NURS 615: ADVANCED PHARMACOTHERAPEUTICS Maryville
university exam 4 | LATEST UPDATE 2026/2027
1. A patient has been on a proton pump inhibitor for over a year and presents
with muscle cramps and fatigue. What lab value should be prioritized for
assessment?
Magnesium levels
Potassium levels
Calcium levels
Sodium levels
2. Which of the following education should be included for a patient with a new
prescription for montelukast (Singulair)
the medication should be taken only with meals
the medication is intended only as a rescue medication
the medication should not be used for acute asthmatic attacks
the medication is for patients to take only when they are symptomatic
3. What are common pharmacotherapeutics used to treat upper respiratory
infections?
Decongestants and antihistamines
Antibiotics and antivirals
Proton pump inhibitors
Corticosteroids and bronchodilators
,4. Which precaution is most important to teach a patient who is prescribed an
antacid?
"Avoid using extra pepper on your food while taking this drug."
"Notify your prescriber if heartburn continues after you have taken the
drug for 3 days."
"If you become constipated, stop taking the antacid completely."
"Take this drug at least 2 hours before or after taking any other
drug."
5. Describe why prolonged use of stimulant laxatives can lead to dependence
in patients.
Prolonged use of stimulant laxatives can lead to dependence
because the bowel may become less responsive to normal stimuli,
requiring the laxatives for bowel movements.
Prolonged use of stimulant laxatives promotes the growth of
beneficial gut bacteria.
Prolonged use of stimulant laxatives enhances the absorption of
nutrients in the intestines.
Prolonged use of stimulant laxatives increases the natural production
of digestive enzymes.
6. What is one of the primary contraindications for the use of misoprostol?
Pregnancy
Diabetes
Asthma
Hypertension
,7. Which of the following is a correct drug class for tiotropium?
corticosteroid
anticholinergic
prostaglandin
sulfonamide antibiotic
8. How does codeine suppress cough?
Acting directly on medulla
Binds to receptors on respiratory muscle
Binds to diaphragm
Relaxes the lung muscles
9. Singulair (montelukast) may be prescribed for
the patient with asthma to reduce the symptoms of bronchospasms
the patient with COPD to help reduce severity of coughs
the patient with COPD to decrease mucous viscosity
the patient with asthma to prevent bronchoconstriction
10. A patient with asthma is prescribed montelukast but is also taking a
medication that increases the metabolism of montelukast. What should the
healthcare provider consider in this scenario?
The patient should switch to a different class of asthma medication.
The patient should stop taking montelukast immediately.
The patient may require a dosage adjustment of montelukast.
, The patient should take montelukast with food to enhance
absorption.
11. Describe how long-term proton pump inhibitor use can impact a patient's
health.
Long-term use of proton pump inhibitors can lead to decreased
calcium absorption, increasing the risk of bone fractures.
Long-term use of proton pump inhibitors can enhance the absorption
of nutrients, improving overall health.
Long-term use of proton pump inhibitors primarily affects liver
function.
Long-term use of proton pump inhibitors has no significant impact on
health.
12. Describe how antitussives differ from expectorants in their mechanism of
action.
Antitussives increase mucus production, while expectorants suppress
the cough reflex.
Antitussives suppress the cough reflex, while expectorants help
loosen mucus in the airways.
Antitussives are only for chronic coughs, while expectorants are for
acute coughs.
Antitussives are used for allergic reactions, while expectorants are for
infections.
13. What type of medication is Tiotropium classified as?
Beta-agonist
Proton pump inhibitor
university exam 4 | LATEST UPDATE 2026/2027
1. A patient has been on a proton pump inhibitor for over a year and presents
with muscle cramps and fatigue. What lab value should be prioritized for
assessment?
Magnesium levels
Potassium levels
Calcium levels
Sodium levels
2. Which of the following education should be included for a patient with a new
prescription for montelukast (Singulair)
the medication should be taken only with meals
the medication is intended only as a rescue medication
the medication should not be used for acute asthmatic attacks
the medication is for patients to take only when they are symptomatic
3. What are common pharmacotherapeutics used to treat upper respiratory
infections?
Decongestants and antihistamines
Antibiotics and antivirals
Proton pump inhibitors
Corticosteroids and bronchodilators
,4. Which precaution is most important to teach a patient who is prescribed an
antacid?
"Avoid using extra pepper on your food while taking this drug."
"Notify your prescriber if heartburn continues after you have taken the
drug for 3 days."
"If you become constipated, stop taking the antacid completely."
"Take this drug at least 2 hours before or after taking any other
drug."
5. Describe why prolonged use of stimulant laxatives can lead to dependence
in patients.
Prolonged use of stimulant laxatives can lead to dependence
because the bowel may become less responsive to normal stimuli,
requiring the laxatives for bowel movements.
Prolonged use of stimulant laxatives promotes the growth of
beneficial gut bacteria.
Prolonged use of stimulant laxatives enhances the absorption of
nutrients in the intestines.
Prolonged use of stimulant laxatives increases the natural production
of digestive enzymes.
6. What is one of the primary contraindications for the use of misoprostol?
Pregnancy
Diabetes
Asthma
Hypertension
,7. Which of the following is a correct drug class for tiotropium?
corticosteroid
anticholinergic
prostaglandin
sulfonamide antibiotic
8. How does codeine suppress cough?
Acting directly on medulla
Binds to receptors on respiratory muscle
Binds to diaphragm
Relaxes the lung muscles
9. Singulair (montelukast) may be prescribed for
the patient with asthma to reduce the symptoms of bronchospasms
the patient with COPD to help reduce severity of coughs
the patient with COPD to decrease mucous viscosity
the patient with asthma to prevent bronchoconstriction
10. A patient with asthma is prescribed montelukast but is also taking a
medication that increases the metabolism of montelukast. What should the
healthcare provider consider in this scenario?
The patient should switch to a different class of asthma medication.
The patient should stop taking montelukast immediately.
The patient may require a dosage adjustment of montelukast.
, The patient should take montelukast with food to enhance
absorption.
11. Describe how long-term proton pump inhibitor use can impact a patient's
health.
Long-term use of proton pump inhibitors can lead to decreased
calcium absorption, increasing the risk of bone fractures.
Long-term use of proton pump inhibitors can enhance the absorption
of nutrients, improving overall health.
Long-term use of proton pump inhibitors primarily affects liver
function.
Long-term use of proton pump inhibitors has no significant impact on
health.
12. Describe how antitussives differ from expectorants in their mechanism of
action.
Antitussives increase mucus production, while expectorants suppress
the cough reflex.
Antitussives suppress the cough reflex, while expectorants help
loosen mucus in the airways.
Antitussives are only for chronic coughs, while expectorants are for
acute coughs.
Antitussives are used for allergic reactions, while expectorants are for
infections.
13. What type of medication is Tiotropium classified as?
Beta-agonist
Proton pump inhibitor
