NURS 615-PHARM EXAM 4 QUESTIONS AND ANSWERS 2025
What is tiotropium? - (ANSWER)(Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour,
anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease,
(COPD).
What is tiotropium used for maintenance treatment of? - (ANSWER)COPD, which includes chronic
bronchitis and emphysema.
Tiotropium - (ANSWER)is not used in the treatment for acute exacerbations of COPD and bronchitis
Tiotropium - (ANSWER)is a muscarinic receptor antagonist, often referred to as an antimuscarinic or
anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - (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.
What patient teaching should accompany the prescription of montelukast (Singulair)? - (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.
Singulair should not be used for exercised- induced - (ANSWER)bronchoconstriction
Singulair can lead to what mood changes? - (ANSWER)anxiety, depression, or thoughts of suicide or of
hurting yourself
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
, NURS 615-PHARM EXAM 4 QUESTIONS AND ANSWERS 2025
What medication would you prescribe for bronchospasm for a patient taking propranolol? -
(ANSWER)Ipratropium
What is the mechanism of action of albuterol? - (ANSWER)Relaxes bronchial smooth muscle by action on
beta 2 receptors with little effect on heart rate, causing dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - (ANSWER)Extremely potent
vasoconstrictive and anti-inflammatory activity.
When is it appropriate to use a short acting beta agonist? - (ANSWER)Short acting beta 2 agonist (SABAs)
are the drug of choice for acute treatment of asthma symptoms and exacerbations.
What is the mechanism of action of inhaled muscarinic receptor antagonist? - (ANSWER)Atropine (the
prototype of muscarinic receptor antagonists) prevents the effects of ACh by competitively blocking its
binding to muscarinic receptors in the CNS, peripheral ganglia, and at neuroeffector sites on smooth
muscle, cardiac muscle, and secretory glands.
What inhibits the secretions of the nose, mouth, pharynx, and bronchi and thus causes dryness of the
mucous membranes of the respiratory tract. - (ANSWER)Atropine
Atropine and scopolamine - (ANSWER)the inhibition of secretions is esp marked if secretions is excessive
and is the basis for the use of which drugs in preanesthetic medication.
Atropine - (ANSWER)the depression of mucous secretion and the inhibition of mucociliary clearance is
an undesirable side effect of ___ in patients with airway disease.
Methacholine - (ANSWER)Atropine is effective against bronchoconstriction induced by
parasympathomimetic drugs like ______.
Histamine and bradykinin - (ANSWER)Atropine also partially antagonizes bronchoconstriction induced by
___ and ___.
What is tiotropium? - (ANSWER)(Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour,
anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease,
(COPD).
What is tiotropium used for maintenance treatment of? - (ANSWER)COPD, which includes chronic
bronchitis and emphysema.
Tiotropium - (ANSWER)is not used in the treatment for acute exacerbations of COPD and bronchitis
Tiotropium - (ANSWER)is a muscarinic receptor antagonist, often referred to as an antimuscarinic or
anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - (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.
What patient teaching should accompany the prescription of montelukast (Singulair)? - (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.
Singulair should not be used for exercised- induced - (ANSWER)bronchoconstriction
Singulair can lead to what mood changes? - (ANSWER)anxiety, depression, or thoughts of suicide or of
hurting yourself
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
, NURS 615-PHARM EXAM 4 QUESTIONS AND ANSWERS 2025
What medication would you prescribe for bronchospasm for a patient taking propranolol? -
(ANSWER)Ipratropium
What is the mechanism of action of albuterol? - (ANSWER)Relaxes bronchial smooth muscle by action on
beta 2 receptors with little effect on heart rate, causing dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - (ANSWER)Extremely potent
vasoconstrictive and anti-inflammatory activity.
When is it appropriate to use a short acting beta agonist? - (ANSWER)Short acting beta 2 agonist (SABAs)
are the drug of choice for acute treatment of asthma symptoms and exacerbations.
What is the mechanism of action of inhaled muscarinic receptor antagonist? - (ANSWER)Atropine (the
prototype of muscarinic receptor antagonists) prevents the effects of ACh by competitively blocking its
binding to muscarinic receptors in the CNS, peripheral ganglia, and at neuroeffector sites on smooth
muscle, cardiac muscle, and secretory glands.
What inhibits the secretions of the nose, mouth, pharynx, and bronchi and thus causes dryness of the
mucous membranes of the respiratory tract. - (ANSWER)Atropine
Atropine and scopolamine - (ANSWER)the inhibition of secretions is esp marked if secretions is excessive
and is the basis for the use of which drugs in preanesthetic medication.
Atropine - (ANSWER)the depression of mucous secretion and the inhibition of mucociliary clearance is
an undesirable side effect of ___ in patients with airway disease.
Methacholine - (ANSWER)Atropine is effective against bronchoconstriction induced by
parasympathomimetic drugs like ______.
Histamine and bradykinin - (ANSWER)Atropine also partially antagonizes bronchoconstriction induced by
___ and ___.
