Test#3 Pharmacology Test Banks compete questions and
verified correct answers
1. A patient tells a nurse practitioner (NP) that several coworkers have upper
respiratory infections and asks about the best way to avoid getting sick. The
NP should recommend which of the following?: Frequent hand washing
2. A patient comes to the clinic with a 3-day history of fever and a severe
cough that interferes with sleep. The patient asks the NP about using a cough
suppressant to help with sleep. The NP should:: Obtain hx
3. An NP prescribes azelastine for a patient who has allergic rhinitis. The NP will
teach the patient that this drug:: Cause bitter aftertaste
4. A parent asks an NP which over-the-counter medication would be best to give
to a 5-year-old child who has a viral respiratory illness with nasal congestion
and a cough. The NP should recommend which of the following?: Increased fluids
with a teaspoon of honey
5. A child with chronic allergic symptoms uses an intranasal steroid for control
of symptoms. At this child's annual well-child checkup, the NP should carefully
review this child's:: height and weight.
6. An NP sees a patient who reports persistent seasonal symptoms of rhin-
orrhea, sneezing, and nasal itching every spring unrelieved with diphenhy-
dramine (Benadryl). The NP should prescribe:: triamcinolone (Nasacort AQ).
7. A 70-year-old patient asks an NP about using diphenhydramine (Benadryl) to
control intermittent allergic symptoms that include runny nose and sneezing.
The NP should counsel this patient to:: take the lowest recommended dose initially.
8. A patient asks an NP about using an oral over-the-counter decongestant
medication for nasal congestion associated with a viral upper respiratory ill-
ness. The NP learns that this patient uses loratadine (Claritin), a β-adrenergic
blocker, and an intranasal corticosteroid. The NP would be concerned about
which adverse effects?: Tremor, restlessness, and insomnia
9. A primary care nurse practitioner (NP) is evaluating a patient with asthma
who reports having wheezing and coughing 1 or 2 days each week and awak-
ening from sleep three or four times each month with asthma symptoms. The
patient's forced expiratory volume in 1 second (FEV1) is 80% of the predicted
value. The patient's current medication regimen is an albuterol metered-dose
, Test#3 Pharmacology Test Banks compete questions and
verified correct answers
inhaler, 2 puffs every 4 hours as needed. The NP should prescribe:: a low-dose inhaled
corticosteroid (ICS), 2 putts bid.
10. A primary care NP sees an adolescent patient for a hospitalization follow-up
after an asthma exacerbation. The patient reports having daily symptoms with
nighttime awakening 4 or 5 nights per week and misses school several days
each month. The patient currently uses a salmeterol/fluticasone LABA twice
daily and albuterol as needed. The patient requires a refill of the albuterol
prescription once a month. The patient does not have any known allergies. The
NP should:: order a high-dose ICS plus a LABA twice daily.
11. A 50-year-old patient who recently quit smoking reports a frequent morning
cough productive of yellow sputum. A chest x-ray is clear, and the patient's
FEV1 is 80% of predicted. Pulse oximetry reveals an oxygen saturation of 97%.
The primary care NP auscultates clear breath sounds. The NP should:: prescribe an
albuterol metered-dose-inhaler, 2 putts every 4 hours as needed.
12. A primary care NP is evaluating a patient who has COPD. The patient uses
a LABA twice daily. The patient reports having increased exertional dyspnea, a
frequent cough, and poor sleep. The patient also uses a short-acting β-adrener-
gic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen
saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):: combination ICS/LABA inhaler.
13. A primary care NP sees a child with asthma to evaluate the child's response
to the prescribed therapy. The child uses an ICS twice daily and an albuterol
metered-dose inhaler as needed. The child's symptoms are well controlled. The
NP notes slowing of the child's linear growth on a standardized growth chart.
The NP should change this child's medication regimen to a:: SABA as needed plus a
leukotriene modifier once daily.
