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NURS 615 Advanced Pharmacology Exam 4 2026/2027 | Practice Questions & Answers | Maryville

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Prepare for the NURS 615 Advanced Pharmacology Exam 4 at Maryville University with focused practice questions, answers, and detailed rationales. Review respiratory, gastrointestinal, endocrine, and reproductive pharmacology, including asthma medications, bronchodilators, H. pylori treatment, diabetes and insulin therapy, endocrine medications, hormonal therapies, contraceptives, adverse effects, drug interactions, contraindications, FDA warnings, and safe prescribing considerations. Use the questions and explanations to reinforce key pharmacology concepts, test your understanding, strengthen clinical reasoning, identify areas needing additional review, and prepare effectively for the NURS 615 Exam 4.

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NURS 615 ADV PHARM EXAM 4 2026/2027 | COMPLETE EXAM REVIEW &
TEST BANK | MOST TESTED QUESTIONS & ANSWERS | HIGH-YIELD PRACTICE
TEST | VERIFIED SOLUTIONS | LATEST UPDATED VERSION
1. Duration of effect of long-acting beta-2 agonists (LABA) is

3 hours

12 hours

6 hours

48 hours

2. Guaifenesin is commonly found in OTC medications such as Mucinex and
Robitussin. What is its primary therapeutic role in these medications?

Expectorant

Antitussive

Decongestant

Antihistamine

3. When would an individual use a bulk-forming agent:

Constipation

Diarrhea

Nausea

Constipation and diarrhea

4. A patient is taking prochlorperazine (Compazine). Which of these symptoms
would concern you most?

The blood pressure decreases slightly

The patient becomes constipated

, The patient displays spastic neck and head movements

The patient gets sleepy


5. Polyethylene glycol is a

bulking agent

surfactant

osmotic agent

stimulant

6. Describe the significance of a drug being classified as a prodrug, particularly
in relation to omeprazole and esomeprazole.

Prodrugs are less effective than active drugs and should be avoided
in treatment.

Being classified as prodrugs means that omeprazole and
esomeprazole require metabolic conversion to become active,
which can influence their therapeutic effects and side effects.

Prodrugs are only used in combination with other medications for
efficacy.

Prodrugs like omeprazole and esomeprazole are effective
immediately upon ingestion without any metabolic changes.

7. Which of the following drug classification is Guaifenesin in?

Steroid

Expectorant

Anti-tussive

Inotrope

,8. How long after osmotic laxative admission, effect of bowel evacuation
appears?

10-20

1-2 days

1-3 hours

6-8 hours

12 hours

9. Describe how bulking agents can alleviate symptoms of both constipation
and diarrhea.

Bulking agents reduce the motility of the intestines, leading to less
frequent bowel movements.

Bulking agents act as laxatives, stimulating the intestines to contract
more forcefully.

Bulking agents increase the secretion of digestive enzymes, aiding in
nutrient absorption.

Bulking agents absorb water and expand in the intestines, which
helps to form a more solid stool in diarrhea and adds bulk to stool
in constipation.

10. Which of the following best describes the mechanism of Zofran
(ondansetron)?

5-HT3 receptor antagonist

5-HT3 receptor agonist

Substance P antagonist

Cannabinoid receptor antagonist

, Cannabinoid receptor agonist

11. What is the primary goal of the step-up approach in managing GERD?

To immediately start with the strongest medication available.

To eliminate all medications after initial treatment.

To gradually increase medication strength based on symptom
severity.

To focus solely on dietary changes without medication.

12. If a patient is experiencing nausea and diarrhea after taking antibiotics, which
medication could be recommended to alleviate these symptoms, and what is
its mechanism of action?

Loperamide; it slows down gut motility.

Omeprazole; it reduces gastric acid secretion.

Diphenhydramine; it blocks histamine receptors.

Bismuth salicylate; it coats the stomach lining and reduces
inflammation.

13. Synthetic prostaglandin E1 indicated for ulcer prevention

sucralfate

omeprazole

misoprostol

cimetidine

14. Name two leukotriene modifiers and their classifications.

Albuterol and Salmeterol; they are classified as beta-agonists.

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