AGNP Board Exam Question and Answers - Respiratory Prescribing

AGNP BOARD EXAM QUESTIONS Respiratory Prescribing (Questions 100) 1. Treatment of Bordetella pertussis in a patient with a hypersensitivity to macrolides is: 2. The mainstay of treatment in the management of mild and moderate croup is symptomatic relief that includes: 3. In adults with community-acquired pneumonia in which B-lactamase producing Haemophilus influenzae is identified as the causative organism, the outpatient treatment of choice is: 4. A patient with sinusitis is treated with amoxicillin. Caution is advised with concomitant use of: 5. A patient with bacterial sinusitis taking an oral penicillin should be instructed: 6. An example of a beta2-adrenergic receptor agonist used in the treatment of asthma is: 7. Benzonatate (Tessalon Perles), a non-narcotic antitussive,: 8. Which of the following medications, when combined with pulmonary rehabilitation, enhances exercise performance? 9. Which of the following would NOT be a potential adverse reaction of an intramuscular corticosteroid? 10. Doxycycline (Vibramycin), for the treatment of pneumonia, is classified as a: 11. The main side effect related to the use of long-acting antimuscarinic antagonists is: 12. Theophylline (Theo-24) relaxes bronchial smooth muscle and: 13. Fluticasone/salmeterol is a combination inhaler that is branded as: 14. The initial bronchodilator in the treatment of chronic bronchitis is: 15. The treatment of choice in the outpatient setting for an adult with community-acquired pneumonia caused by Mycoplasma pneumoniae or Chlamydophila pneumoniae is a: 16. A patient with diabetes who is started on corticosteroids for the treatment of chronic bronchitis exacerbation should be instructed to monitor for: 17. The beta2 adrenergic receptor agonist most commonly used to prevent bronchospasm associated with exercise-induced asthma is: 18. Levofloxacin, for the treatment of community acquired pneumonia, is classified as a: 19. When considering the use of theophylline to treat chronic bronchitis, its use is limited due to: 20. Patients with severe emphysema who are receiving chronic inhaled steroids are at increased risk of developing: 21. For the treatment of a patient experiencing bronchospasms in response to an allergen, the LEAST favorable route for the administration of epinephrine, a catecholamine, is: 22. Tiotropium (Spiriva HandiHaler), used in the treatment of chronic bronchitis,: 23. Which of the following is NOT a potential side effect of albuterol (ProAir HFA)? 24. When prescribing a macrolide such as erythromycin for a patient with strep pharyngitis, the patient should be informed that they may experience: 25. According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, oral prednisone for an acute exacerbation of emphysema should be administered for: 26. With the use of tiotropium (Spiriva HandiHaler), the patient should be instructed that: 27. Caution is advised when theophylline (Theo-24) is prescribed for patients with a history of: 28. Dextromethorphan, a cough suppressant, is safe to administer to patients who have: 29. Glucocorticoids are indicated for the treatment of: 30. For asthma symptoms requiring use of a short-acting bronchodilator more than 2 times a week, the preferred addition to the treatment regimen is: 31. Amoxicillin/clavulanate (Augmentin), a beta-lactam antibiotic,: 32. An example of an inhaled glucocorticoid used in the treatment of asthma is: 33. Which statement is NOT true about beta2-agonists? 34. The mechanism of action of inhaled glucocorticoids in the treatment of chronic obstructive pulmonary disease is to: 35. Robitussin DM is a combination of dextromethorphan and: 36. Leukotriene antagonists such as montelukast (Singulair) should not be prescribed if the patient has preexisting: 37. Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: 38. Which of the following medications is classified as a short-acting antimuscarinic antagonist (SAMA)? 39. For asthma symptoms occurring daily with nighttime symptoms greater than one time per week, the preferred daily treatment is a: 40. When used in the treatment of chronic obstructive pulmonary disease (COPD), macrolides: 41. Which medication is classified as a xanthine? 