NUR 2474 PHARMACOLOGY FINAL EXAM 2026
LATEST UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
A patient who has been taking a glucocorticoid for several months arrives in the clinic. The
nurse notes that the patient's cheeks appear full and that a prominent hump of fat is present on
the upper back. The nurse will ask the provider to order which test(s)?
a.Liver function tests
b.Serum electrolytes
c.Tuberculin skin test
d.Vitamin D levels - ANS-b.Serum electrolytes
A nurse is teaching a patient who has taken glucocorticoids for over a year about glucocorticoid
withdrawal. Which statement by the patient indicates a need for further teaching?
a."I should reduce the dose by half each day until I stop taking the drug."
b."I will need to have cortisol levels monitored during the withdrawal process."
c."The withdrawal schedule may take several months."
d."If I have surgery, I may need to take the drug for a while, even after I have stopped." - ANS-
a."I should reduce the dose by half each day until I stop taking the drug."
Which disorders may be treated with glucocorticoids? (Select all that apply.)
a.Allergic rhinitis
b.Anaphylaxis
,c.Bronchiolitis
d.Gout
e.Ulcerative colitis - ANS-a.Allergic rhinitis
d.Gout
e.Ulcerative colitis
A patient with chronic gout has an acute gouty episode and is admitted to the hospital. The
patient has been taking nonsteroidal anti-inflammatory drugs for several months. The
prescriber plans to begin therapy with probenecid. What will the nurse do?
a.Give the medication as ordered and observe the patient closely for gastrointestinal side
effects.
b.Request an order to lower the dose of the nonsteroidal anti-inflammatory drug.
c.Restrict the patient's fluid intake to minimize the risk of renal injury.
d.Suggest delaying the probenecid therapy until the acute episode has subsided. - ANS-
d.Suggest delaying the probenecid therapy until the acute episode has subsided.
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled
medication. The provider has ordered 2 puffs to be given twice daily. It is important for the
nurse to teach this patient that:
a.a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant.
b.the patient should activate the device and then inhale.
c.the patient should store the MDI in the refrigerator between doses.
d.the patient should wait 1 minute between puffs. - ANS-d.the patient should wait 1 minute
between puffs.
,A patient newly diagnosed with asthma receives prescriptions for an inhaled glucocorticoid and
an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of
this medication regimen?
a."I should use the glucocorticoid as needed when symptoms flare."
b."I will need to use the beta2-adrenergic agonist drug daily."
c."The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators."
d."The glucocorticoid is used as prophylaxis to prevent exacerbations." - ANS-d."The
glucocorticoid is used as prophylaxis to prevent exacerbations."
A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report
hoarseness. What will the nurse do?
a.Ask whether the patient is gargling after each dose of the glucocorticoid.
b.Request an order for an antifungal medication.
c.Suggest that the patient be tested for a bronchial infection.
d.Tell the patient to discontinue use of the glucocorticoid. - ANS-a.Ask whether the patient is
gargling after each dose of the glucocorticoid.
A patient with asthma is admitted to an emergency department with a respiratory rate of 22
breaths per minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of
90% on room air. The patient reports using fluticasone (Flovent HFA) 110 mcg twice daily and
has used 2 puffs of albuterol (Proventil HFA), 90 mcg/puff, every 4 hours for 2 days. The nurse
will expect to administer which drug?
a.Four puffs of albuterol, oxygen, and intravenous theophylline
b.Intramuscular glucocorticoids and salmeterol by metered-dose inhaler
c.Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen
, d.Intravenous theophylline, oxygen, and fluticasone (Flovent HFA) 220 mcg - ANS-c.Intravenous
glucocorticoids, nebulized albuterol and ipratropium, and oxygen
A parent asks a nurse about growth suppression resulting from the use of an inhaled
glucocorticoid in children. What will the nurse tell the parent?
a.Growth may be slowed, but eventual adult height will not be reduced.
b.The growth rate is not impaired, but overall height will be reduced.
c.The growth rate slows while the drug is used but resumes when the drug is stopped.
d.Long-term use of the drug results in a decrease in adult height. - ANS-a.Growth may be
slowed, but eventual adult height will not be reduced.
A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as
needed. The provider has added montelukast (Singulair) to the child's regimen. Which
statement by the child's parent indicates understanding of this medication?
a."I may notice mood changes in my child."
b."I should give this medication twice daily."
c."I will give my child one 4-mg chewable tablet daily."
d."This drug can alleviate symptoms during an acute attack." - ANS-a."I may notice mood
changes in my child."
A nurse is teaching a group of nursing students about the different formulations of beta2-
adrenergic agonist medications. Which statement by a student indicates understanding of the
teaching?
a."Beta2-adrenergic agonists provide quick relief via any formulation."
b."Long-acting beta2 agonists may be used alone to prevent attacks."
