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PHARMACOLOGY RESPIRATORY NCLEX EXAM 2024
NEWEST/ COMPLETE 100 REAL EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) AGRADE ASSURED!!
A client is diagnosed with a pulmonary disorder that causes COPD. Lungs tissue changes are normally reversible with this condition. The nurse understands that which is the client's most likely diagnosis?
- Asthma
- Emphysema
- Bronchiectasis
- Chronic bronchitis - Correct Answer - a. Asthma
A client with COPD has an acute bronchospasm. The nurse knows that which is the best medication for this emergency situation?
- zafirlukast (Accolate)
- epinephrine (Adrenalin)
- dexamethasone (Decadron)
- oxtriphylline-theophylline (Coldly) - Correct Answer - b. epinephrine (Adrenalin)
A client is taking aminophylline-theophylline ethylenediamine (Podophyllin). For what should the nurse monitor the client?
- Drowsiness
- Hypoglycemia
- Increased heart rate
- Decreased white blood cell count - Correct Answer - c. Increased heart rate 1 / 3
pg. 2 A client is prescribed theophylline to relax the smooth muscles of the bronchi. The nurse monitors the client's theophylline serum levels to maintain which therapeutic range?
- 1 to 10 mcg/mL
- 10 to 20 mcg/mL
- 20 to 30 mcg/mL
- 30 to 40 mcg/mL - Correct Answer - b. 10 to 20 mcg/mL
A client with COPD is taking a leukotriene antagonist, montelukast (Singular). The nurse is aware that this medication is given for which purpose?
- Maintenance treatment of asthma
- Treatment of an acute asthma attack
- Reversing bronchospasm associated with COPD
- Treatment of inflammation in chronic bronchitis - Correct Answer - a. Maintenance
treatment of asthma
The nurse is caring for a client with a theophylline level of 14 mcg/milk What is the priority nursing intervention?
- Increase the IV drip rate.
- Monitor the client for toxicity.
- Continue to assess the client's oxygenation.
- Stop the IV for an hour then restart at lower rate. - Correct Answer - c. Continue to
assess the client's oxygenation.
Discharge teaching to a client receiving a beta-agonist bronchodilator should emphasize reporting which side effect?
- Hypoglycemia
- Nonproductive cough
- Sedation
- Tachycardia - Correct Answer - d. Tachycardia 2 / 3
pg. 3 The nurse instructs the client to avoid which over-the-counter products when taking theophylline (Theo-Dur)?
- acetaminophen (Tylenol)
- echinacea
- diphenhydramine (Benadryl)
- St. John's wort - Correct Answer - d. St. John's wort
A nurse reviews a client's medication history and notes that the client is taking a nonselective adrenergic agonist bronchodilator and has a history of coronary artery disease. What is a priority nursing intervention?
- Monitor client for potential chest pain.
- Monitor blood pressure continuously.
- Assess daily for hyperkalemia.
- Assess 12-lead ECG each shift. - Correct Answer - a. Monitor client for potential
chest pain.
The nurse is instructing a client about the advantages of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil). How will the nurse explain to the client the difference in these two medications?
- Salmeterol has a shorter onset of action.
- Salmeterol does not have any side effects.
- Albuterol has a longer onset of action.
- Salmeterol has a longer duration of action. - Correct Answer - d. Salmeterol has a
longer duration of action.
The client is being prepared for an eye examination. When the nurse takes the health history, the client says that she is sensitive to atropine sulfate. What drug might be used instead for the examination?
- Diclofenac
- Cuprofen
- Cyclopentolate
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