Nurs 615 Pharm Exam 4
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What is tiotropium?
Correct Answer: (Spiriva) Tiotropium bromide (INN) is a long-standing, 24
hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
Question 2.
What is tiotropium used for maintenance treatment of?
Correct Answer: COPD, which includes chronic bronchitis and emphysema.
Question 3.
Tiotropium
Correct Answer: is not used in the treatment for acute exacerbations of COPD
and bronchitis
Question 4.
Tiotropium
Correct Answer: is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
Question 5.
What are the adverse effects of montelukast (Singulair)?
Correct Answer: Side effects of Singular can include skin rash, mood changes,
tremors, h/a, stomach pain, heartburn, upset stomach, nausea, diarrhea,
tooth pain, tiredness, fever, stuffy nose, sore throat, cough, and hoarseness.
Singular may interact with phenobarbital or rifampin.
Question 6.
What patient teaching should accompany the prescription of montelukast (Singulair)?
Correct Answer: It will not work fast enough to treat an asthma attack that
has already begun. Use only a fast-acting inhalation medicine to treat an
asthma attack.
Question 7.
Singulair should not be used for exercised- induced
, Correct Answer: bronchoconstriction
• Singulair can lead to what mood changes? -✓✓anxiety, depression, or
thoughts of suicide or of hurting yourself
Question 8.
What patient teaching should be provided when prescribing inhaled corticosteroids?
Correct 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.
Question 9.
What ethnic background should not be prescribed long-acting beta agonists?
Correct Answer: African Americans, increased incidence of death in this
population
Question 10.
What medication would you prescribe for bronchospasm for a patient taking
propranolol?
Correct Answer: Ipratropium
Question 11.
What is the mechanism of action of albuterol?
Correct Answer: Relaxes bronchial smooth muscle by action on beta 2
receptors with little effect on heart rate, causing dilation of airways.
Question 12.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Extremely potent vasoconstrictive and anti-inflammatory
activity.
Question 13.
When is it appropriate to use a short acting beta agonist?
Correct Answer: Short acting beta 2 agonist (SABAs) are the drug of choice for
acute treatment of asthma symptoms and exacerbations.
Question 14.
What is the mechanism of action of inhaled muscarinic receptor antagonist?
Correct Answer: Atropine (the prototype of muscarinic receptor antagonists)
prevents the effects of ACh by competitively blocking its binding to muscarinic
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What is tiotropium?
Correct Answer: (Spiriva) Tiotropium bromide (INN) is a long-standing, 24
hour, anticholinergic bronchodilator used in the management of chronic
obstructive pulmonary disease, (COPD).
Question 2.
What is tiotropium used for maintenance treatment of?
Correct Answer: COPD, which includes chronic bronchitis and emphysema.
Question 3.
Tiotropium
Correct Answer: is not used in the treatment for acute exacerbations of COPD
and bronchitis
Question 4.
Tiotropium
Correct Answer: is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
Question 5.
What are the adverse effects of montelukast (Singulair)?
Correct Answer: Side effects of Singular can include skin rash, mood changes,
tremors, h/a, stomach pain, heartburn, upset stomach, nausea, diarrhea,
tooth pain, tiredness, fever, stuffy nose, sore throat, cough, and hoarseness.
Singular may interact with phenobarbital or rifampin.
Question 6.
What patient teaching should accompany the prescription of montelukast (Singulair)?
Correct Answer: It will not work fast enough to treat an asthma attack that
has already begun. Use only a fast-acting inhalation medicine to treat an
asthma attack.
Question 7.
Singulair should not be used for exercised- induced
, Correct Answer: bronchoconstriction
• Singulair can lead to what mood changes? -✓✓anxiety, depression, or
thoughts of suicide or of hurting yourself
Question 8.
What patient teaching should be provided when prescribing inhaled corticosteroids?
Correct 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.
Question 9.
What ethnic background should not be prescribed long-acting beta agonists?
Correct Answer: African Americans, increased incidence of death in this
population
Question 10.
What medication would you prescribe for bronchospasm for a patient taking
propranolol?
Correct Answer: Ipratropium
Question 11.
What is the mechanism of action of albuterol?
Correct Answer: Relaxes bronchial smooth muscle by action on beta 2
receptors with little effect on heart rate, causing dilation of airways.
Question 12.
What is the mechanism of action of inhaled corticosteroids?
Correct Answer: Extremely potent vasoconstrictive and anti-inflammatory
activity.
Question 13.
When is it appropriate to use a short acting beta agonist?
Correct Answer: Short acting beta 2 agonist (SABAs) are the drug of choice for
acute treatment of asthma symptoms and exacerbations.
Question 14.
What is the mechanism of action of inhaled muscarinic receptor antagonist?
Correct Answer: Atropine (the prototype of muscarinic receptor antagonists)
prevents the effects of ACh by competitively blocking its binding to muscarinic
