NURS 611 EXAM 4 PATHO ACTUAL EXAM LATEST VERSION
UPDATED AND REVISED IN 2025
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
2.
Beclomethasone needs to be used every day to treat her
asthma
3.
UPDATED AND REVISED IN 2025
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
2.
Beclomethasone needs to be used every day to treat her
asthma
3.