14. A patient who was recently diagnosed with COPD comes to the clinic for
a follow-up evaluation after beginning therapy with a SABA as needed for
dyspnea. The patient reports occasional mild exertional dyspnea but is able
to sleep well. The patient's FEV1 in the clinic is 85% of predicted, and oxygen
saturation is 96%. The primary care NP should recommend:: influenza and pneumococcal
vaccines
, Test#3 Pharmacology Test Banks compete questions and
verified correct answers
15. A 70-year-old patient who has COPD takes theophylline daily and uses a
SABA for exacerbation of symptoms. The patient reports using the SABA three
or four times each week when short of breath. The patient reports feeling jittery
and nauseated and having trouble sleeping. The primary care NP should:: obtain
a serum theophylline level.
16. A 75-year-old patient requires frequent use of corticosteroids to control
COPD exacerbations. To monitor adverse drug effects in this patient, the pri-
mary care NP should:: order a bone density study.
17. A patient with asthma is given an asthma action plan and returns to the clinic
in 2 weeks to follow up on symptoms. Which statement by the patient indicates
a need for further teaching?: "I use the ICS as needed when I am wheezing."
18. Digoxin levels need to be monitored closely when the following medication
is started:: albuterol
19. Patients with pheochromocytoma should avoid which of the following class-
es of drugs due to the possibility of developing hypertensive crisis?: beta-2-agonists
20. Harold, a 42-year-old African American, has moderate persistent asthma.
Which of the following asthma medications should be used cautiously, if at
all?: Salmeterol, an inhaled long-acting beta-agonist
21. Long-acting beta-agonists (LTBAs) received a Black Box warning from the
U.S. Food and Drug Administration due to the:: Increased risk of asthma-related deaths when
LTBAs are used
22. The bronchodilator of choice for patients taking propranolol is:: Ipratropium
23. James is a 52-year-old overweight smoker taking theophylline for his persis-
tent asthma. He tells his provider he is going to start the Atkin's diet for weight
loss. The appropriate response would be:: Schedule him for regular serum theophylline levels
during his diet due to increased excretion of theophylline
24. 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:: Have him seen the same day for an assessment and theophylline level
25. tiotropium bromide (Spiriva) is an inhaled anticholinergic:: used for treatment of COPD
26. Christy has exercise and mild persistent asthma and is prescribed two puffs
of albuterol 15 minutes before exercise and as needed for wheezing. One puff
verified correct answers
1. A patient tells a nurse practitioner (NP) that several coworkers have upper
respiratory infections and asks about the best way to avoid getting sick. The
NP should recommend which of the following?: Frequent hand washing
2. A patient comes to the clinic with a 3-day history of fever and a severe
cough that interferes with sleep. The patient asks the NP about using a cough
suppressant to help with sleep. The NP should:: Obtain hx
3. An NP prescribes azelastine for a patient who has allergic rhinitis. The NP will
teach the patient that this drug:: Cause bitter aftertaste
4. A parent asks an NP which over-the-counter medication would be best to give
to a 5-year-old child who has a viral respiratory illness with nasal congestion
and a cough. The NP should recommend which of the following?: Increased fluids
with a teaspoon of honey
5. A child with chronic allergic symptoms uses an intranasal steroid for control
of symptoms. At this child's annual well-child checkup, the NP should carefully
review this child's:: height and weight.
6. An NP sees a patient who reports persistent seasonal symptoms of rhin-
orrhea, sneezing, and nasal itching every spring unrelieved with diphenhy-
dramine (Benadryl). The NP should prescribe:: triamcinolone (Nasacort AQ).
7. A 70-year-old patient asks an NP about using diphenhydramine (Benadryl) to
control intermittent allergic symptoms that include runny nose and sneezing.
The NP should counsel this patient to:: take the lowest recommended dose initially.
8. A patient asks an NP about using an oral over-the-counter decongestant
medication for nasal congestion associated with a viral upper respiratory ill-
ness. The NP learns that this patient uses loratadine (Claritin), a β-adrenergic
blocker, and an intranasal corticosteroid. The NP would be concerned about
which adverse effects?: Tremor, restlessness, and insomnia
9. A primary care nurse practitioner (NP) is evaluating a patient with asthma
who reports having wheezing and coughing 1 or 2 days each week and awak-
ening from sleep three or four times each month with asthma symptoms. The
patient's forced expiratory volume in 1 second (FEV1) is 80% of the predicted
value. The patient's current medication regimen is an albuterol metered-dose
, Test#3 Pharmacology Test Banks compete questions and
verified correct answers
inhaler, 2 puffs every 4 hours as needed. The NP should prescribe:: a low-dose inhaled
corticosteroid (ICS), 2 putts bid.
