Nurs 615 Pharm Exam 4 Latest Questions and
Answers | Updated Professional Prep with
Verified Answers | A+ Verified
• What are the adverse effects associated with montelukast (Singulair)? -
✓✓Neuropsychiatric effects (agitation, anxiety, depression, suicidal thoughts),
headache, abdominal pain
• What patient teaching should accompany montelukast (Singulair)? -✓✓Take
daily (not for acute attacks), report mood changes immediately, take in evening if
prescribed for asthma
• What patient teaching should be provided when prescribing inhaled
corticosteroids? -✓✓Rinse mouth after use to prevent oral thrush, use daily for
control not rescue, do not stop abruptly
• What is the mechanism of action of albuterol? -✓✓Stimulates beta-2 receptors
causing bronchodilation of airway smooth muscle
• What is the mechanism of action of inhaled corticosteroids? -✓✓Reduces airway
inflammation by inhibiting inflammatory cytokines and immune response
• When is it appropriate to use a SABA? -✓✓For acute asthma symptoms,
exercise-induced bronchospasm, or sudden shortness of breath
• What is the mechanism of action of inhaled muscarinic receptor antagonists? -
✓✓Block acetylcholine at muscarinic receptors causing bronchodilation and
decreased mucus secretion
, • What are the adverse effects associated with inhaled corticosteroids? -✓✓Oral
thrush, hoarseness, cough, possible adrenal suppression at high doses
• What is a long-acting beta-agonist (LABA) used to treat? -✓✓Long-term control
of asthma and COPD symptoms, not for acute relief
• What is a LABA/LAMA combination used to treat? -✓✓Moderate to severe
COPD for maintenance bronchodilation
• What is the mechanism of action and indication for omalizumab (Xolair)? -
✓✓Monoclonal antibody that binds IgE; used for moderate to severe allergic
asthma
• What special populations should not be prescribed pseudoephedrine and why? -
✓✓Hypertension, cardiovascular disease due to increased BP and heart rate
• What drug should be prescribed for a patient with nasal congestion and
hypertension? -✓✓Saline spray or intranasal corticosteroids (avoid systemic
decongestants)
• What are the adverse effects of antihistamines? -✓✓Drowsiness, dry mouth,
urinary retention, confusion (especially older adults)
• What conditions should cause a patient to avoid antihistamines? -✓✓Glaucoma,
BPH, elderly patients (risk of sedation and urinary retention)
Answers | Updated Professional Prep with
Verified Answers | A+ Verified
• What are the adverse effects associated with montelukast (Singulair)? -
✓✓Neuropsychiatric effects (agitation, anxiety, depression, suicidal thoughts),
headache, abdominal pain
• What patient teaching should accompany montelukast (Singulair)? -✓✓Take
daily (not for acute attacks), report mood changes immediately, take in evening if
prescribed for asthma
• What patient teaching should be provided when prescribing inhaled
corticosteroids? -✓✓Rinse mouth after use to prevent oral thrush, use daily for
control not rescue, do not stop abruptly
• What is the mechanism of action of albuterol? -✓✓Stimulates beta-2 receptors
causing bronchodilation of airway smooth muscle
• What is the mechanism of action of inhaled corticosteroids? -✓✓Reduces airway
inflammation by inhibiting inflammatory cytokines and immune response
• When is it appropriate to use a SABA? -✓✓For acute asthma symptoms,
exercise-induced bronchospasm, or sudden shortness of breath
• What is the mechanism of action of inhaled muscarinic receptor antagonists? -
✓✓Block acetylcholine at muscarinic receptors causing bronchodilation and
decreased mucus secretion
, • What are the adverse effects associated with inhaled corticosteroids? -✓✓Oral
thrush, hoarseness, cough, possible adrenal suppression at high doses
• What is a long-acting beta-agonist (LABA) used to treat? -✓✓Long-term control
of asthma and COPD symptoms, not for acute relief
• What is a LABA/LAMA combination used to treat? -✓✓Moderate to severe
COPD for maintenance bronchodilation
• What is the mechanism of action and indication for omalizumab (Xolair)? -
✓✓Monoclonal antibody that binds IgE; used for moderate to severe allergic
asthma
• What special populations should not be prescribed pseudoephedrine and why? -
✓✓Hypertension, cardiovascular disease due to increased BP and heart rate
• What drug should be prescribed for a patient with nasal congestion and
hypertension? -✓✓Saline spray or intranasal corticosteroids (avoid systemic
decongestants)
• What are the adverse effects of antihistamines? -✓✓Drowsiness, dry mouth,
urinary retention, confusion (especially older adults)
• What conditions should cause a patient to avoid antihistamines? -✓✓Glaucoma,
BPH, elderly patients (risk of sedation and urinary retention)
