MU NURS 615 ADVANCED PHARM EXAM 4
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ What is tiotropium used for maintenance treatment of? Answer:
COPD, which includes chronic bronchitis and emphysema.
◉ Tiotropium Answer: is not used in the treatment for acute
exacerbations of COPD and bronchitis
◉ Tiotropium Answer: is a muscarinic receptor antagonist, often
referred to as an antimuscarinic or anticholingeric agent.
◉ What are the adverse effects of montelukast (Singulair)? Answer:
Side effects of Singular can include skin rash, mood changes,
tremors, h/a, stomach pain, heartburn, upset stomach, nausea,
diarrhea, tooth pain, tiredness, fever, stuffy nose, sore throat, cough,
and hoarseness. Singular may interact with phenobarbital or
rifampin.
◉ What patient teaching should accompany the prescription of
montelukast (Singulair)? Answer: It will not work fast enough to
treat an asthma attack that has already begun. Use only a fast-acting
inhalation medicine to treat an asthma attack.
, ◉ Singulair should not be used for exercised- induced Answer:
bronchoconstriction
◉ Singulair can lead to what mood changes? Answer: anxiety,
depression, or thoughts of suicide or of hurting yourself
◉ What patient teaching should be provided when prescribing
inhaled corticosteroids? Answer: They should be taken 2x a day
every day for the use of prevention of asthma. Rinse mouth after use
to prevent oral thrush.
◉ What ethnic background should not be prescribed long-acting
beta agonists? Answer: African Americans, increased incidence of
death in this population
◉ What medication would you prescribe for bronchospasm for a
patient taking propranolol? Answer: Ipratropium
◉ What is the mechanism of action of albuterol? Answer: Relaxes
bronchial smooth muscle by action on beta 2 receptors with little
effect on heart rate, causing dilation of airways.
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ What is tiotropium used for maintenance treatment of? Answer:
COPD, which includes chronic bronchitis and emphysema.
◉ Tiotropium Answer: is not used in the treatment for acute
exacerbations of COPD and bronchitis
◉ Tiotropium Answer: is a muscarinic receptor antagonist, often
referred to as an antimuscarinic or anticholingeric agent.
◉ What are the adverse effects of montelukast (Singulair)? Answer:
Side effects of Singular can include skin rash, mood changes,
tremors, h/a, stomach pain, heartburn, upset stomach, nausea,
diarrhea, tooth pain, tiredness, fever, stuffy nose, sore throat, cough,
and hoarseness. Singular may interact with phenobarbital or
rifampin.
◉ What patient teaching should accompany the prescription of
montelukast (Singulair)? Answer: It will not work fast enough to
treat an asthma attack that has already begun. Use only a fast-acting
inhalation medicine to treat an asthma attack.
, ◉ Singulair should not be used for exercised- induced Answer:
bronchoconstriction
◉ Singulair can lead to what mood changes? Answer: anxiety,
depression, or thoughts of suicide or of hurting yourself
◉ What patient teaching should be provided when prescribing
inhaled corticosteroids? Answer: They should be taken 2x a day
every day for the use of prevention of asthma. Rinse mouth after use
to prevent oral thrush.
◉ What ethnic background should not be prescribed long-acting
beta agonists? Answer: African Americans, increased incidence of
death in this population
◉ What medication would you prescribe for bronchospasm for a
patient taking propranolol? Answer: Ipratropium
◉ What is the mechanism of action of albuterol? Answer: Relaxes
bronchial smooth muscle by action on beta 2 receptors with little
effect on heart rate, causing dilation of airways.
