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NURS 615 Exam 4 – 2025/2026 – 150+ Verified Q&A on Respiratory Drugs, GERD, Diuretics, Antihistamines, Antiemetics – Maryville University

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This expertly curated and fully verified study guide for NURS 615 Advanced Pharmacotherapeutics Exam 4 contains 150+ high-yield questions and answers, ideal for nurse practitioner (NP) and graduate-level nursing students enrolled at Maryville University in the 2025/2026 academic year. The document offers advanced clinical pharmacology content with a focus on respiratory, GI, and renal systems, featuring drug mechanisms, patient teaching, contraindications, and adverse effects. Core topics include: Respiratory Pharmacology Anticholinergics (Tiotropium), beta-agonists (albuterol), corticosteroids (inhaled & systemic) LABA vs. SABA use, black box warnings in African American populations Montelukast psychiatric side effects and patient education Atropine effects in airway disease and bronchodilation mechanisms Upper Respiratory & Allergy Management Pseudoephedrine and antihistamine cautions in geriatrics and BPH Second-generation antihistamines (loratadine, fexofenadine) Antitussives like dextromethorphan and codeine Gastrointestinal Disorders GERD step-up and step-down treatment protocols PPIs (omeprazole, pantoprazole): MOA, B12/Ca++ monitoring, osteoporosis risk H. pylori treatment (triple and quadruple therapy) Anti-emetics (ondansetron, promethazine, metoclopramide) Antidiarrheals (loperamide, bismuth subsalicylate), constipation agents (Miralax, docusate, bisacodyl) Diuretics and Fluid Management Loop (furosemide), thiazide, potassium-sparing, carbonic anhydrase, and osmotic diuretics Selection based on renal function, electrolyte effects, and special populations Calcium-sparing effects and related implications Clinical Teaching & Patient Safety Medication timing, dietary considerations (e.g., tyramine with MAOIs), risk populations (pediatrics, elderly) Drug-drug interactions, long-term risks (e.g., cathartic colon), and black box warnings Each question includes clinically relevant reasoning, mechanisms of action, or patient education points, helping students bridge pharmacology theory with nurse practitioner decision-making in real practice. Best suited for: Students in NURS 615 Advanced Pharmacotherapeutics FNP, AGNP, PMHNP, DNP graduate nursing programs NP board exam preparation (AANP, ANCC) Faculty, clinical instructors, and preceptors needing advanced question sets for respiratory, GI, and renal drug therapies Keywords: Tiotropium, inhaled corticosteroids, albuterol, montelukast, antihistamines, pseudoephedrine, GERD therapy, H. pylori, PPIs, loperamide, docusate sodium, metoclopramide, ondansetron, omeprazole, furosemide, thiazide diuretics, potassium-sparing, osmotic diuretics, phenothiazines, antitussives, NURS 615 exam 4

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NURS 615 ADVANCED
PHARMACOTHERAPEUTICS Maryville
University Exam 4 2025 Expert Verified |
Ace the Test



What is Tiotropium (SPIRIVA) used to treat? - 🧠 ANSWER ✔✔Used in the

management/ maintenance treatment of chronic obstructive pulmonary

disease (COPD) which includes chronic bronchitis and emphysema.


What is the drug classification of Tiotropium? - 🧠 ANSWER ✔✔>It is a long-

acting, 24H anticholinergic-bronchodilator.

>It is a muscurinic receptor antagonist, often referred to as an

antimuscurinic or anticholinergic agent.

What is the mechanism of action of Tiotropium (SPIRIVA) - 🧠 ANSWER

✔✔It does not display selectivity for specific muscarinic receptors, when

topically applied it acts mainly on M3 muscarinic receptors[8] located on

, smooth muscle cells and submucosal glands. This leads to a reduction in

smooth muscle contraction and mucus secretion and thus produces a

bronchodilatory effect.

What are the adverse effects with montelukast (Singular) - 🧠 ANSWER

✔✔Anxiety, aggression, depression, suicidal thoughts,


What patient teaching should accompany the prescription of montelukast

(Singulair)? - 🧠 ANSWER ✔✔Teach pt regarding adverse effect about

aggression , depression suicidal thoughts that could occur

What patient teaching should be provided when prescribing inhaled

corticosteroids? - 🧠 ANSWER ✔✔They should be taken 2x a day every day

for the use of prevention of asthma.

Rinse mouth after use to prevent oral thrush.

What ethnic background should not be prescribed long-acting beta

agonists? - 🧠 ANSWER ✔✔African Americans, increased incidence of

death in this population

What medication would you prescribe for bronchospasm for a patient taking

propranolol? - 🧠 ANSWER ✔✔Ipratropium

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