NURS 611 EXAM 4 PATHO 2024 LATEST TEST BANK

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NURS 611 EXAM 4 PATHO 2024 LATEST TEST BANK

COMPLETE 150 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS/ GRADED A+

• Pregnant patients with asthma may safely use ________ throughout their pregnancy.
• Oral terbutaline
• Prednisone
• Inhaled corticosteroids (budesonide)
• Montelukast (Singulair)

• The first-line drug choice for a previously healthy adult patient diagnosed with

community-acquired pneumonia would be: -

• Ciprofloxacin
• Azithromycin
• Amoxicillin
• Doxycycline

• The first-line antibiotic choice for a patient with comorbidities or who is

immunosuppressed who has pneumonia and can be treated as an outpatient would be:

• Levofloxacin
• Amoxicillin
• Ciprofloxacin
• Cephalexin

• If an adult patient with comorbidities cannot reliably take oral antibiotics to treat

pneumonia, an appropriate initial treatment option would be:

• IV or IM gentamicin 1 / 4

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• IV or IM ceftriaxone.
• IV amoxicillin
• IV ciprofloxacin

5. Montelukast (Singulair) may be prescribed for: -

• A 6-year-old child with exercise-induced asthma
• A 2-year-old child with moderate persistent asthma
• An 18-month-old child with seasonal allergic rhinitis
• None of the above; montelukast is not approved for use in children

• The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR)

include:

• Albuterol
• MMR vaccine
• Insulin
• None of the above

• Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant

TB would include: -

• INH, rifampin, pyrazinamide, and ethambutol for at least 12 months
• INH, ethambutol, kanamycin, and rifampin
• Treatment with at least two drugs to which the TB is susceptible
• Levofloxacin

• Lila is 24 weeks pregnant and has been diagnosed with tuberculosis (TB). Treatment

regimens for a pregnant patient with TB would include:

• Streptomycin
• Levofloxacin
• Kanamycin 2 / 4

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• Pyridoxine

9. Patients with allergic rhinitis may benefit from a prescription of: -

• Fluticasone (Flonase)
• Cetirizine (Zyrtec)
• OTC cromolyn nasal spray (Nasalcrom)
• Any of the above

• Howard is a 72-year-old male who occasionally takes diphenhydramine for his

seasonal allergies. Monitoring for this patient taking diphenhydramine would include

assessing for: -

• Urinary retention
• Cardiac output
• Peripheral edema
• Skin rash

• First-generation antihistamines such as loratadine (Claritin) are prescribed for

seasonal allergies because they are: -

• More effective than first-generation antihistamines
• Less sedating than the first-generation antihistamines
• Prescription products, therefore are covered by insurance
• Able to be taken with central nervous system (CNS) sedatives, such as alcohol

• When recommending dimenhydrinate (Dramamine) to treat motion sickness,

patients should be instructed to:

• Take the dimenhydrinate after they get nauseated
• Drink lots of water while taking the dimenhydrinate
• Take the dimenhydrinate 15 minutes before it is needed
• Double the dose if one tablet is not effective 3 / 4

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13. Decongestants such as pseudoephedrine (Sudafed): -

• Are Schedule III drugs in all states
• Should not be prescribed or recommended for children under 4 years of age
• Are effective in treating the congestion children experience with the common cold
• May cause drowsiness in patients of all ages

• Cough and cold medications that contain a sympathomimetic decongestant such as

phenylephrine should be used cautiously in what population: - ANSWER - 4

• Older adults
• Hypertensive patients
• Infants
• All of the above

• Martin is a 60-year-old patient with hypertension. The first-line decongestant to

prescribe would be: -

• Oral pseudoephedrine
• Oral phenylephrine
• Nasal oxymetazoline
• Nasal azelastine

• The first-line treatment for cough related to an upper respiratory tract infection (URI)

in a 5-year-old child is: -

• Fluids and symptomatic care
• Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
• Guaifenesin and codeine syrup (Tussin AC)
• Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)

• Prior to developing a plan for the treatment of asthma, the patient's asthma should

be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

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