NURS 3335 EXAM EVALUATION 2025/2026 QUESTIONS
AND SOLUTION RATED A+
✔✔What is the MOA of Theophylline? - ✔✔Increases cAMP to relax bronchial smooth
muscle and cause bronchodilation
✔✔What are major risks of Theophylline? - ✔✔Toxicity >20 mcg/mL, seizures,
arrhythmias
✔✔What should be avoided while taking Theophylline? - ✔✔Caffeine, alcohol, smoking
✔✔What is the suffix for leukotriene receptor antagonists? - ✔✔-lukast
✔✔What is Montelukast used for? - ✔✔Asthma prevention, allergic rhinitis, exercise-
induced asthma
✔✔What is the MOA of Montelukast? - ✔✔Blocks leukotrienes to reduce inflammation
and mucus
✔✔What are side effects of Montelukast? - ✔✔Hepatotoxicity, GI upset, suicidal
ideation
✔✔What are nursing considerations for Montelukast? - ✔✔Not for acute attacks, take 2
hrs before exercise, monitor liver function
✔✔What is the suffix for corticosteroids? - ✔✔-sone
✔✔What is Fluticasone used for? - ✔✔Nasal congestion, asthma maintenance
✔✔What are side effects of inhaled corticosteroids? - ✔✔Oral thrush, sore throat, bone
loss (long term), immunosuppression
✔✔What are nursing considerations for Fluticasone? - ✔✔Rinse mouth after use, clean
inhaler, do not use for acute asthma
✔✔What are examples of glucocorticoids? - ✔✔Prednisone (oral), Methylprednisolone
(IV)
✔✔What are glucocorticoids used for? - ✔✔Asthma, COPD, autoimmune diseases,
organ transplant rejection
✔✔What are side effects of glucocorticoids? - ✔✔Hyperglycemia, hypertension, weight
gain, osteoporosis, adrenal suppression
, ✔✔What are key nursing considerations for glucocorticoids? - ✔✔Monitor glucose and
electrolytes, taper dose, avoid infection, supplement vitamin D & calcium
✔✔What are combination asthma inhalers? - ✔✔Budesonide/Formoterol (Symbicort),
Fluticasone/Salmeterol (Advair), Mometasone/Formoterol (Dulera)
✔✔What is the benefit of combo inhalers? - ✔✔Combines steroid (anti-inflammatory)
and LABA (bronchodilator) for maintenance therapy
✔✔What are side effects of combo inhalers? - ✔✔Oral thrush, hoarseness, tremors,
tachycardia, rare bronchospasm
✔✔What are nursing considerations for combo inhalers? - ✔✔Not for acute attacks,
rinse mouth, monitor for thrush and tachycardia
✔✔Why should first-generation antihistamines be used with caution in glaucoma? -
✔✔Because of their anticholinergic effects which can increase intraocular pressure
✔✔What is a major safety concern with first-generation antihistamines? - ✔✔Sedation—
implement fall precautions and avoid operating heavy machinery
✔✔Why are second-generation antihistamines preferred for daily use? - ✔✔They cause
little to no sedation and have fewer anticholinergic side effects
✔✔What is a contraindication for using antitussives? - ✔✔Productive (wet) cough
✔✔What side effect of Codeine requires close monitoring? - ✔✔Respiratory depression
✔✔Why are SABAs like Albuterol not used for long-term control? - ✔✔They act quickly
but wear off fast, making them ideal only for acute relief
✔✔What teaching should you give about inhaler use when combining a SABA and
steroid? - ✔✔Use bronchodilator first, wait 5 minutes, then use corticosteroid
✔✔Why should LABAs never be used alone for asthma? - ✔✔They don't treat
inflammation—must be combined with an inhaled corticosteroid
✔✔What is the black box warning for Montelukast? - ✔✔Serious mental health side
effects including depression, agitation, and suicidal ideation
✔✔What must be monitored when taking Montelukast long term? - ✔✔Liver function