LATEST UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
A patient who has been taking a glucocorticoid for several months arrives in the clinic. The
nurse notes that the patient's cheeks appear full and that a prominent hump of fat is present on
the upper back. The nurse will ask the provider to order which test(s)?
a.Liver function tests
b.Serum electrolytes
c.Tuberculin skin test
d.Vitamin D levels - ANS-b.Serum electrolytes
A nurse is teaching a patient who has taken glucocorticoids for over a year about glucocorticoid
withdrawal. Which statement by the patient indicates a need for further teaching?
a."I should reduce the dose by half each day until I stop taking the drug."
b."I will need to have cortisol levels monitored during the withdrawal process."
c."The withdrawal schedule may take several months."
d."If I have surgery, I may need to take the drug for a while, even after I have stopped." - ANS-
a."I should reduce the dose by half each day until I stop taking the drug."
Which disorders may be treated with glucocorticoids? (Select all that apply.)
a.Allergic rhinitis
b.Anaphylaxis
,c.Bronchiolitis
d.Gout
e.Ulcerative colitis - ANS-a.Allergic rhinitis
d.Gout
e.Ulcerative colitis
A patient with chronic gout has an acute gouty episode and is admitted to the hospital. The
patient has been taking nonsteroidal anti-inflammatory drugs for several months. The
prescriber plans to begin therapy with probenecid. What will the nurse do?
a.Give the medication as ordered and observe the patient closely for gastrointestinal side
effects.
b.Request an order to lower the dose of the nonsteroidal anti-inflammatory drug.
c.Restrict the patient's fluid intake to minimize the risk of renal injury.
d.Suggest delaying the probenecid therapy until the acute episode has subsided. - ANS-
d.Suggest delaying the probenecid therapy until the acute episode has subsided.
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled
medication. The provider has ordered 2 puffs to be given twice daily. It is important for the
nurse to teach this patient that:
a.a chlorofluorocarbon (CFC) propellant is superior to a hydrofluoroalkane (HFA) propellant.
b.the patient should activate the device and then inhale.
c.the patient should store the MDI in the refrigerator between doses.
d.the patient should wait 1 minute between puffs. - ANS-d.the patient should wait 1 minute
between puffs.
,A patient newly diagnosed with asthma receives prescriptions for an inhaled glucocorticoid and
an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of
this medication regimen?
a."I should use the glucocorticoid as needed when symptoms flare."
b."I will need to use the beta2-adrenergic agonist drug daily."
c."The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators."
d."The glucocorticoid is used as prophylaxis to prevent exacerbations." - ANS-d."The
glucocorticoid is used as prophylaxis to prevent exacerbations."
A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report
hoarseness. What will the nurse do?
a.Ask whether the patient is gargling after each dose of the glucocorticoid.
b.Request an order for an antifungal medication.
c.Suggest that the patient be tested for a bronchial infection.
d.Tell the patient to discontinue use of the glucocorticoid. - ANS-a.Ask whether the patient is
gargling after each dose of the glucocorticoid.
A patient with asthma is admitted to an emergency department with a respiratory rate of 22
breaths per minute, a prolonged expiratory phase, tight wheezes, and an oxygen saturation of
90% on room air. The patient reports using fluticasone (Flovent HFA) 110 mcg twice daily and
has used 2 puffs of albuterol (Proventil HFA), 90 mcg/puff, every 4 hours for 2 days. The nurse
will expect to administer which drug?
a.Four puffs of albuterol, oxygen, and intravenous theophylline
b.Intramuscular glucocorticoids and salmeterol by metered-dose inhaler
c.Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen
, d.Intravenous theophylline, oxygen, and fluticasone (Flovent HFA) 220 mcg - ANS-c.Intravenous
glucocorticoids, nebulized albuterol and ipratropium, and oxygen
A parent asks a nurse about growth suppression resulting from the use of an inhaled
glucocorticoid in children. What will the nurse tell the parent?
a.Growth may be slowed, but eventual adult height will not be reduced.
b.The growth rate is not impaired, but overall height will be reduced.
c.The growth rate slows while the drug is used but resumes when the drug is stopped.
d.Long-term use of the drug results in a decrease in adult height. - ANS-a.Growth may be
slowed, but eventual adult height will not be reduced.
A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as
needed. The provider has added montelukast (Singulair) to the child's regimen. Which
statement by the child's parent indicates understanding of this medication?
a."I may notice mood changes in my child."
b."I should give this medication twice daily."
c."I will give my child one 4-mg chewable tablet daily."
d."This drug can alleviate symptoms during an acute attack." - ANS-a."I may notice mood
changes in my child."
A nurse is teaching a group of nursing students about the different formulations of beta2-
adrenergic agonist medications. Which statement by a student indicates understanding of the
teaching?
a."Beta2-adrenergic agonists provide quick relief via any formulation."
b."Long-acting beta2 agonists may be used alone to prevent attacks."
