Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching to a school-age child who has asthma.
Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?.
A. Montelukast
A rationale: Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.
B. Fluticasone.
B rationale: Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.
C. Cromolyn.
C rationale: Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.
D. Albuterol.
D rationale: Albuterol is a short-acting beta-adrenergic agonist (SABA) used for the relief of acute asthma symptoms or attacks.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Cohert 6 Pharmacology Quiz 2 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.
Choice B rationale:
Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.
Choice C rationale:
Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.
Choice D rationale:
Albuterol is a short-acting beta-adrenergic agonist (SABA) used for the relief of acute asthma symptoms or attacks.
Similar Questions
A nurse is caring for a client who is receiving furosemide to treat heart failure.
Which of the following laboratory values should the nurse monitor for this client?.
A. Serum cholesterol.
A rationale: Serum cholesterol is not directly affected by furosemide, a loop diuretic.
B. Serum amylase.
B rationale: Serum amylase is not directly affected by furosemide.
C. Serum potassium.
C rationale: Furosemide can cause hypokalemia (low potassium levels), so it’s important to monitor serum potassium levels in clients taking this medication. Normal serum potassium levels are 3.5-5.0 mEq/L.
D. Serum triglyceride.
D rationale: Serum triglyceride is not directly affected by furosemide.
Full Explanation
Choice A rationale:
Serum cholesterol is not directly affected by furosemide, a loop diuretic.
Choice B rationale:
Serum amylase is not directly affected by furosemide.
Choice C rationale:
Furosemide can cause hypokalemia (low potassium levels), so it’s important to monitor serum potassium levels in clients taking this medication. Normal serum potassium levels are 3.5-5.0 mEq/L.
Choice D rationale:
Serum triglyceride is not directly affected by furosemide.
A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?.
A. Inform the provider of the client's potassium level.
A rationale: The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
B. Hold the medication until the client has his evening meal.
B rationale: Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
C. Give the medication as prescribed.
C rationale: Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
D. Obtain a prescription to increase the dosage of the medication.
D rationale: Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
Full Explanation
Choice A rationale:
The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
Choice B rationale:
Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
Choice C rationale:
Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
Choice D rationale:
Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
A nurse is preparing to administer eardrops to a 2-year-old child.
The nurse should pull the auricle in which of the following directions when instilling the medication?.
A. Upward and outward.
A rationale: Pulling the auricle upward and outward is the correct method for adults and children over 3 years old.
B. Down and outward.
B rationale: Pulling the auricle down and outward is not the correct method for any age group.
C. Down and backward.
C rationale: Pulling the auricle down and backward is the correct method for children under 3 years old.
D. Upward and backward.
D rationale: Pulling the auricle upward and backward is not the correct method for children under 3 years old.
Full Explanation
Choice A rationale:
Pulling the auricle upward and outward is the correct method for adults and children over 3 years old.
Choice B rationale:
Pulling the auricle down and outward is not the correct method for any age group.
Choice C rationale:
Pulling the auricle down and backward is the correct method for children under 3 years old.
Choice D rationale:
Pulling the auricle upward and backward is not the correct method for children under 3 years old.