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NUR 651 Exam Guide 2026/2027 – Advanced Clinical Management Q&A

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High‑level guide covering asthma management, antihypertensives, NSAIDs, thyroid disorders, GERD, PUD, otitis media, conjunctivitis, hyperlipidemia, statins, and advanced pharmacology interventions. Designed for graduate nursing students and advanced practice

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ACE YOUR NUR 651 EXAM: COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
⫸ Angioedema: a potentially life-threatening adverse response to ace
inhibitors is angioedema. Which of the following is true about this
adverse reaction? Answer: Swelling of the tongue or hoarseness are
the most common symptoms


⫸ Prior to developing a plan for the treatment of asthma, the patient's
asthma should be classified according to the NHLBI Expert Panel 3
guidelines. In adults mild-persistent asthma is classified as asthma
symptoms that occur:


1. Daily


2. Daily and limit physical activity


3. Less than twice a week


4. More than twice a week and less than once a day Answer: More
than twice a week and less than once a day


⫸ One goal of asthma therapy outlined by the NHLBI Expert Panel
3 guidelines is:
1. Ability to use albuterol daily to control symptoms
2. Minimize exacerbations to once a month

,3. Keep nighttime symptoms at a maximum of twice a week
4. Require infrequent use of beta 2 agonists (albuterol) for relief of
symptoms Answer: Require infrequent use of beta 2 agonists for
relief of symptoms


⫸ Asthma exacerbations at home are managed by: Answer:
Increasing the frequency of beta 2 agonists and contacting their
provider


⫸ One goal of asthma management in children is:
1. They independently manage their asthma
2. Participation in school and sports activities
3. No exacerbations
4. Minimal use of inhaled corticosteroids Answer: Participation in
school and sports activities


⫸ Pregnant patients with asthma may safely use throughout their
pregnancy: Answer: Inhaled corticosteroids (budesonide)


⫸ Martin, a 60-year-old patient with hypertension, first line
decongestant to prescribe would be: Answer: Nasal oxymetazoline


⫸ Education for patients who use inhaled beta agonists and inhaled
corticosteroids include: Answer: Use the inhaled beta 2 agonists first
followed by inhaled corticosteroids

, ⫸ Patients with phenochromocytoma should avoid which of the
following classes of drugs because of the possibility of developing
hypertensive crisis? Answer: Beta 2 agonists


⫸ Harold, 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 Answer: Salmeterol, an
inhaled long-acting beta-agonist


⫸ Bronchodilator of choice for patients taking propranolol is:
Answer: Ipratropium


⫸ 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.
4. Lethargy and hypersomnia may occur when taking montelukast.
Answer: Aggression, anxiety, depression and/or suicidal thoughts
may occur

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