42. Bactrim DS can be used to treat a patient with pneumonia. The "DS" in trimethoprim-sulfamethoxazole (Bactrim DS) stands for: 43. Theophylline (Theo-24) may have an effect on the serum concentrations of: 44. The recommended treatment for community-acquired pneumonia secondary to an atypical pathogen in a previously healthy patient who has a macrolide allergy is: 45. Routine management of bronchiolitis in moderately ill children includes: 46. The brand name for albuterol (inhaled) is: 47. The mechanism of action of short-acting antimuscarinic antagonists (SAMA) such as ipratropium is to: 48. Azithromycin (Zithromax) and other macrolides are safe to administer with: 49. The initial recommended treatment for uncomplicated acute bronchitis in adults is: 50. Doxycycline (Doryx), for the treatment of pneumonia,: 51. An example of a long-acting bronchodilator is: 52. The most common symptom of theophylline toxicity is: 53. The generic name for Tessalon Perles, used to treat cough, is: 54. Albuterol (ProAir HFA), used in the treatment of asthma, causes bronchodilation by: 55. Patients who are already on tiotropium (Spiriva) for chronic obstructive pulmonary disease should not take a(n): 56. The antibiotic of choice in the management of Bordetella pertussis in all age groups is: 57. Which of the following scenarios would NOT warrant monitoring of a serum theophylline level? 58. The peak blood levels for trimethoprim and sulfamethoxazole contained in Bactrim DS are approximately: 59. Benzonatate (Tessalon Perles), used to treat cough, is classified as a(n): 60. Montelukast (Singulair), a leukotriene inhibitor, is: 61. Which of the following is a short-acting bronchodilator? 62. Albuterol (ProAir HFA) is NOT recommended for use in the treatment of: 63. Toxic effects of theophylline (Theo-24) may be increased by: 64. When used in the treatment of lower respiratory tract infections, macrolides: 65. With acute exacerbation of bronchitis, inhaled steroid use should be: 66. Which of the following is a combination long-acting beta2-agonist and an inhaled steroid? 67. Potential drug-drug interactions may occur when albuterol is combined with: 68. Which medication is NOT appropriate treatment for exercise-induced asthma? 69. An indication for the use of beta2 adrenergic receptor agonists is: 70. A patient who is receiving warfarin (Coumadin) requires the initiation of doxycycline (Doryx) for the treatment of pneumonia. The nurse practitioner knows that: 71. In children between the ages of 5-11, the long-term use of which asthma medication may cause a transient slowing of growth? 72. The primary antibiotic option for suspected pneumocystis pneumonia (PCP) in a patient with HIV infection is: 73. Which asthma medication does NOT directly exhibit an anti-inflammatory action? 74. In the treatment of chronic obstructive pulmonary disease (COPD), common side effects of corticosteroids may include: 75. Which of the following is an adrenergic drug that acts on the sympathetic nervous system? 76. Prolonged use of corticosteroids in children generally does NOT lead to: 77. Levofloxacin (Levaquin) is associated with potentially serious side effects, including: 78. The likelihood of a drug-related rash is increased when Augmentin is administered to a patient with a: 79. Patient instructions for the use of inhaled steroids would NOT include to: 80. Long-acting bronchodilators, such as salmeterol (Serevent Diskus), are indicated in the treatment of: 81. Inhaled antimuscarinic agents, such as ipratropium bromide (Atrovent HFA),: 82. The patient's use of inhaler technique should be evaluated: 83. The mechanism of action of dextromethorphan is to: 84. Xanthines such as theophylline, used in the treatment of COPD, cause bronchodilation by: 85. Unless contraindicated, all patients with a diagnosis of emphysema should receive: 86. Levofloxacin (Levaquin) should be avoided in patients with a history of: 87. Which of the following medications is slowly and incompletely metabolized by the liver and excreted largely unchanged in the urine within 24 hours of oral administration? 88. For complaints of dysphonia related to the use of mometasone (Asmanex Twisthaler), the patient should be advised to: 89. For previously healthy children with mild to moderate symptoms of suspected bacterial community-acquired pneumonia secondary to Streptococcus pneumoniae, the first-line therapy is: 90. Montelukast (Singulair) is more than 99% bound to plasma proteins, extensively metabolized and eliminated via: 91. For the treatment of chronic bronchitis, macrolides are contraindicated in patients who: 92. Which of the following is an muscarinic antagonist for use in exacerbations of chronic bronchitis? 93. Montelukast (Singulair) blocks or inhibits the action of: 94. When treating a patient with amoxicillin, he should be instructed to take the medication: 95. A patient with pertussis is allergic to macrolide antibiotics and is being treated with trimethoprim sulfamethoxazole. She does NOT need to be monitored for: 96. Which medication has the greatest effect on the reduction of emphysema exacerbations? 97. In Augmentin, amoxicillin and clavulanate are combined. The action of clavulanate is to: 80. In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be coadministered with: 81. In an acute upper respiratory infection, beta-lactam antibiotics: 82. Which of the following medications does NOT produce bronchodilation?