PHARM EXAM 4 NURS 611 EXAM
(ACTUAL EXAM) WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Monitoring a patient with persistent asthma includes: - ANSWERS-4
1.
Monitoring how frequently the patient has an upper respiratory infection
(URI) during treatment
2.
Monthly in-office spirometry testing
3.
Determining if the patient has increased use of his or her long-acting beta-2-
agonist due to exacerbations
4.
Evaluating the patient every 1 to 6 months to determine if the patient needs
to step up or down in their therapy
Asthma exacerbations at home are managed by the patient by: - ANSWERS-1
,1.
Increasing frequency of beta-2-agonists and contacting their provider
2.
Doubling inhaled corticosteroid doses
3.
Increasing frequency of beta-2-agonists
4.
Starting montelukast (Singulair)
Patients who are at risk of a fatal asthma attack include patients: - ANSWERS-
2
1.
With moderate persistent asthma
2.
With a history of requiring intubation or ICU admission for asthma
3.
Who are on daily inhaled corticosteroid therapy
4.
Who are pregnant
Pregnant patients with asthma may safely use ________ throughout their
pregnancy. - ANSWERS-3
1.
Oral terbutaline
2.
Prednisone
,3.
Inhaled corticosteroids (budesonide)
4.
Montelukast (Singulair)
James is a 52-year-old overweight smoker taking theophylline for his
persistent asthma. He tells his provider he is going to start the Atkin's diet for
weight loss. The appropriate response would be: - ANSWERS-2
1.
Congratulate him on making a positive change in his life.
2.
Recommend he try stopping smoking instead of the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during his diet
due to increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may lead to
elevated theophylline levels.
Li takes theophylline for his persistent asthma and calls the office with a
complaint of nausea, vomiting, and headache. The best advice for him would
be to: - ANSWERS-3
1.
Reassure him this is probably a viral infection and should be better soon
2.
, Have him seen the same day for an assessment and theophylline level
3.
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is
better
4.
Order a theophylline level at the laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWERS-1
1.
Used for the treatment of chronic obstructive pulmonary disease (COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treatment of asthma exacerbations
4.
Combined with fluticasone for the treatment of persistent asthma
Christy has exercise-induced and mild persistent asthma and is prescribed
two puffs of albuterol 15 minutes before exercise and as needed for
wheezing. One puff per day of beclomethasone (QVAR) is also prescribed.
Teaching regarding her inhalers includes: - ANSWERS-2
1.
Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2.
Beclomethasone needs to be used every day to treat her asthma
(ACTUAL EXAM) WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Monitoring a patient with persistent asthma includes: - ANSWERS-4
1.
Monitoring how frequently the patient has an upper respiratory infection
(URI) during treatment
2.
Monthly in-office spirometry testing
3.
Determining if the patient has increased use of his or her long-acting beta-2-
agonist due to exacerbations
4.
Evaluating the patient every 1 to 6 months to determine if the patient needs
to step up or down in their therapy
Asthma exacerbations at home are managed by the patient by: - ANSWERS-1
,1.
Increasing frequency of beta-2-agonists and contacting their provider
2.
Doubling inhaled corticosteroid doses
3.
Increasing frequency of beta-2-agonists
4.
Starting montelukast (Singulair)
Patients who are at risk of a fatal asthma attack include patients: - ANSWERS-
2
1.
With moderate persistent asthma
2.
With a history of requiring intubation or ICU admission for asthma
3.
Who are on daily inhaled corticosteroid therapy
4.
Who are pregnant
Pregnant patients with asthma may safely use ________ throughout their
pregnancy. - ANSWERS-3
1.
Oral terbutaline
2.
Prednisone
,3.
Inhaled corticosteroids (budesonide)
4.
Montelukast (Singulair)
James is a 52-year-old overweight smoker taking theophylline for his
persistent asthma. He tells his provider he is going to start the Atkin's diet for
weight loss. The appropriate response would be: - ANSWERS-2
1.
Congratulate him on making a positive change in his life.
2.
Recommend he try stopping smoking instead of the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during his diet
due to increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may lead to
elevated theophylline levels.
Li takes theophylline for his persistent asthma and calls the office with a
complaint of nausea, vomiting, and headache. The best advice for him would
be to: - ANSWERS-3
1.
Reassure him this is probably a viral infection and should be better soon
2.
, Have him seen the same day for an assessment and theophylline level
3.
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is
better
4.
Order a theophylline level at the laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: - ANSWERS-1
1.
Used for the treatment of chronic obstructive pulmonary disease (COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treatment of asthma exacerbations
4.
Combined with fluticasone for the treatment of persistent asthma
Christy has exercise-induced and mild persistent asthma and is prescribed
two puffs of albuterol 15 minutes before exercise and as needed for
wheezing. One puff per day of beclomethasone (QVAR) is also prescribed.
Teaching regarding her inhalers includes: - ANSWERS-2
1.
Use one to two puffs of albuterol per day to prevent an attack with no more
than eight puffs per day
2.
Beclomethasone needs to be used every day to treat her asthma
