NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
What are MDIs and how should they be used? - ANSWER Metered dose inhalers: small, hand-held,
pressurized devices.
Begin slow inhalation before activation, hold medicine in lungs for 10 seconds, and wait 1 minutes
between activations.
What are two advantages of inhalers using the HFA propellant? - ANSWER Don't affect ozone layer
Smaller droplets do not require space
What is the advantage of DPIs? Disadvantage? How fast should the patient inhale? - ANSWER
Advantage: no hand-lung coordination needed; breathing activated
Disadvantage: must have adequate inspiratory flow to inhale powder
Inhale rapidly
What are SVNs and how are they used? What are the advantages? - ANSWER Small-volume nebulizers
Convert a solution into a mist
Advantages: does not require timing of dose with inhalation, rapid deep inspiration, or hand strength
List 3 ways glucocorticoids treat asthma. - ANSWER Suppress inflammation & bronchial reactivity
Decrease mucus production
Increase number and responsiveness of beta-adrenergic receptors
What is the first-line treatment for moderate to severe-persistent asthma? - ANSWER Inhaled
glucocorticoids
Drug ending: -terol - ANSWER Drug classification: bronchodilator
,NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
Drug example: albuterol
Which is the drug of choice for an acute asthma attack?
1. Spiriva (tiotropium bromide)
2. Symbicort - formoterol (Foradil) & budesonide (pulmicort)
3. Proventil - albuterol
4. Atrovent - ipratropium bromide - ANSWER 3. Proventil - albuterol
J.M., an 18-year-old patient complains of wheezing after running 50 feet on the track, but otherwise
does not wheeze, cough, or is short of breath. You suspect she may have:
1. Moderate asthma
2. Severe asthma
3. Exercise-induced asthma - ANSWER 3. Exercise-induced asthma
The prescriber decides to treat J.M. for wheezing. The order you expect is:
1. Iprapropium (Atrovent) 2 inhalations 15 minutes before exercise
2. Albuterol (Ventolin, Proventil) 2 inhalations immediately before exercise
3. Salmeterol (Serevent) Diskus 1 inhalation 15 minutes before exercise - ANSWER 2. Albuterol (Ventolin,
Proventil) 2 inhalations immediately before exercise
Two years later, J.M. is short of breath four times per week without exercise. You suspect inflammation
and expect the following order:
1. Fluticasone (Flovent) 110mcg 2 inhalations every 12 hours
2. Salmeterol (Serevent) Diskus 1 inhalation every 12 hours
3. Formoterol (Foradil) 1 inhalation every 12 hours - ANSWER 1. Fluticasone (Flovent) 110mcg 2
inhalations every 12 hours
J.M. returns in one month and is extremely hoarse and has a sore tongue. Upon inspection, you notice
his mouth is very red, uvula is swollen, and tongue is white with plaques. You respond:
, NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
1. "Be sure to rinse your mouth with water or fluid after using Flovent and call your provider for an
antifungal drug"
2. "Use mouthwash three times per day to treat stomatitis"
3. "Talk to provider about getting an antibiotic for Strep." - ANSWER 1. "Be sure to rinse your mouth
with water or fluid after using Flovent and call your provider for an antifungal drug"
J.M. returns two months later and complains of coughing every night between 2-4am. He is using
Flovent 110mcg 2inh every 12 hours and rinsing mouth after use. You suspect cough-variant asthma and
expect an order of:
1. Cough syrup before bedtime
2. Salmeterol (Serevent) Diskus or Advair 100/50 1inh every 12 hours
3. Albuterol (Ventolin, Proventil) 2inh before bedtime - ANSWER 2. Salmeterol (Serevent) Diskus or
Advair 100/50 1inh every 12 hours
J.M. calls; he is out of albuterol (Ventolin, Proventil) and asks if he can take Primatene mist (an over-the-
counter asthma inhaler). You respond:
1. "You may take the OTC inhaler until you can get to the pharmacy. I will get you a renewal for
albuterol"
2. "The OTC inhaler will work as well as albuterol; use whatever is cheaper"
3. "The OTC inhaler affects your heart more than albuterol. It may cause chest pain, increased heart
rate, or increased blood pressure" - ANSWER 3. "The OTC inhaler affects your heart more than albuterol.
It may cause chest pain, increased heart rate, or increased blood pressure"
A patient has a best PEF of 2000mL and her current PEF is 1100mL. What PEF zone does she fall in?
1. Green
2. Yellow
3. Red - ANSWER 2. Yellow
Discuss the proper way to administer inhaled glucocorticoids. Why? - ANSWER Gargle & spit after use.
Use the beta-adrenergic inhaler first is one is used. The beta-adrenergic inhaler opens the airways so the
glucocorticoid can penetrate deeper into the lungs. Gargling and spitting decreases the chance of an
oropharyngeal infection.
196 correct and complete solutions.
NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
What are MDIs and how should they be used? - ANSWER Metered dose inhalers: small, hand-held,
pressurized devices.
Begin slow inhalation before activation, hold medicine in lungs for 10 seconds, and wait 1 minutes
between activations.
What are two advantages of inhalers using the HFA propellant? - ANSWER Don't affect ozone layer
Smaller droplets do not require space
What is the advantage of DPIs? Disadvantage? How fast should the patient inhale? - ANSWER
Advantage: no hand-lung coordination needed; breathing activated
Disadvantage: must have adequate inspiratory flow to inhale powder
Inhale rapidly
What are SVNs and how are they used? What are the advantages? - ANSWER Small-volume nebulizers
Convert a solution into a mist
Advantages: does not require timing of dose with inhalation, rapid deep inspiration, or hand strength
List 3 ways glucocorticoids treat asthma. - ANSWER Suppress inflammation & bronchial reactivity
Decrease mucus production
Increase number and responsiveness of beta-adrenergic receptors
What is the first-line treatment for moderate to severe-persistent asthma? - ANSWER Inhaled
glucocorticoids
Drug ending: -terol - ANSWER Drug classification: bronchodilator
,NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
Drug example: albuterol
Which is the drug of choice for an acute asthma attack?
1. Spiriva (tiotropium bromide)
2. Symbicort - formoterol (Foradil) & budesonide (pulmicort)
3. Proventil - albuterol
4. Atrovent - ipratropium bromide - ANSWER 3. Proventil - albuterol
J.M., an 18-year-old patient complains of wheezing after running 50 feet on the track, but otherwise
does not wheeze, cough, or is short of breath. You suspect she may have:
1. Moderate asthma
2. Severe asthma
3. Exercise-induced asthma - ANSWER 3. Exercise-induced asthma
The prescriber decides to treat J.M. for wheezing. The order you expect is:
1. Iprapropium (Atrovent) 2 inhalations 15 minutes before exercise
2. Albuterol (Ventolin, Proventil) 2 inhalations immediately before exercise
3. Salmeterol (Serevent) Diskus 1 inhalation 15 minutes before exercise - ANSWER 2. Albuterol (Ventolin,
Proventil) 2 inhalations immediately before exercise
Two years later, J.M. is short of breath four times per week without exercise. You suspect inflammation
and expect the following order:
1. Fluticasone (Flovent) 110mcg 2 inhalations every 12 hours
2. Salmeterol (Serevent) Diskus 1 inhalation every 12 hours
3. Formoterol (Foradil) 1 inhalation every 12 hours - ANSWER 1. Fluticasone (Flovent) 110mcg 2
inhalations every 12 hours
J.M. returns in one month and is extremely hoarse and has a sore tongue. Upon inspection, you notice
his mouth is very red, uvula is swollen, and tongue is white with plaques. You respond:
, NUR 311: Pharmacology Exam 2 with
196 correct and complete solutions.
1. "Be sure to rinse your mouth with water or fluid after using Flovent and call your provider for an
antifungal drug"
2. "Use mouthwash three times per day to treat stomatitis"
3. "Talk to provider about getting an antibiotic for Strep." - ANSWER 1. "Be sure to rinse your mouth
with water or fluid after using Flovent and call your provider for an antifungal drug"
J.M. returns two months later and complains of coughing every night between 2-4am. He is using
Flovent 110mcg 2inh every 12 hours and rinsing mouth after use. You suspect cough-variant asthma and
expect an order of:
1. Cough syrup before bedtime
2. Salmeterol (Serevent) Diskus or Advair 100/50 1inh every 12 hours
3. Albuterol (Ventolin, Proventil) 2inh before bedtime - ANSWER 2. Salmeterol (Serevent) Diskus or
Advair 100/50 1inh every 12 hours
J.M. calls; he is out of albuterol (Ventolin, Proventil) and asks if he can take Primatene mist (an over-the-
counter asthma inhaler). You respond:
1. "You may take the OTC inhaler until you can get to the pharmacy. I will get you a renewal for
albuterol"
2. "The OTC inhaler will work as well as albuterol; use whatever is cheaper"
3. "The OTC inhaler affects your heart more than albuterol. It may cause chest pain, increased heart
rate, or increased blood pressure" - ANSWER 3. "The OTC inhaler affects your heart more than albuterol.
It may cause chest pain, increased heart rate, or increased blood pressure"
A patient has a best PEF of 2000mL and her current PEF is 1100mL. What PEF zone does she fall in?
1. Green
2. Yellow
3. Red - ANSWER 2. Yellow
Discuss the proper way to administer inhaled glucocorticoids. Why? - ANSWER Gargle & spit after use.
Use the beta-adrenergic inhaler first is one is used. The beta-adrenergic inhaler opens the airways so the
glucocorticoid can penetrate deeper into the lungs. Gargling and spitting decreases the chance of an
oropharyngeal infection.