10. A primary care NP sees an adolescent patient for a hospitalization follow-up
after an asthma exacerbation. The patient reports having daily symptoms with
nighttime awakening 4 or 5 nights per week and misses school several days
each month. The patient currently uses a salmeterol/fluticasone LABA twice
daily and albuterol as needed. The patient requires a refill of the albuterol
prescription once a month. The patient does not have any known allergies. The
NP should:: order a high-dose ICS plus a LABA twice daily.
11. A 50-year-old patient who recently quit smoking reports a frequent morning
cough productive of yellow sputum. A chest x-ray is clear, and the patient's
FEV1 is 80% of predicted. Pulse oximetry reveals an oxygen saturation of 97%.
The primary care NP auscultates clear breath sounds. The NP should:: prescribe an
albuterol metered-dose-inhaler, 2 putts every 4 hours as needed.
12. A primary care NP is evaluating a patient who has COPD. The patient uses
a LABA twice daily. The patient reports having increased exertional dyspnea, a
frequent cough, and poor sleep. The patient also uses a short-acting β-adrener-
gic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen
saturation of 92%. The patient's FEV1/forced vital capacity is 65, and FEV1 is
55% of predicted. The NP should prescribe a(n):: combination ICS/LABA inhaler.
13. A primary care NP sees a child with asthma to evaluate the child's response
to the prescribed therapy. The child uses an ICS twice daily and an albuterol
metered-dose inhaler as needed. The child's symptoms are well controlled. The
NP notes slowing of the child's linear growth on a standardized growth chart.
The NP should change this child's medication regimen to a:: SABA as needed plus a
leukotriene modifier once daily.
14. A patient who was recently diagnosed with COPD comes to the clinic for
a follow-up evaluation after beginning therapy with a SABA as needed for
dyspnea. The patient reports occasional mild exertional dyspnea but is able
to sleep well. The patient's FEV1 in the clinic is 85% of predicted, and oxygen
saturation is 96%. The primary care NP should recommend:: influenza and pneumococcal
vaccines
, Test#3 Pharmacology Test Banks compete questions and
verified correct answers
15. A 70-year-old patient who has COPD takes theophylline daily and uses a
SABA for exacerbation of symptoms. The patient reports using the SABA three
or four times each week when short of breath. The patient reports feeling jittery
and nauseated and having trouble sleeping. The primary care NP should:: obtain
a serum theophylline level.
16. A 75-year-old patient requires frequent use of corticosteroids to control
COPD exacerbations. To monitor adverse drug effects in this patient, the pri-
mary care NP should:: order a bone density study.
17. A patient with asthma is given an asthma action plan and returns to the clinic
in 2 weeks to follow up on symptoms. Which statement by the patient indicates
a need for further teaching?: "I use the ICS as needed when I am wheezing."
18. Digoxin levels need to be monitored closely when the following medication
is started:: albuterol
19. Patients with pheochromocytoma should avoid which of the following class-
es of drugs due to the possibility of developing hypertensive crisis?: beta-2-agonists
20. Harold, a 42-year-old African American, has moderate persistent asthma.
Which of the following asthma medications should be used cautiously, if at
all?: Salmeterol, an inhaled long-acting beta-agonist
21. Long-acting beta-agonists (LTBAs) received a Black Box warning from the
U.S. Food and Drug Administration due to the:: Increased risk of asthma-related deaths when
LTBAs are used
22. The bronchodilator of choice for patients taking propranolol is:: Ipratropium
23. James is a 52-year-old overweight smoker taking theophylline for his persis-
tent asthma. He tells his provider he is going to start the Atkin's diet for weight
loss. The appropriate response would be:: Schedule him for regular serum theophylline levels
during his diet due to increased excretion of theophylline
24. 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:: Have him seen the same day for an assessment and theophylline level
25. tiotropium bromide (Spiriva) is an inhaled anticholinergic:: used for treatment of COPD
26. Christy has exercise and mild persistent asthma and is prescribed two puffs
of albuterol 15 minutes before exercise and as needed for wheezing. One puff
