ANGELES UNIVERSITY FOUNDATION 9.

A client with seasonal rhinitis is asking the nurse

College of Nursing
NCM 0106 Pharmacology
Quiz: Respiratory System Drugs
MULTIPLE CHOICE. Choose the BEST answer.
when is the BEST time to take his Loratadine, an
antihistamines. The nurse correctly states:
A. Take the drug before bedtime.
B. Take the drug before meals.
C. Double the dose when allergic symptoms worsens.
D. Take the drug before his day begins.

1. Inflammation of the upper respiratory tract does 10. A client is prescribed with an antitussive due to his
NOT usually cause: persistent cough. Before giving the drug, which
A. runny nose important question should the nurse ask?
B. laryngitis A. Are you taking vitamin supplements?
C. sneezing B. Are you using MAO inhibitors?
D. hypoxia C. Are you taking Anti-Diabetic medications?
D. Are you driving your vehicle alone?
2. A patient with sinus pressure and pain related to
seasonal rhinitis would benefit from taking: 11. Treatment goals for obstructive pulmonary
A. Antitussive disorders include:
B. Expectorant A. opening the airways by bronchodilation or reduce
C. Mucolytic the effects of inflammation in the lining of the airways.
D. Decongestant B. blocking the autonomic reflexes that alter
respirations.
3. Antitussives are BEST used for the ff. clients: C. block the effects of the immune system
A. Postoperative patients D. altering the respiratory membrane to increase
B. Asthma patients oxygen flow.
C. Patients with dry, irritating cough
D. COPD patients who get tired easily 12. A client has been placed on Theophylline for 2 years
and has recently started smoking. The theophylline
4. A client with seasonal rhinitis experiences irritation levels is expected to:
and inflammation of the nasal passages. Treatment may A. rise
include: B. stay the same
A. Systemic corticosteroids C. fall
B. Mucolytic agents D. reach toxic levels
C. An expectorant
D. Corticosteroid nasal spray 13. A hypertensive client with known heart disease is
complaining of frequent asthma attacks and DOB. This
5. A client taking an OTC cold medications and an OTC client is BEST treated with:
allergy medication is found to be taking both A. Inhaled sympathomimetic
phenylpropanolamine and phenylephrine. As a result, B. Xanthines
the client may experience: C. Antitussive
A. ear pain D. Anticholinergics
B. restlessness
C. sinus pressure 14. Leukotriene modifiers are BEST given to clients with
D. irritating cough which condition?
A. Seasonal rhinitis
6. Antihistamines should be used cautiously for clients B. Pneumonia
with which condition? C. Emphysema
A. A client with history of sinus bradycardia D. Asthma
B. A client with liver cirrhosis
C. A client with pedal edema 15. Inhaled corticosteroids are BEST NOT to be given to:
D. An obese client A. School aged children
B. People with controlled DM
7. Additional nursing interventions for clients taking C. Clients with dry mouth
antihistamines would NOT include: D. Malnourished clients
A. Use of a humidifier.
B. Sucking sugarless candy to help dry mouth. 16. A client is taking a decongestant to help reduce
C. Limiting fluid intake to decrease swelling. symptoms of a cold. Which of the ff. client symptoms
D. Provision of safety measures and fall precaution. indicate an adverse effect of the drug?
A. increased cough
8. Mucolytics such as Dornase Alfa, is reserved for use B. dry mouth
in: C. slow heart rate
A. clearing secretions before diagnostic tests D. heart palpitations
B. facilitating removal of secretions post-op
C. protects the liver from acetaminophen toxicity
D. relieving the build-up of secretions in COPD’s.
17. When assessing a client about to take a
decongestant, the nurse recognizes which potential
contraindication to the drug would be which condition?
A. Glaucoma
B. Fever
C. Peptic Ulcer Disease
D. Allergic rhinitis
18. Decongestants have an alpha adrenergic stimulating
effects which may result to:
A. Fever
B. Bradycardia
C. Hypertension
D. CNS depression
19. The nurse knows that an antitussive cough
medication would be the best choice for which patient?
A. A patient with productive cough.
B. A patient with chronic paranasal sinusitis.
C. A patient who had recent abdominal surgery.
D. A patient who had influenza.
20. A patient who is taking a xanthine derivative for
chronic bronchitis asks the nurse, “I miss my morning
coffee. I cannot wait to go home and have some.” What
is the nurse’s best response?
A. “I know how you feel. I miss my coffee too.”
B. “I can get some coffee for you. I’ll be right back.”
C. “It is important not to take coffee at this time as it
can increase your heart rate.”
D. “I can call the doctor to ask whether you can have
some coffee.”
21. After a pt. takes a dose of Fluticasone (Flovent) via
inhalation, what is the most important action the pt.
needs to do next?
A. Hold the breath for 60 seconds.
B. Rinse out the mouth with water.
C. Follow Flovent with a bronchodilator inhaler.
D. Repeat the dose in 15 minutes if there is shortness of
breath.
22. A pt. has been receiving an Aminophylline infusion
for 24 hours. The nurse assesses which adverse effect in
the pt?
A. CNS depression
B. Sinus tachycardia
C. Increased appetite
D. Temporary urinary retention
23. A client taking Theophylline for 1 week has been
complaining of palpitations lately. Which question
should the nurse ask as part of her assessment in the
client?
A. Are you taking multivitamins lately?
B. Have you had the Flu vaccine recently?
C. Are you taking acetaminophen?
D. Are you a cigarette smoker?
24. Guiafenesin is classified as a/an:
A. Antitussive
B. Antihistamine
C. Expectorant
D. Iodine compound
25. A client taking an expectorant is asking the nurse
proper instructions on how to take it. The nurse’s best
response is:
A. Drink a glass of wine to calm the cough center.
B. Lessen your fluid intake when taking this drug.
C. Avoid coughing throughout the day.
D. Increase your water intake up to 2L per day.
26. Xanthine derivatives esp. Theophylline are effective
bronchodilators because of which action?
A. Promotes skeletal muscle relaxation
B. Increases intracellular cAMP
C. Stimulates the alveoli
D. Removes secretions associated with COPD and
Asthma
27. Albuterol belongs to which drug classification?
A. Sympathomimetic bronchodilator
B. Sympatholytic mucolytic
C. Xanthine derivative
D. Corticosteroid bronchodilator
28. The nurse understands that Ipratropium bromide is
an effective bronchodilator because:
A. Enhances the action of acetylcholine
B. Stimulates the beta adrenergic cells in the bronchi
C. Antagonizes the action of acetylcholine
D. Blocks the histamine receptors in the bronchi
29. Montelukast is classified as:
A. AMP receptor agonist
B. Sympathomimetic
C. Leukotriene receptor antagonist
D. Parasympathetic antagonist
30. Clients receiving IV aminophylline should be
monitored for:
A. constipation
B. diarrhea
C. tachycardia
D. sedation