Nurs 615 Pharm Exam 4 Newest Questions
and Answers (2026) | Comprehensive
Updated Review and Rationales | Grade A+
• What is tiotropium? -✓✓(Spiriva) Tiotropium bromide (INN) is a long-standing,
24 hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
• What is tiotropium used for maintenance treatment of? -✓✓COPD, which
includes chronic bronchitis and emphysema.
• Tiotropium -✓✓is not used in the treatment for acute exacerbations of COPD and
bronchitis
• Tiotropium -✓✓is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
• What are the adverse effects of montelukast (Singulair)? -✓✓Side effects of
Singular can include skin rash, mood changes, tremors, h/a, stomach pain,
heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever, stuffy nose,
sore throat, cough, and hoarseness. Singular may interact with phenobarbital or
rifampin.
• What patient teaching should accompany the prescription of montelukast
(Singulair)? -✓✓It will not work fast enough to treat an asthma attack that has
already begun. Use only a fast-acting inhalation medicine to treat an asthma attack.
• Singulair should not be used for exercised- induced -✓✓bronchoconstriction
, • Singulair can lead to what mood changes? -✓✓anxiety, depression, or thoughts of
suicide or of hurting yourself
• What patient teaching should be provided when prescribing inhaled
corticosteroids? -✓✓They should be taken 2x a day every day for the use of
prevention of asthma. Rinse mouth after use to prevent oral thrush.
• What ethnic background should not be prescribed long-acting beta agonists? -
✓✓African Americans, increased incidence of death in this population
• What medication would you prescribe for bronchospasm for a patient taking
propranolol? -✓✓Ipratropium
• What is the mechanism of action of albuterol? -✓✓Relaxes bronchial smooth
muscle by action on beta 2 receptors with little effect on heart rate, causing dilation
of airways.
• What is the mechanism of action of inhaled corticosteroids? -✓✓Extremely
potent vasoconstrictive and anti-inflammatory activity.
• When is it appropriate to use a short acting beta agonist? -✓✓Short acting beta 2
agonist (SABAs) are the drug of choice for acute treatment of asthma symptoms
and exacerbations.
• What is the mechanism of action of inhaled muscarinic receptor antagonist? -
✓✓Atropine (the prototype of muscarinic receptor antagonists) prevents the effects
of ACh by competitively blocking its binding to muscarinic receptors in the CNS,
and Answers (2026) | Comprehensive
Updated Review and Rationales | Grade A+
• What is tiotropium? -✓✓(Spiriva) Tiotropium bromide (INN) is a long-standing,
24 hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
• What is tiotropium used for maintenance treatment of? -✓✓COPD, which
includes chronic bronchitis and emphysema.
• Tiotropium -✓✓is not used in the treatment for acute exacerbations of COPD and
bronchitis
• Tiotropium -✓✓is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
• What are the adverse effects of montelukast (Singulair)? -✓✓Side effects of
Singular can include skin rash, mood changes, tremors, h/a, stomach pain,
heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever, stuffy nose,
sore throat, cough, and hoarseness. Singular may interact with phenobarbital or
rifampin.
• What patient teaching should accompany the prescription of montelukast
(Singulair)? -✓✓It will not work fast enough to treat an asthma attack that has
already begun. Use only a fast-acting inhalation medicine to treat an asthma attack.
• Singulair should not be used for exercised- induced -✓✓bronchoconstriction
, • Singulair can lead to what mood changes? -✓✓anxiety, depression, or thoughts of
suicide or of hurting yourself
• What patient teaching should be provided when prescribing inhaled
corticosteroids? -✓✓They should be taken 2x a day every day for the use of
prevention of asthma. Rinse mouth after use to prevent oral thrush.
• What ethnic background should not be prescribed long-acting beta agonists? -
✓✓African Americans, increased incidence of death in this population
• What medication would you prescribe for bronchospasm for a patient taking
propranolol? -✓✓Ipratropium
• What is the mechanism of action of albuterol? -✓✓Relaxes bronchial smooth
muscle by action on beta 2 receptors with little effect on heart rate, causing dilation
of airways.
• What is the mechanism of action of inhaled corticosteroids? -✓✓Extremely
potent vasoconstrictive and anti-inflammatory activity.
• When is it appropriate to use a short acting beta agonist? -✓✓Short acting beta 2
agonist (SABAs) are the drug of choice for acute treatment of asthma symptoms
and exacerbations.
• What is the mechanism of action of inhaled muscarinic receptor antagonist? -
✓✓Atropine (the prototype of muscarinic receptor antagonists) prevents the effects
of ACh by competitively blocking its binding to muscarinic receptors in the CNS,
