,NUR 2474 Exam 2 Pharmacology for Professional Nursing Questions
And Answers 2026/2027 Rasmussen
Q1.
A client with asthma is prescribed albuterol. Which finding best
indicates that the medication is producing its intended therapeutic
effect?
A) Decreased wheezing and improved airflow
B) Increased heart rate
C) Increased mucus production
D) Increased airway resistance
Correct Answer: A) Decreased wheezing and improved airflow
Rationale: Albuterol is a short-acting beta2-adrenergic agonist that
produces bronchodilation and is used for rapid relief of bronchospasm.
Q2.
Which instruction should the nurse provide to a client prescribed an
albuterol metered-dose inhaler (MDI)?
A) Use it only after an inhaled corticosteroid
B) Inhale the medication slowly and deeply while activating the inhaler
C) Swallow the medication after spraying it into the mouth
D) Exhale into the inhaler immediately after activation
Correct Answer: B) Inhale the medication slowly and deeply while activating
the inhaler
Rationale: Correct MDI technique helps deliver medication to the lower
airways. The client should coordinate activation with a slow, deep inhalation.
Q3.
Which adverse effect is commonly associated with albuterol
therapy?
A) Severe bradycardia
B) Tremor
C) Urinary retention
D) Constipation
Correct Answer: B) Tremor
Rationale: Beta2-agonists can cause tremor, nervousness, palpitations, and
tachycardia.
Q4.
A client uses albuterol several times every day to control asthma
, symptoms. Which action is most appropriate?
A) Tell the client this indicates excellent control
B) Recommend doubling each dose
C) Notify the provider because frequent rescue-inhaler use may indicate
inadequate control
D) Tell the client to stop all asthma medications
Correct Answer: C) Notify the provider because frequent rescue-inhaler use
may indicate inadequate control
Rationale: Frequent need for a rescue inhaler suggests poor asthma control
and may require adjustment of long-term therapy.
Q5.
Which medication is intended primarily for long-term control of
airway inflammation in asthma?
A) Fluticasone
B) Albuterol
C) Epinephrine
D) Guaifenesin
Correct Answer: A) Fluticasone
Rationale: Fluticasone is an inhaled corticosteroid that reduces airway
inflammation and is used for maintenance therapy rather than immediate
relief.
Q6.
Which instruction is most important for a client using an inhaled
corticosteroid such as fluticasone?
A) Use it only during an acute attack
B) Rinse the mouth after inhalation
C) Take it with an antacid
D) Stop it whenever symptoms improve for one day
Correct Answer: B) Rinse the mouth after inhalation
Rationale: Rinsing the mouth after an inhaled corticosteroid reduces the
risk of oral candidiasis and local irritation.
Q7.
A client with asthma asks why fluticasone does not provide
immediate relief during an acute attack. What is the nurse's best
response?
A) It is a maintenance medication that reduces airway inflammation over
time
And Answers 2026/2027 Rasmussen
Q1.
A client with asthma is prescribed albuterol. Which finding best
indicates that the medication is producing its intended therapeutic
effect?
A) Decreased wheezing and improved airflow
B) Increased heart rate
C) Increased mucus production
D) Increased airway resistance
Correct Answer: A) Decreased wheezing and improved airflow
Rationale: Albuterol is a short-acting beta2-adrenergic agonist that
produces bronchodilation and is used for rapid relief of bronchospasm.
Q2.
Which instruction should the nurse provide to a client prescribed an
albuterol metered-dose inhaler (MDI)?
A) Use it only after an inhaled corticosteroid
B) Inhale the medication slowly and deeply while activating the inhaler
C) Swallow the medication after spraying it into the mouth
D) Exhale into the inhaler immediately after activation
Correct Answer: B) Inhale the medication slowly and deeply while activating
the inhaler
Rationale: Correct MDI technique helps deliver medication to the lower
airways. The client should coordinate activation with a slow, deep inhalation.
Q3.
Which adverse effect is commonly associated with albuterol
therapy?
A) Severe bradycardia
B) Tremor
C) Urinary retention
D) Constipation
Correct Answer: B) Tremor
Rationale: Beta2-agonists can cause tremor, nervousness, palpitations, and
tachycardia.
Q4.
A client uses albuterol several times every day to control asthma
, symptoms. Which action is most appropriate?
A) Tell the client this indicates excellent control
B) Recommend doubling each dose
C) Notify the provider because frequent rescue-inhaler use may indicate
inadequate control
D) Tell the client to stop all asthma medications
Correct Answer: C) Notify the provider because frequent rescue-inhaler use
may indicate inadequate control
Rationale: Frequent need for a rescue inhaler suggests poor asthma control
and may require adjustment of long-term therapy.
Q5.
Which medication is intended primarily for long-term control of
airway inflammation in asthma?
A) Fluticasone
B) Albuterol
C) Epinephrine
D) Guaifenesin
Correct Answer: A) Fluticasone
Rationale: Fluticasone is an inhaled corticosteroid that reduces airway
inflammation and is used for maintenance therapy rather than immediate
relief.
Q6.
Which instruction is most important for a client using an inhaled
corticosteroid such as fluticasone?
A) Use it only during an acute attack
B) Rinse the mouth after inhalation
C) Take it with an antacid
D) Stop it whenever symptoms improve for one day
Correct Answer: B) Rinse the mouth after inhalation
Rationale: Rinsing the mouth after an inhaled corticosteroid reduces the
risk of oral candidiasis and local irritation.
Q7.
A client with asthma asks why fluticasone does not provide
immediate relief during an acute attack. What is the nurse's best
response?
A) It is a maintenance medication that reduces airway inflammation over
time
