrams PO four times daily. Your client’s order is 0.6 gram PO four times daily. Is this an appropriate
dosage for this patient?