NURS 615: Advanced Pharmacotherapeutics
Maryville University Exam 4 Questions with
Correct Answers 2025
WhatBisBTiotropiumB(SPIRIVA)BusedBtoBtreat?B-BCORRECTBANSWERB-
UsedBinBtheBmanagement/BmaintenanceBtreatmentBofBchronicBobstructiveBpulmonaryBdiseaseB(C
OPD)BwhichBincludesBchronicBbronchitisBandBemphysema.
WhatBisBtheBdrugBclassificationBofBTiotropium?B-BCORRECTBANSWERB->ItBisBaBlong-
acting,B24HBanticholinergic-bronchodilator.
>ItBisBaBmuscurinicBreceptorBantagonist,BoftenBreferredBtoBasBanBantimuscurinicBorBanticholinergicB
agent.
WhatBisBtheBmechanismBofBactionBofBTiotropiumB(SPIRIVA)B-BCORRECTBANSWERB-
ItBdoesBnotBdisplayBselectivityBforBspecificBmuscarinicBreceptors,BwhenBtopicallyBappliedBitBactsBmai
nlyBonBM3BmuscarinicBreceptors[8]BlocatedBonBsmoothBmuscleBcellsBandBsubmucosalBglands.BThisBl
eadsBtoBaBreductionBinBsmoothBmuscleBcontractionBandBmucusBsecretionBandBthusBproducesBaBbro
nchodilatoryBeffect.
WhatBareBtheBadverseBeffectsBwithBmontelukastB(Singular)B-BCORRECTBANSWERB-
Anxiety,Baggression,Bdepression,BsuicidalBthoughts,
WhatBpatientBteachingBshouldBaccompanyBtheBprescriptionBofBmontelukastB(Singulair)?B-
BCORRECTBANSWERB-
TeachBptBregardingBadverseBeffectBaboutBaggressionB,BdepressionBsuicidalBthoughtsBthatBcouldBocc
ur
WhatBpatientBteachingBshouldBbeBprovidedBwhenBprescribingBinhaledBcorticosteroids?B-
BCORRECTBANSWERB-
TheyBshouldBbeBtakenB2xBaBdayBeveryBdayBforBtheBuseBofBpreventionBofBasthma.
, RinseBmouthBafterBuseBtoBpreventBoralBthrush.
WhatBethnicBbackgroundBshouldBnotBbeBprescribedBlong-actingBbetaBagonists?B-
BCORRECTBANSWERB-AfricanBAmericans,BincreasedBincidenceBofBdeathBinBthisBpopulation
WhatBmedicationBwouldByouBprescribeBforBbronchospasmBforBaBpatientBtakingBpropranolol?B-
BCORRECTBANSWERB-Ipratropium
WhatBisBtheBmechanismBofBactionBofBalbuterol?B-BCORRECTBANSWERB-
ActivationBofBbetaBadrenergicBreceptorsBleadBtoBrelaxationBofBtheBmuscleBofBtheBlungBandBopeningB
andBdilationBofBtheBairway
BetaBadrenergicBreceptorBareBcoupledBwithBstimulatoryBg-proteinBofBtheBtheBd-
anelylBcyclase>BThisBenzymeBproducesBtheBsecondBmessenngerBcyclicBAMPB(inBtheBlungsBitBcAMPB
decreasesBcalciumBconcentrationBw/inBcellsBandBandBactivatesBproteinBkinaseBA.BBothBofBtheseBina
ctivatesBmyosinBactivaseBkinaseBandBmyosinBlikeBphosphatase
TheyBopenBlargeBconductantsBofBhyperpolarizeBairwayBsmoothBmuscleBcells
WhatBisBtheBmechanismBofBactionBofBinhaledBcorticosteroids?B-BCORRECTBANSWERB-
ExtremelyBpotentBvasoconstrictiveBandBanti-inflammatoryBactivity.
WhenBisBitBappropriateBtoBuseBaBshortBactingBbetaBagonist?B-BCORRECTBANSWERB-
theBdrugBofBchoiceBforBacuteBtreatmentBofBasthmaBsymptomsBandBexacerbations.
ReliefBofBacuteBasthmaBattack.
