NUR 2407 PHARMACOLOGY QUIZ 4
(COMPREHENSIVE ADVANCED LEVEL)
QUESTIONS AND ANSWERS
1. A patient is prescribed Albuterol for rescue treatment of asthma. Which physiological
response should the nurse monitor for as a common adverse effect?
A. Tachycardia and tremors
B. Hypoglycemia
C. Excessive bradycardia
D. Severe miosis
Answer: A
Conceptual Explanation: Albuterol is a Beta-2 agonist; stimulation of these receptors can
spill over to Beta-1 receptors in the heart, causing tachycardia and skeletal muscle tremors.
2. The nurse is reviewing laboratory results for a patient taking Theophylline. Which level
indicates a high risk for toxic manifestations such as seizures?
A. 5 mcg/mL
B. 25 mcg/mL
,C. 18 mcg/mL
D. 12 mcg/mL
Answer: B
Conceptual Explanation: The therapeutic range for theophylline is 10 to 20 mcg/mL.
Levels above 20 mcg/mL are toxic and can cause life-threatening dysrhythmias and
seizures.
3. A patient using a Beclomethasone inhaler for chronic asthma is instructed to rinse their
mouth after each use. What is the primary purpose of this intervention?
A. To prevent mucosal drying and coughing
B. To reduce the risk of systemic hypertension
C. To improve the taste of the medication
D. To prevent the development of oral candidiasis
Answer: D
Conceptual Explanation: Inhaled corticosteroids like beclomethasone suppress local
immune response in the mouth, leading to overgrowth of Candida albicans (thrush) if not
rinsed.
4. Which instruction should the nurse include for a patient newly prescribed Montelukast?
A. Take the medication at the first sign of an acute asthma attack.
B. Administer the medication once daily in the evening.
, C. Restrict fluid intake while taking this medication.
D. Stop the medication immediately if you develop a cough.
Answer: B
Conceptual Explanation: Montelukast is a leukotriene receptor antagonist used for
prophylaxis, not acute attacks. It is typically given in the evening to achieve peak levels
during sleep when symptoms often worsen.
5. A nurse is preparing to administer Ipratropium. The nurse should verify that the patient
does not have a history of which allergy?
A. Penicillin
B. Shellfish
C. Latex
D. Peanuts or soy
Answer: D
Conceptual Explanation: While newer formulations vary, Ipratropium MDI historically
contained soy lecithin as a propellant, making it contraindicated in patients with peanut or
soy allergies.
6. A patient with Type 1 Diabetes is administered Lispro insulin at 08:00 AM. At what time is
the patient at the highest risk for hypoglycemia?
A. 08:15 AM
(COMPREHENSIVE ADVANCED LEVEL)
QUESTIONS AND ANSWERS
1. A patient is prescribed Albuterol for rescue treatment of asthma. Which physiological
response should the nurse monitor for as a common adverse effect?
A. Tachycardia and tremors
B. Hypoglycemia
C. Excessive bradycardia
D. Severe miosis
Answer: A
Conceptual Explanation: Albuterol is a Beta-2 agonist; stimulation of these receptors can
spill over to Beta-1 receptors in the heart, causing tachycardia and skeletal muscle tremors.
2. The nurse is reviewing laboratory results for a patient taking Theophylline. Which level
indicates a high risk for toxic manifestations such as seizures?
A. 5 mcg/mL
B. 25 mcg/mL
,C. 18 mcg/mL
D. 12 mcg/mL
Answer: B
Conceptual Explanation: The therapeutic range for theophylline is 10 to 20 mcg/mL.
Levels above 20 mcg/mL are toxic and can cause life-threatening dysrhythmias and
seizures.
3. A patient using a Beclomethasone inhaler for chronic asthma is instructed to rinse their
mouth after each use. What is the primary purpose of this intervention?
A. To prevent mucosal drying and coughing
B. To reduce the risk of systemic hypertension
C. To improve the taste of the medication
D. To prevent the development of oral candidiasis
Answer: D
Conceptual Explanation: Inhaled corticosteroids like beclomethasone suppress local
immune response in the mouth, leading to overgrowth of Candida albicans (thrush) if not
rinsed.
4. Which instruction should the nurse include for a patient newly prescribed Montelukast?
A. Take the medication at the first sign of an acute asthma attack.
B. Administer the medication once daily in the evening.
, C. Restrict fluid intake while taking this medication.
D. Stop the medication immediately if you develop a cough.
Answer: B
Conceptual Explanation: Montelukast is a leukotriene receptor antagonist used for
prophylaxis, not acute attacks. It is typically given in the evening to achieve peak levels
during sleep when symptoms often worsen.
5. A nurse is preparing to administer Ipratropium. The nurse should verify that the patient
does not have a history of which allergy?
A. Penicillin
B. Shellfish
C. Latex
D. Peanuts or soy
Answer: D
Conceptual Explanation: While newer formulations vary, Ipratropium MDI historically
contained soy lecithin as a propellant, making it contraindicated in patients with peanut or
soy allergies.
6. A patient with Type 1 Diabetes is administered Lispro insulin at 08:00 AM. At what time is
the patient at the highest risk for hypoglycemia?
A. 08:15 AM
