NURS 615 PHARM EXAM 4 LATEST 2023 REAL EXAM
QUESTIONS AND CORRECT ANSWERS COMPLETE
EXAM A GRADE (MARYVILLE UNIVERSITY)
1. Digoxin levels need to be monitored closely when the following medication is started:
1
. Loratadine
2
. Diphenhydramine
3
. Ipratropium
4
. Albuterol
Albuterol
2. Patients with pheochromocytoma should avoid which of the following classes of drugs
because of the possibility of developing hypertensive crisis?
1
. Expectorants
2
. Beta-2-agonists
3
. Antitussives
4
. Antihistamines
Beta 2-agonists
3. Stan, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
1
. Betamethasone, an inhaled corticosteroid
2
. Salmeterol, an inhaled long-acting beta-agonist
3
. Albuterol, a short-acting beta-agonist
4
. Montelukast, a leukotriene modifier
8. Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
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
Tx for COPD
9. Angela 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:
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
3 Report any systemic side effects she is experiencing, such as
. weight gain
4 Use the albuterol metered-dose inhaler (MDI) immediately
. after her corticosteroid MDI to facilitate bronchodilation
Beclomethasone needs to be used every day
10. When prescribing montelukast (Singulair) for asthma, patients or parents of patients
should be instructed:
1
. Montelukast twice a day is started when there is an asthma exacerbation.
2
. Patients may experience weight gain on montelukast.
3
. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
Watch for aggression, anxiety, depression, and suicidal toughts
11. Montelukast (Singulair) may be prescribed for:
1. A 6-year-old child with exercise-induced asthma
2. A 2-year-old child with moderate persistent asthma
3. An 18-month-old child with seasonal allergic rhinitis
4
. None of the above; montelukast is not approved for use in children
2 year old child with moderate persistent asthma
12. The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR)
include:
1. Albuterol
2. MMR vaccine
, 3. Insulin
4
. None of the above
Insulin
13. When educating patients who are starting on inhaled corticosteroids, the provider
should tell them that:
1 They need to get any live vaccines before starting the
. medication.
2 Inhaled corticosteroids need to be used daily during asthma
. exacerbations to be effective.
3 Patients should rinse their mouths out after using the
. inhaled corticosteroid to prevent thrush.
4 They can triple the dose number of inhalations of
. medication during colds to prevent needing systemic steroids.
Patients should rinse their mouth out to prevent thrush.
14. Patients with allergic rhinitis may benefit from a prescription of:
1. Fluticasone (Flonase)
2. Cetirizine (Zyrtec)
3. OTC cromolyn nasal spray (Nasalcrom)
4
. Any of the above
All of the above
615 PHARM EXAM 4 - EXAM
15. William is a 72-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include
assessing for:
1
. Urinary retention
2
. Cardiac output
3
. Peripheral edema
4
. Skin rash
Urinary retention
16. First-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal
allergies because they are:
1
. More effective than first-generation antihistamines
2
. Less sedating than the first-generation antihistamines
3
QUESTIONS AND CORRECT ANSWERS COMPLETE
EXAM A GRADE (MARYVILLE UNIVERSITY)
1. Digoxin levels need to be monitored closely when the following medication is started:
1
. Loratadine
2
. Diphenhydramine
3
. Ipratropium
4
. Albuterol
Albuterol
2. Patients with pheochromocytoma should avoid which of the following classes of drugs
because of the possibility of developing hypertensive crisis?
1
. Expectorants
2
. Beta-2-agonists
3
. Antitussives
4
. Antihistamines
Beta 2-agonists
3. Stan, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
1
. Betamethasone, an inhaled corticosteroid
2
. Salmeterol, an inhaled long-acting beta-agonist
3
. Albuterol, a short-acting beta-agonist
4
. Montelukast, a leukotriene modifier
8. Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
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
Tx for COPD
9. Angela 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:
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
3 Report any systemic side effects she is experiencing, such as
. weight gain
4 Use the albuterol metered-dose inhaler (MDI) immediately
. after her corticosteroid MDI to facilitate bronchodilation
Beclomethasone needs to be used every day
10. When prescribing montelukast (Singulair) for asthma, patients or parents of patients
should be instructed:
1
. Montelukast twice a day is started when there is an asthma exacerbation.
2
. Patients may experience weight gain on montelukast.
3
. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
Watch for aggression, anxiety, depression, and suicidal toughts
11. Montelukast (Singulair) may be prescribed for:
1. A 6-year-old child with exercise-induced asthma
2. A 2-year-old child with moderate persistent asthma
3. An 18-month-old child with seasonal allergic rhinitis
4
. None of the above; montelukast is not approved for use in children
2 year old child with moderate persistent asthma
12. The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR)
include:
1. Albuterol
2. MMR vaccine
, 3. Insulin
4
. None of the above
Insulin
13. When educating patients who are starting on inhaled corticosteroids, the provider
should tell them that:
1 They need to get any live vaccines before starting the
. medication.
2 Inhaled corticosteroids need to be used daily during asthma
. exacerbations to be effective.
3 Patients should rinse their mouths out after using the
. inhaled corticosteroid to prevent thrush.
4 They can triple the dose number of inhalations of
. medication during colds to prevent needing systemic steroids.
Patients should rinse their mouth out to prevent thrush.
14. Patients with allergic rhinitis may benefit from a prescription of:
1. Fluticasone (Flonase)
2. Cetirizine (Zyrtec)
3. OTC cromolyn nasal spray (Nasalcrom)
4
. Any of the above
All of the above
615 PHARM EXAM 4 - EXAM
15. William is a 72-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include
assessing for:
1
. Urinary retention
2
. Cardiac output
3
. Peripheral edema
4
. Skin rash
Urinary retention
16. First-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal
allergies because they are:
1
. More effective than first-generation antihistamines
2
. Less sedating than the first-generation antihistamines
3
