Nurs 615 Pharm Exam 4 Latest Questions and
Answers (2026) | Updated Comprehensive
Review with Detailed Rationales | A+ Verified
• SAMA - meds, MOA, duration and onset -✓✓atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which
normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
• umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution -✓✓CV disease, uncontrolled HTN, narrow angle glaucoma
• ICS medications -✓✓mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
• LAMAs for COPD - meds, MOA, dose -✓✓aclidinium bromide (Tudorza),
umeclidinium (Ellipta)
inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
• ICS - use and SE -✓✓asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
,• LABA - MOA, onset and duration, SE, dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
• LAMA - Spiriva generic, use, dose, age of use -✓✓tiotropium bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
• LABA - meds and use -✓✓salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids
with nighttime coughing and wheezing.
• LABA meds for COPD use only -✓✓olodaterol and indacaterol (a dry powder
inhaler)
• LAMA/LABA for COPD -✓✓umeclidinium/vilanterol and tiotropium
bromide/olodaterol
• Steps for asthma -✓✓
• Related to SABA meds, what indicates poor control of the disease? -✓✓use of
SABA more than 2 times a week
, • SABA - MOA, onset and duration, SE, Dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
• What patient should not use a LABA? -✓✓black
• Action of corticosteroids -✓✓decrease inflammation
• SABA meds and use -✓✓albuterol (Proventil HFA, Ventolin HFA),
albuterol/ipratropium (DuoNeb)
tx asthma exacerbation
• action of bronchodilaters -✓✓decrease constriction
• LABA-ICS combination medication -✓✓fluticasone/salmeterol (Advair)
budesonide/formoterol (Symbicort)
mometasone/formoterol (Dulero)
fluticasone/vilanterol (BreoEllipta)
• Why are ICS the most potent and effective anti-inflammatory meds? -✓✓They
block formation of 6 different inflammatory mediators.
• methylxanthines - theophylline - use, MOA, therapeutic range -✓✓use for
moderate to severe asthma.
Answers (2026) | Updated Comprehensive
Review with Detailed Rationales | A+ Verified
• SAMA - meds, MOA, duration and onset -✓✓atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which
normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
• umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution -✓✓CV disease, uncontrolled HTN, narrow angle glaucoma
• ICS medications -✓✓mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
• LAMAs for COPD - meds, MOA, dose -✓✓aclidinium bromide (Tudorza),
umeclidinium (Ellipta)
inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
• ICS - use and SE -✓✓asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
,• LABA - MOA, onset and duration, SE, dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
• LAMA - Spiriva generic, use, dose, age of use -✓✓tiotropium bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
• LABA - meds and use -✓✓salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids
with nighttime coughing and wheezing.
• LABA meds for COPD use only -✓✓olodaterol and indacaterol (a dry powder
inhaler)
• LAMA/LABA for COPD -✓✓umeclidinium/vilanterol and tiotropium
bromide/olodaterol
• Steps for asthma -✓✓
• Related to SABA meds, what indicates poor control of the disease? -✓✓use of
SABA more than 2 times a week
, • SABA - MOA, onset and duration, SE, Dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
• What patient should not use a LABA? -✓✓black
• Action of corticosteroids -✓✓decrease inflammation
• SABA meds and use -✓✓albuterol (Proventil HFA, Ventolin HFA),
albuterol/ipratropium (DuoNeb)
tx asthma exacerbation
• action of bronchodilaters -✓✓decrease constriction
• LABA-ICS combination medication -✓✓fluticasone/salmeterol (Advair)
budesonide/formoterol (Symbicort)
mometasone/formoterol (Dulero)
fluticasone/vilanterol (BreoEllipta)
• Why are ICS the most potent and effective anti-inflammatory meds? -✓✓They
block formation of 6 different inflammatory mediators.
• methylxanthines - theophylline - use, MOA, therapeutic range -✓✓use for
moderate to severe asthma.
