Nurs 615 Pharm 2027 Exam 4 Latest Questions and Answers -
Updated Professional Prep with Verified Answers - A+ Verified
Question 1.
What are the adverse effects associated with montelukast (Singulair)?
Correct Answer: Neuropsychiatric effects (agitation, anxiety, depression,
suicidal thoughts), headache, abdominal pain
Question 2.
What patient teaching should accompany montelukast (Singulair)?
Correct Answer: Take daily (not for acute attacks), report mood changes
immediately, take in evening if prescribed for asthma
Question 3.
What patient teaching should be provided when prescribing inhaled corticosteroids?
Correct Answer: Rinse mouth after use to prevent oral thrush, use daily for
control not rescue, do not stop abruptly
Question 4.
What is the mechanism of action of albuterol?
Correct Answer: Stimulates beta-2 receptors causing bronchodilation of
airway smooth muscle
Question 5.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Reduces airway inflammation by inhibiting inflammatory
cytokines and immune response
Question 6.
When is it appropriate to use a SABA?
Correct Answer: For acute asthma symptoms, exercise-induced
bronchospasm, or sudden shortness of breath
Question 7.
What is the mechanism of action of inhaled muscarinic receptor antagonists?
Correct Answer: Block acetylcholine at muscarinic receptors causing
bronchodilation and decreased mucus secretion
• What are the adverse effects associated with inhaled corticosteroids?
, -✓✓Oral thrush, hoarseness, cough, possible adrenal suppression at high
doses
Question 8.
What is a long-acting beta-agonist (LABA) used to treat?
Correct Answer: Long-term control of asthma and COPD symptoms, not for
acute relief
Question 9.
What is a LABA/LAMA combination used to treat?
Correct Answer: Moderate to severe COPD for maintenance bronchodilation
Question 10.
What is the mechanism of action and indication for omalizumab (Xolair)?
Correct Answer: Monoclonal antibody that binds IgE; used for moderate to
severe allergic asthma
Question 11.
What special populations should not be prescribed pseudoephedrine and why?
Correct Answer: Hypertension, cardiovascular disease due to increased BP and
heart rate
Question 12.
What drug should be prescribed for a patient with nasal congestion and hypertension?
Correct Answer: Saline spray or intranasal corticosteroids (avoid systemic
decongestants)
Question 13.
What are the adverse effects of antihistamines?
Correct Answer: Drowsiness, dry mouth, urinary retention, confusion
(especially older adults)
Question 14.
What conditions should cause a patient to avoid antihistamines?
Correct Answer: Glaucoma, BPH, elderly patients (risk of sedation and urinary
retention)
• Which medications are considered antitussives and what are their
mechanisms? - ✓✓Dextromethorphan (suppresses cough center), codeine
Updated Professional Prep with Verified Answers - A+ Verified
Question 1.
What are the adverse effects associated with montelukast (Singulair)?
Correct Answer: Neuropsychiatric effects (agitation, anxiety, depression,
suicidal thoughts), headache, abdominal pain
Question 2.
What patient teaching should accompany montelukast (Singulair)?
Correct Answer: Take daily (not for acute attacks), report mood changes
immediately, take in evening if prescribed for asthma
Question 3.
What patient teaching should be provided when prescribing inhaled corticosteroids?
Correct Answer: Rinse mouth after use to prevent oral thrush, use daily for
control not rescue, do not stop abruptly
Question 4.
What is the mechanism of action of albuterol?
Correct Answer: Stimulates beta-2 receptors causing bronchodilation of
airway smooth muscle
Question 5.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Reduces airway inflammation by inhibiting inflammatory
cytokines and immune response
Question 6.
When is it appropriate to use a SABA?
Correct Answer: For acute asthma symptoms, exercise-induced
bronchospasm, or sudden shortness of breath
Question 7.
What is the mechanism of action of inhaled muscarinic receptor antagonists?
Correct Answer: Block acetylcholine at muscarinic receptors causing
bronchodilation and decreased mucus secretion
• What are the adverse effects associated with inhaled corticosteroids?
, -✓✓Oral thrush, hoarseness, cough, possible adrenal suppression at high
doses
Question 8.
What is a long-acting beta-agonist (LABA) used to treat?
Correct Answer: Long-term control of asthma and COPD symptoms, not for
acute relief
Question 9.
What is a LABA/LAMA combination used to treat?
Correct Answer: Moderate to severe COPD for maintenance bronchodilation
Question 10.
What is the mechanism of action and indication for omalizumab (Xolair)?
Correct Answer: Monoclonal antibody that binds IgE; used for moderate to
severe allergic asthma
Question 11.
What special populations should not be prescribed pseudoephedrine and why?
Correct Answer: Hypertension, cardiovascular disease due to increased BP and
heart rate
Question 12.
What drug should be prescribed for a patient with nasal congestion and hypertension?
Correct Answer: Saline spray or intranasal corticosteroids (avoid systemic
decongestants)
Question 13.
What are the adverse effects of antihistamines?
Correct Answer: Drowsiness, dry mouth, urinary retention, confusion
(especially older adults)
Question 14.
What conditions should cause a patient to avoid antihistamines?
Correct Answer: Glaucoma, BPH, elderly patients (risk of sedation and urinary
retention)
• Which medications are considered antitussives and what are their
mechanisms? - ✓✓Dextromethorphan (suppresses cough center), codeine