LABABnotBusedBforBacuteBratherBusedBforBlongBtermBtreatmentBandBpreventionBofBasthmaB-
BCORRECTBANSWERB-True
Maryville University Exam 4 Questions with
Correct Answers 2025
WhatBisBTiotropiumB(SPIRIVA)BusedBtoBtreat?B-BCORRECTBANSWERB-
UsedBinBtheBmanagement/BmaintenanceBtreatmentBofBchronicBobstructiveBpulmonaryBdiseaseB(C
OPD)BwhichBincludesBchronicBbronchitisBandBemphysema.
WhatBisBtheBdrugBclassificationBofBTiotropium?B-BCORRECTBANSWERB->ItBisBaBlong-
acting,B24HBanticholinergic-bronchodilator.
>ItBisBaBmuscurinicBreceptorBantagonist,BoftenBreferredBtoBasBanBantimuscurinicBorBanticholinergicB
agent.
WhatBisBtheBmechanismBofBactionBofBTiotropiumB(SPIRIVA)B-BCORRECTBANSWERB-
ItBdoesBnotBdisplayBselectivityBforBspecificBmuscarinicBreceptors,BwhenBtopicallyBappliedBitBactsBmai
nlyBonBM3BmuscarinicBreceptors[8]BlocatedBonBsmoothBmuscleBcellsBandBsubmucosalBglands.BThisBl
eadsBtoBaBreductionBinBsmoothBmuscleBcontractionBandBmucusBsecretionBandBthusBproducesBaBbro
nchodilatoryBeffect.
WhatBareBtheBadverseBeffectsBwithBmontelukastB(Singular)B-BCORRECTBANSWERB-
Anxiety,Baggression,Bdepression,BsuicidalBthoughts,
WhatBpatientBteachingBshouldBaccompanyBtheBprescriptionBofBmontelukastB(Singulair)?B-
BCORRECTBANSWERB-
TeachBptBregardingBadverseBeffectBaboutBaggressionB,BdepressionBsuicidalBthoughtsBthatBcouldBocc
ur
WhatBpatientBteachingBshouldBbeBprovidedBwhenBprescribingBinhaledBcorticosteroids?B-
BCORRECTBANSWERB-
TheyBshouldBbeBtakenB2xBaBdayBeveryBdayBforBtheBuseBofBpreventionBofBasthma.
, RinseBmouthBafterBuseBtoBpreventBoralBthrush.
WhatBethnicBbackgroundBshouldBnotBbeBprescribedBlong-actingBbetaBagonists?B-
BCORRECTBANSWERB-AfricanBAmericans,BincreasedBincidenceBofBdeathBinBthisBpopulation
WhatBmedicationBwouldByouBprescribeBforBbronchospasmBforBaBpatientBtakingBpropranolol?B-
BCORRECTBANSWERB-Ipratropium
WhatBisBtheBmechanismBofBactionBofBalbuterol?B-BCORRECTBANSWERB-
ActivationBofBbetaBadrenergicBreceptorsBleadBtoBrelaxationBofBtheBmuscleBofBtheBlungBandBopeningB
andBdilationBofBtheBairway
BetaBadrenergicBreceptorBareBcoupledBwithBstimulatoryBg-proteinBofBtheBtheBd-
anelylBcyclase>BThisBenzymeBproducesBtheBsecondBmessenngerBcyclicBAMPB(inBtheBlungsBitBcAMPB
decreasesBcalciumBconcentrationBw/inBcellsBandBandBactivatesBproteinBkinaseBA.BBothBofBtheseBina
ctivatesBmyosinBactivaseBkinaseBandBmyosinBlikeBphosphatase
TheyBopenBlargeBconductantsBofBhyperpolarizeBairwayBsmoothBmuscleBcells
WhatBisBtheBmechanismBofBactionBofBinhaledBcorticosteroids?B-BCORRECTBANSWERB-
ExtremelyBpotentBvasoconstrictiveBandBanti-inflammatoryBactivity.
WhenBisBitBappropriateBtoBuseBaBshortBactingBbetaBagonist?B-BCORRECTBANSWERB-
theBdrugBofBchoiceBforBacuteBtreatmentBofBasthmaBsymptomsBandBexacerbations.
ReliefBofBacuteBasthmaBattack.
LABABnotBusedBforBacuteBratherBusedBforBlongBtermBtreatmentBandBpreventionBofBasthmaB-
BCORRECTBANSWERB-True