NURS 617 - Pharmacotherapeutics for Advanced Nursing
N617 PHARM (EXAM 2) SUMMER 2025 - JEAN
GENZALE QUESTIONS AND 100% CORRECT
ANSWERS
A pediatric patient who weighs 30lbs is prescribed Prednisolone 1.5mg / kg / day as a "
burst therapy " for asthma exacerbation . Please calculate a dose in whole number of
mg for a total daily dose of Prednisolone
20
All of the following therapies are used as acute therapy for a cluster headache except
a . Intranasal lidocaine
b . Intranasal sumatriptan ( imitrex )
c . Ergotamine derivative
d . Verapamil
d . Verapamil
A disadvantage to the use of nicotinic acid ( niacin ) for hyperlipidemia is ?
a . It is associated with constipation
b . it may cause a life - threatening myopathy
c . It commonly produces flushing in the face and neck area
d . It will decrease the absorption of other oral drugs given simultaneously
c . It commonly produces flushing in the face and neck area
All of the following respiratory agents are safe to use in pregnancy except
a . brompheniramine ( dimetane )
,b . potassium iodide
c . hydrocortisone
d . dextromethorphan ( Delsym )
b . potassium iodide
antihistamines have antagonistic activity on cholinergic receptors leading to
anticholinergic adverse effects . Examples of anticholinergic adverse effects include
a . bronchospasm
b . nasal stuffiness
c . pruritus
d . tachycardia
d . tachycardia
beta blockers are used therapeutically in patients with angina
a . decrease the time allowed for coronary blood flow
b . increase cardiac output
C. increase the time that the heart is in diastole
d . increase myocardial oxygen consumption
C. increase the time that the heart is in diastole
although most asthmatics are controlled with a combination of medications , the class
that provides the most effective bronchodilation is ?
a . Anticholinergic inhalants
b . Beta 2 adrenergic agents
C. Cromones
d . Methylxanthines
,b . Beta 2 adrenergic agents
Angiotensin II receptor antagonists ( ARBS )
a . May be prescribed to pregnant women without fear of causing fetal harm
b . Are excreted both in the urine and the bile
C.Have limited use due to multiple adverse effects
d . Commonly cause a persistent cough as an adverse drug reaction
b . Are excreted both in the urine and the bile
According to the textbook , preferred step 4 treatment for persistent asthma in 12 y / o
children and adults is
a . Cromolyn
b . Low dose ICS
C. Medium dose ICS
d . Medium dose ICS + LABA
d . Medium dose ICS + LABA
Although most antiemetics also produce sedation , which of the following is the least
likely to have this effect
a . Dronabinol ( marinol )
b . Ondansetron ( zofran )
C. Promethazine ( Phenergan )
d . Trimethobenzamide ( Tigan )
b . Ondansetron ( zofran )
, Beta blockers must be used with caution in patients who have heart failure . Which of
the following statements describe possible consequences of slowing the heart rate in a
patient with HF ?
a . May increase perfusion of coronary arteries
b . May increase cardiac contractility
C. May increase myocardial oxygen supply
d . May decrease cardiac output to a critical level
d . May decrease cardiac output to a critical level
Bile acid sequestrants
a . Are all considered pregnancy category D
b . Are activated from a prodrug to an active form in the liver
c . Reduce the amount of cholesterol stored in adipose tissue
d . Require close monitoring of hepatic function
c . Reduce the amount of cholesterol stored in adipose tissue
Chlamydial pneumonia should be treated with the following suggested antimicrobial ?
a. Amoxicillin ( Amoxil )
b . Amoxicillin - clavulanate ( Augmentin )
c . Azithromycin ( Zithromax )
d . Ceftriaxone ( rocephin )
c . Azithromycin ( Zithromax )
Calcium channel blockers
a . Block calcium channels inayocardial cells resulting in decreased myocardial
contraction
N617 PHARM (EXAM 2) SUMMER 2025 - JEAN
GENZALE QUESTIONS AND 100% CORRECT
ANSWERS
A pediatric patient who weighs 30lbs is prescribed Prednisolone 1.5mg / kg / day as a "
burst therapy " for asthma exacerbation . Please calculate a dose in whole number of
mg for a total daily dose of Prednisolone
20
All of the following therapies are used as acute therapy for a cluster headache except
a . Intranasal lidocaine
b . Intranasal sumatriptan ( imitrex )
c . Ergotamine derivative
d . Verapamil
d . Verapamil
A disadvantage to the use of nicotinic acid ( niacin ) for hyperlipidemia is ?
a . It is associated with constipation
b . it may cause a life - threatening myopathy
c . It commonly produces flushing in the face and neck area
d . It will decrease the absorption of other oral drugs given simultaneously
c . It commonly produces flushing in the face and neck area
All of the following respiratory agents are safe to use in pregnancy except
a . brompheniramine ( dimetane )
,b . potassium iodide
c . hydrocortisone
d . dextromethorphan ( Delsym )
b . potassium iodide
antihistamines have antagonistic activity on cholinergic receptors leading to
anticholinergic adverse effects . Examples of anticholinergic adverse effects include
a . bronchospasm
b . nasal stuffiness
c . pruritus
d . tachycardia
d . tachycardia
beta blockers are used therapeutically in patients with angina
a . decrease the time allowed for coronary blood flow
b . increase cardiac output
C. increase the time that the heart is in diastole
d . increase myocardial oxygen consumption
C. increase the time that the heart is in diastole
although most asthmatics are controlled with a combination of medications , the class
that provides the most effective bronchodilation is ?
a . Anticholinergic inhalants
b . Beta 2 adrenergic agents
C. Cromones
d . Methylxanthines
,b . Beta 2 adrenergic agents
Angiotensin II receptor antagonists ( ARBS )
a . May be prescribed to pregnant women without fear of causing fetal harm
b . Are excreted both in the urine and the bile
C.Have limited use due to multiple adverse effects
d . Commonly cause a persistent cough as an adverse drug reaction
b . Are excreted both in the urine and the bile
According to the textbook , preferred step 4 treatment for persistent asthma in 12 y / o
children and adults is
a . Cromolyn
b . Low dose ICS
C. Medium dose ICS
d . Medium dose ICS + LABA
d . Medium dose ICS + LABA
Although most antiemetics also produce sedation , which of the following is the least
likely to have this effect
a . Dronabinol ( marinol )
b . Ondansetron ( zofran )
C. Promethazine ( Phenergan )
d . Trimethobenzamide ( Tigan )
b . Ondansetron ( zofran )
, Beta blockers must be used with caution in patients who have heart failure . Which of
the following statements describe possible consequences of slowing the heart rate in a
patient with HF ?
a . May increase perfusion of coronary arteries
b . May increase cardiac contractility
C. May increase myocardial oxygen supply
d . May decrease cardiac output to a critical level
d . May decrease cardiac output to a critical level
Bile acid sequestrants
a . Are all considered pregnancy category D
b . Are activated from a prodrug to an active form in the liver
c . Reduce the amount of cholesterol stored in adipose tissue
d . Require close monitoring of hepatic function
c . Reduce the amount of cholesterol stored in adipose tissue
Chlamydial pneumonia should be treated with the following suggested antimicrobial ?
a. Amoxicillin ( Amoxil )
b . Amoxicillin - clavulanate ( Augmentin )
c . Azithromycin ( Zithromax )
d . Ceftriaxone ( rocephin )
c . Azithromycin ( Zithromax )
Calcium channel blockers
a . Block calcium channels inayocardial cells resulting in decreased myocardial
contraction