(AST, ALT)
AND SOLUTION RATED A+
✔✔What is the MOA of Theophylline? - ✔✔Increases cAMP to relax bronchial smooth
muscle and cause bronchodilation
✔✔What are major risks of Theophylline? - ✔✔Toxicity >20 mcg/mL, seizures,
arrhythmias
✔✔What should be avoided while taking Theophylline? - ✔✔Caffeine, alcohol, smoking
✔✔What is the suffix for leukotriene receptor antagonists? - ✔✔-lukast
✔✔What is Montelukast used for? - ✔✔Asthma prevention, allergic rhinitis, exercise-
induced asthma
✔✔What is the MOA of Montelukast? - ✔✔Blocks leukotrienes to reduce inflammation
and mucus
✔✔What are side effects of Montelukast? - ✔✔Hepatotoxicity, GI upset, suicidal
ideation
✔✔What are nursing considerations for Montelukast? - ✔✔Not for acute attacks, take 2
hrs before exercise, monitor liver function
✔✔What is the suffix for corticosteroids? - ✔✔-sone
✔✔What is Fluticasone used for? - ✔✔Nasal congestion, asthma maintenance
✔✔What are side effects of inhaled corticosteroids? - ✔✔Oral thrush, sore throat, bone
loss (long term), immunosuppression
✔✔What are nursing considerations for Fluticasone? - ✔✔Rinse mouth after use, clean
inhaler, do not use for acute asthma
✔✔What are examples of glucocorticoids? - ✔✔Prednisone (oral), Methylprednisolone
(IV)
✔✔What are glucocorticoids used for? - ✔✔Asthma, COPD, autoimmune diseases,
organ transplant rejection
✔✔What are side effects of glucocorticoids? - ✔✔Hyperglycemia, hypertension, weight
gain, osteoporosis, adrenal suppression
, ✔✔What are key nursing considerations for glucocorticoids? - ✔✔Monitor glucose and
electrolytes, taper dose, avoid infection, supplement vitamin D & calcium
✔✔What are combination asthma inhalers? - ✔✔Budesonide/Formoterol (Symbicort),
Fluticasone/Salmeterol (Advair), Mometasone/Formoterol (Dulera)
✔✔What is the benefit of combo inhalers? - ✔✔Combines steroid (anti-inflammatory)
and LABA (bronchodilator) for maintenance therapy
✔✔What are side effects of combo inhalers? - ✔✔Oral thrush, hoarseness, tremors,
tachycardia, rare bronchospasm
✔✔What are nursing considerations for combo inhalers? - ✔✔Not for acute attacks,
rinse mouth, monitor for thrush and tachycardia
✔✔Why should first-generation antihistamines be used with caution in glaucoma? -
✔✔Because of their anticholinergic effects which can increase intraocular pressure
✔✔What is a major safety concern with first-generation antihistamines? - ✔✔Sedation—
implement fall precautions and avoid operating heavy machinery
✔✔Why are second-generation antihistamines preferred for daily use? - ✔✔They cause
little to no sedation and have fewer anticholinergic side effects
✔✔What is a contraindication for using antitussives? - ✔✔Productive (wet) cough
✔✔What side effect of Codeine requires close monitoring? - ✔✔Respiratory depression
✔✔Why are SABAs like Albuterol not used for long-term control? - ✔✔They act quickly
but wear off fast, making them ideal only for acute relief
✔✔What teaching should you give about inhaler use when combining a SABA and
steroid? - ✔✔Use bronchodilator first, wait 5 minutes, then use corticosteroid
✔✔Why should LABAs never be used alone for asthma? - ✔✔They don't treat
inflammation—must be combined with an inhaled corticosteroid
✔✔What is the black box warning for Montelukast? - ✔✔Serious mental health side
effects including depression, agitation, and suicidal ideation
✔✔What must be monitored when taking Montelukast long term? - ✔✔Liver function
(AST, ALT)
