NSG 304 Pharmacology Midterm Exam
Questions with Verified Correct Answers
Asthma is treated according to severity. For quick relief of a single asthmatic symptom
a(n) _________ drug is recommended.
a. oral beta1 and beta2 antagonist
b. inhaled glucocorticoid
c. short-acting inhaled beta2 agonist
d. theophylline preparation
c. short-acting inhaled beta2 agonist
The advantage of using a glucocorticoid inhaler instead of an oral glucocorticoid is that
it:
a. increases the risk for adrenal suppression
b. minimizes the risk for adrenal suppression
c. increases the need for more oral glucocorticoid
d. necessitates less glucocorticoid
b. minimizes the risk for adrenal suppression
A client who uses an inhaler is taught the strategies to prevent Candida infections.
Which of the following would the nurse include in the instructions?
a. soak the spacer in alcohol between uses
b. do not use a spacer
,c. rinse the mouth with water after each use
d. use antifungal agent such as fluconazole (Diflucan) prophylactically
c. rinse the mouth with water after each use
Albuterol (Proventil), a beta2 adrenergic agonist and a sympathomimetic, is an effective
drug to control asthma. The action of a beta2 adrenergic is to:
a. decrease mucus production
b. enhance bronchodilation
c. promote bronchoconstriction
d. promote bronchospasm
c. rinse the mouth with water after each use
A patient has been admitted to the hospital with acute asthma and has had nausea and
vomiting. The drug history reveals that the patient has been taking theophylline
(Elixophyllin) for 3 weeks. Prior to the administration of theophylline, the nurse should
check the orders for
a. renal function tests
b. a plasma drug level
c. a basal metabolic panel (BMP)
d. a complete blood count (CBC)
b. a plasma drug level
A nurse counsels a patient using two different types of asthma inhalers: a short acting
beta2 agonist and a corticosteroid. When the patient questions the purpose of the
steroid inhaler, the nurse's best response would be that glucocorticoids
, a. work rapidly in acute attacks
b. are used as prophylaxis for chronic asthma
c. help prevent respiratory infections
d. are used only when exposed to environmental allergens
b. are used as prophylaxis for chronic asthma
While caring for a patient with cirrhosis or hepatitis, the nurse knows that
abnormalities in which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
c. Metabolism
A patient has an order for tetracycline antibiotic and has been instructed to avoid
taking the medication with foods, beverages, or drug that contains calcium, iron, or
magnesium. The patient takes the antibiotic along with a daily multivitamin, not
realizing that the vitamin contains iron. What effect may this have on the tetracycline?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
a. Absorption
Questions with Verified Correct Answers
Asthma is treated according to severity. For quick relief of a single asthmatic symptom
a(n) _________ drug is recommended.
a. oral beta1 and beta2 antagonist
b. inhaled glucocorticoid
c. short-acting inhaled beta2 agonist
d. theophylline preparation
c. short-acting inhaled beta2 agonist
The advantage of using a glucocorticoid inhaler instead of an oral glucocorticoid is that
it:
a. increases the risk for adrenal suppression
b. minimizes the risk for adrenal suppression
c. increases the need for more oral glucocorticoid
d. necessitates less glucocorticoid
b. minimizes the risk for adrenal suppression
A client who uses an inhaler is taught the strategies to prevent Candida infections.
Which of the following would the nurse include in the instructions?
a. soak the spacer in alcohol between uses
b. do not use a spacer
,c. rinse the mouth with water after each use
d. use antifungal agent such as fluconazole (Diflucan) prophylactically
c. rinse the mouth with water after each use
Albuterol (Proventil), a beta2 adrenergic agonist and a sympathomimetic, is an effective
drug to control asthma. The action of a beta2 adrenergic is to:
a. decrease mucus production
b. enhance bronchodilation
c. promote bronchoconstriction
d. promote bronchospasm
c. rinse the mouth with water after each use
A patient has been admitted to the hospital with acute asthma and has had nausea and
vomiting. The drug history reveals that the patient has been taking theophylline
(Elixophyllin) for 3 weeks. Prior to the administration of theophylline, the nurse should
check the orders for
a. renal function tests
b. a plasma drug level
c. a basal metabolic panel (BMP)
d. a complete blood count (CBC)
b. a plasma drug level
A nurse counsels a patient using two different types of asthma inhalers: a short acting
beta2 agonist and a corticosteroid. When the patient questions the purpose of the
steroid inhaler, the nurse's best response would be that glucocorticoids
, a. work rapidly in acute attacks
b. are used as prophylaxis for chronic asthma
c. help prevent respiratory infections
d. are used only when exposed to environmental allergens
b. are used as prophylaxis for chronic asthma
While caring for a patient with cirrhosis or hepatitis, the nurse knows that
abnormalities in which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
c. Metabolism
A patient has an order for tetracycline antibiotic and has been instructed to avoid
taking the medication with foods, beverages, or drug that contains calcium, iron, or
magnesium. The patient takes the antibiotic along with a daily multivitamin, not
realizing that the vitamin contains iron. What effect may this have on the tetracycline?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
a. Absorption
