NUR 635 FINAL EXAM 1 LATEST VERSIONS
(VERSION A AND B) 2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
A stepwise approach to the pharmacologic management of asthma:
1. Begins with determining the severity of asthma and assessing asthma
control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach to the care
of asthmatic patients
4. Provides a framework for the management of severe asthmatics, but is
not as helpful when patients have intermittent asthma - ANSWER>>1.
Begins with determining the severity of asthma and assessing asthma
contro
Treatment for mild intermittent asthma is:
1. Daily inhaled medium-dose corticosteroids
2. Short-acting beta-2-agonists (albuterol) as needed
3. Long-acting beta-2-agonists every morning as a preventative
4. Montelukast (Singulair) daily - ANSWER>>2. Short-acting beta-2agonists
(albuterol) as needed
The first-line therapy for mild-persistent asthma is:
1. High-dose montelukast
2. Theophylline
3. Low-dose inhaled corticosteroids
,4. Long-acting beta-2-agonists - ANSWER>>3. Low-dose inhaled
corticosteroids
Patients who are at risk of a fatal asthma attack include patients:
1. With moderate persistent asthma
2. With a history of requiring intubation or ICU admission for asthma
3. Who are on daily inhaled corticosteroid therapy
4. Who are pregnant - ANSWER>>2. With a history of requiring intubation
or ICU admission for asthma
Patients with COPD require monitoring of:
1. Beta-2-agonist use
2. Serum electrolytes
3. Blood pressure
4. Neuropsychiatric effects of montelukast - ANSWER>>1. Beta-2-agonist
use
Patients with a COPD exacerbation may require:
1. Doubling of inhaled corticosteroid dose
2. Systemic corticosteroid burst
3. Continuous inhaled beta-2-agonists
4. Leukotriene therapy - ANSWER>>2. Systemic corticosteroid burst
Which antibiotic regime would be the most appropriate when treating
community acquired pneumonia with co-morbidities -
ANSWER>>Azithromycin plus ceftriaxone
,If an adult patient with comorbidities cannot reliably take oral antibiotics to
treat pneumonia, an appropriate initial treatment option would be:
1. IV or IM gentamicin
2. IV or IM ceftriaxone
3. IV amoxicillin
4. IV ciprofloxacin - ANSWER>>2. IV or IM ceftriaxone
A prescriber has ordered bethanechol [Urecholine] for a postoperative
patient who has urinary retention. The nurse reviews the patient's chart
before giving the drug. Which part of the patient's history would be a
contraindication to using this drug? a.Asthma as a child
b.Gastroesophageal reflux
c.Hypertension
d.Hypothyroidism - ANSWER>>ANS: A
Bethanechol is contraindicated in patients with active or latent asthma,
because activation of muscarinic receptors in the lungs causes
bronchoconstriction. It increases the tone and motility of the gastrointestinal
(GI) tract and is not contraindicated in patients with reflux. It causes
vasodilation and would actually lower blood pressure in a hypertensive
patient.
It causes dysrhythmias in hyperthyroid patients.
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4
hours, for a week. Since then it has become impossible to discontinue the
medication because the nasal congestion has increased. What action will
the provider take?
A) Prescribe an oral decongestant to replace the intranasal phenylephrine.
, B) Order an intranasal glucocorticoid to be used while the phenylephrine is
withdrawn.
C) Increase the dose of phenylephrine to 4 sprays every 4 hours.
D) Stop the phenylephrine and discuss using an intranasal antihistamine. -
ANSWER>>B) Order an intranasal glucocorticoid to be used while the
phenylephrine is withdrawn.
Which medication should be used for asthma patients as part of step 1
management? a. Combination inhaled glucocorticoids/long-acting beta2
agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
d. Short-acting beta2 agonists - ANSWER>>d. Short-acting beta2 agonists
An older adult patient with chronic obstructive pulmonary disease (COPD)
develops bronchitis. The patient has a temperature of 39.5°C. The nurse
will expect the provider to:
a. obtain a sputum culture and wait for the results before prescribing an
antibiotic.
b. order empiric antibiotics while waiting for sputum culture results.
c. treat symptomatically, because antibiotics are usually ineffective against
bronchitis.
d. treat the patient with more than one antibiotic without obtaining culture -
ANSWER>>b. order empiric antibiotics while waiting for sputum culture
results.
Kirk sprained his ankle and is asking for pain medication for his mild-
tomoderate pain.
