NURS 611 PHARM EXAM 4 WITH ALL
QUESTIONS AND ANSWERS
Digoxin levels need to be monitored closely when the following
medication is started: - ANSWER 4
1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
Patients with pheochromocytoma should avoid which of the following
classes of drugs because of the possibility of developing
hypertensive crisis? - ANSWER 2
1.
Expectorants
2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
Harold, a 42-year-old African American, has moderate persistent
asthma. Which of the following asthma medications should be used
cautiously, if at all? - ANSWER 2
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
Long-acting beta-agonists (LTBAs) received a Black Box Warning
from the U.S. Food and Drug Administration due to the: - ANSWER
3
1.
Risk of life-threatening dermatological reactions
2.
Increased incidence of cardiac events when LTBAs are used
3.
Increased risk of asthma-related deaths when LTBAs are used
4.
Risk for life-threatening alterations in electrolytes
The bronchodilator of choice for patients taking propranolol is: -
ANSWER 4
1.
Albuterol
2.
Pirbuterol
,3.
Formoterol
4.
Ipratropium
James is a 52-year-old overweight smoker taking theophylline for his
persistent asthma. He tells his provider he is going to start the Atkin's
diet for weight loss. The appropriate response would be: - ANSWER
2
1.
Congratulate him on making a positive change in his life.
2.
Recommend he try stopping smoking instead of the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during
his diet due to increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may lead
to elevated theophylline levels.
Li takes theophylline for his persistent asthma and calls the office
with a complaint of nausea, vomiting, and headache. The best advice
for him would be to: - ANSWER 3
1.
Reassure him this is probably a viral infection and should be better
soon
2.
, Have him seen the same day for an assessment and theophylline
level
3.
Schedule him for an appointment in 2 to 3 days, which he can cancel
if he is better
4.
Order a theophylline level at the laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: -
ANSWER 1
1.
Used for the treatment of chronic obstructive pulmonary disease
(COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treatment of asthma exacerbations
4.
Combined with fluticasone for the treatment of persistent asthma
Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes: -
ANSWER 2
1.
Use one to two puffs of albuterol per day to prevent an attack with no
more than eight puffs per day
QUESTIONS AND ANSWERS
Digoxin levels need to be monitored closely when the following
medication is started: - ANSWER 4
1.Loratadine
2.Diphenhydramine
3.Ipratropium
4.Albuterol
Patients with pheochromocytoma should avoid which of the following
classes of drugs because of the possibility of developing
hypertensive crisis? - ANSWER 2
1.
Expectorants
2.
Beta-2-agonists
3.
Antitussives
4.
Antihistamines
Harold, a 42-year-old African American, has moderate persistent
asthma. Which of the following asthma medications should be used
cautiously, if at all? - ANSWER 2
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
Long-acting beta-agonists (LTBAs) received a Black Box Warning
from the U.S. Food and Drug Administration due to the: - ANSWER
3
1.
Risk of life-threatening dermatological reactions
2.
Increased incidence of cardiac events when LTBAs are used
3.
Increased risk of asthma-related deaths when LTBAs are used
4.
Risk for life-threatening alterations in electrolytes
The bronchodilator of choice for patients taking propranolol is: -
ANSWER 4
1.
Albuterol
2.
Pirbuterol
,3.
Formoterol
4.
Ipratropium
James is a 52-year-old overweight smoker taking theophylline for his
persistent asthma. He tells his provider he is going to start the Atkin's
diet for weight loss. The appropriate response would be: - ANSWER
2
1.
Congratulate him on making a positive change in his life.
2.
Recommend he try stopping smoking instead of the Atkin's diet.
3.
Schedule him for regular testing of serum theophylline levels during
his diet due to increased excretion of theophylline.
4.
Decrease his theophylline dose because a high-protein diet may lead
to elevated theophylline levels.
Li takes theophylline for his persistent asthma and calls the office
with a complaint of nausea, vomiting, and headache. The best advice
for him would be to: - ANSWER 3
1.
Reassure him this is probably a viral infection and should be better
soon
2.
, Have him seen the same day for an assessment and theophylline
level
3.
Schedule him for an appointment in 2 to 3 days, which he can cancel
if he is better
4.
Order a theophylline level at the laboratory for him
Tiotropium bromide (Spiriva) is an inhaled anticholinergic: -
ANSWER 1
1.
Used for the treatment of chronic obstructive pulmonary disease
(COPD)
2.
Used in the treatment of asthma
3.
Combined with albuterol for treatment of asthma exacerbations
4.
Combined with fluticasone for the treatment of persistent asthma
Christy has exercise-induced and mild persistent asthma and is
prescribed two puffs of albuterol 15 minutes before exercise and as
needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes: -
ANSWER 2
1.
Use one to two puffs of albuterol per day to prevent an attack with no
more than eight puffs per day