(VERSION A AND B) 2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
A stepwise approach to the pharmacologic management of asthma:
1. Begins with determining the severity of asthma and assessing asthma
control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach to the care
of asthmatic patients
4. Provides a framework for the management of severe asthmatics, but is
not as helpful when patients have intermittent asthma - ANSWER>>1.
Begins with determining the severity of asthma and assessing asthma
contro
Treatment for mild intermittent asthma is:
1. Daily inhaled medium-dose corticosteroids
2. Short-acting beta-2-agonists (albuterol) as needed
3. Long-acting beta-2-agonists every morning as a preventative
4. Montelukast (Singulair) daily - ANSWER>>2. Short-acting beta-2agonists
(albuterol) as needed
The first-line therapy for mild-persistent asthma is:
1. High-dose montelukast
2. Theophylline
3. Low-dose inhaled corticosteroids
,4. Long-acting beta-2-agonists - ANSWER>>3. Low-dose inhaled
corticosteroids
Patients who are at risk of a fatal asthma attack include patients:
1. With moderate persistent asthma
2. With a history of requiring intubation or ICU admission for asthma
3. Who are on daily inhaled corticosteroid therapy
4. Who are pregnant - ANSWER>>2. With a history of requiring intubation
or ICU admission for asthma
Patients with COPD require monitoring of:
1. Beta-2-agonist use
2. Serum electrolytes
3. Blood pressure
4. Neuropsychiatric effects of montelukast - ANSWER>>1. Beta-2-agonist
use
Patients with a COPD exacerbation may require:
1. Doubling of inhaled corticosteroid dose
2. Systemic corticosteroid burst
3. Continuous inhaled beta-2-agonists
4. Leukotriene therapy - ANSWER>>2. Systemic corticosteroid burst
Which antibiotic regime would be the most appropriate when treating
community acquired pneumonia with co-morbidities -
ANSWER>>Azithromycin plus ceftriaxone
,If an adult patient with comorbidities cannot reliably take oral antibiotics to
treat pneumonia, an appropriate initial treatment option would be:
1. IV or IM gentamicin
2. IV or IM ceftriaxone
3. IV amoxicillin
4. IV ciprofloxacin - ANSWER>>2. IV or IM ceftriaxone
A prescriber has ordered bethanechol [Urecholine] for a postoperative
patient who has urinary retention. The nurse reviews the patient's chart
before giving the drug. Which part of the patient's history would be a
contraindication to using this drug? a.Asthma as a child
b.Gastroesophageal reflux
c.Hypertension
d.Hypothyroidism - ANSWER>>ANS: A
Bethanechol is contraindicated in patients with active or latent asthma,
because activation of muscarinic receptors in the lungs causes
bronchoconstriction. It increases the tone and motility of the gastrointestinal
(GI) tract and is not contraindicated in patients with reflux. It causes
vasodilation and would actually lower blood pressure in a hypertensive
patient.
It causes dysrhythmias in hyperthyroid patients.
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4
hours, for a week. Since then it has become impossible to discontinue the
medication because the nasal congestion has increased. What action will
the provider take?
A) Prescribe an oral decongestant to replace the intranasal phenylephrine.
, B) Order an intranasal glucocorticoid to be used while the phenylephrine is
withdrawn.
C) Increase the dose of phenylephrine to 4 sprays every 4 hours.
D) Stop the phenylephrine and discuss using an intranasal antihistamine. -
ANSWER>>B) Order an intranasal glucocorticoid to be used while the
phenylephrine is withdrawn.
Which medication should be used for asthma patients as part of step 1
management? a. Combination inhaled glucocorticoids/long-acting beta2
agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
d. Short-acting beta2 agonists - ANSWER>>d. Short-acting beta2 agonists
An older adult patient with chronic obstructive pulmonary disease (COPD)
develops bronchitis. The patient has a temperature of 39.5°C. The nurse
will expect the provider to:
a. obtain a sputum culture and wait for the results before prescribing an
antibiotic.
b. order empiric antibiotics while waiting for sputum culture results.
c. treat symptomatically, because antibiotics are usually ineffective against
bronchitis.
d. treat the patient with more than one antibiotic without obtaining culture -
ANSWER>>b. order empiric antibiotics while waiting for sputum culture
results.
Kirk sprained his ankle and is asking for pain medication for his mild-
tomoderate pain.
