NR 565 FINAL EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PHARMACOLOGY,
PRESCRIBING PRINCIPLES, DRUG
THERAPY MANAGEMENT, CLINICAL
DECISION MAKING AND NURSE
PRACTITIONER FINAL EXAM STUDY
GUIDE GRADE A+ STUDY RESOURCE
B2 agonist monitoring - CORRECT ANSWER -FEV1, home PEF at each
clinical encounter
Inhaled Corticosteroids (ICS) - CORRECT ANSWER -fluticasone
mometasone
budesonide
beclomethasone
pref for persistent asthma
need consistent daily use for optimal effect (NOT PRN)
,CONTRAINDICATED WITH CANDIDA ALBICANS, BUT OK WITH
CANDIDIASIS
ICS baseline data - CORRECT ANSWER -respiratory system data, PFT's,
baseline height needed for children, bone density for adults or anyone at
risk
ics monitori - CORRECT ANSWER -FEV1 and PEEK flow, oral candidiasis
(spacers can help) and ok to give antifungal medications, glaucoma, adrenal
insufficiency, in children, growth >6months
methylxa - CORRECT ANSWER -Theophylline
bronchodilation to decrease intensity and frequency of moderate to severe
asthma attacks, and control COPD exacerbations
Theophylline baseline data/monitoring - CORRECT ANSWER -FEV1.
Monitor FEV1 and severity of attacks, HR/rythm, monitor ECG if
necessary, monitor levels 5-15 ng/mL toxicity looks like metabolic
disturbances including acidosis, n/v seizures, dysrhythmia
Theophylline contraindications (methylxanthine) - CORRECT ANSWER -
Seizure, cardiac (exacerbate dysrythmia), peptic ulcers, renal, or liver
disorders (increase toxicity)
theophylline int - CORRECT ANSWER -Caffeine (dysrhythmia)
Tobacco and marijuana (increases clearance)
, Cimetidine/phenobarb/rifampin (increase clearance)
Fluoroquinolone antibiotics (decrease clearance)
anticholinergics - CORRECT ANSWER -reduce bronchospasm (ipratropium,
dicyclomine) blocks a neurotransmitter called acetylcholine, released by
muscarinic receptor, which, in lungs, allows smooth muscle to relax
reduce secretions
used in asthma, copd, emphysema
liquid aerosol or metered dose inhailer
contraindications anticholinergics - CORRECT ANSWER -Glaucoma, BPH,
hyperplasia, renal disorders, urinary bladder neck obstruction
-Breastfeeding women
Leukotrine Re - CORRECT ANSWER -Montelukast (Singulair) inflammatory
mediator, reduces bronchoconstriction,
asthma and exercise induced bronchospasm in adults
2 years> seasonal allergies
6months year-round allergies
LRA black box - CORRECT ANSWER -in children: aggression, anxiety,
insomnia, suicidal ideation, should be stopped immediately
mast cell stabilizers - CORRECT ANSWER -Cromolyn (alternative therapy)
exercise induced asthma
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PHARMACOLOGY,
PRESCRIBING PRINCIPLES, DRUG
THERAPY MANAGEMENT, CLINICAL
DECISION MAKING AND NURSE
PRACTITIONER FINAL EXAM STUDY
GUIDE GRADE A+ STUDY RESOURCE
B2 agonist monitoring - CORRECT ANSWER -FEV1, home PEF at each
clinical encounter
Inhaled Corticosteroids (ICS) - CORRECT ANSWER -fluticasone
mometasone
budesonide
beclomethasone
pref for persistent asthma
need consistent daily use for optimal effect (NOT PRN)
,CONTRAINDICATED WITH CANDIDA ALBICANS, BUT OK WITH
CANDIDIASIS
ICS baseline data - CORRECT ANSWER -respiratory system data, PFT's,
baseline height needed for children, bone density for adults or anyone at
risk
ics monitori - CORRECT ANSWER -FEV1 and PEEK flow, oral candidiasis
(spacers can help) and ok to give antifungal medications, glaucoma, adrenal
insufficiency, in children, growth >6months
methylxa - CORRECT ANSWER -Theophylline
bronchodilation to decrease intensity and frequency of moderate to severe
asthma attacks, and control COPD exacerbations
Theophylline baseline data/monitoring - CORRECT ANSWER -FEV1.
Monitor FEV1 and severity of attacks, HR/rythm, monitor ECG if
necessary, monitor levels 5-15 ng/mL toxicity looks like metabolic
disturbances including acidosis, n/v seizures, dysrhythmia
Theophylline contraindications (methylxanthine) - CORRECT ANSWER -
Seizure, cardiac (exacerbate dysrythmia), peptic ulcers, renal, or liver
disorders (increase toxicity)
theophylline int - CORRECT ANSWER -Caffeine (dysrhythmia)
Tobacco and marijuana (increases clearance)
, Cimetidine/phenobarb/rifampin (increase clearance)
Fluoroquinolone antibiotics (decrease clearance)
anticholinergics - CORRECT ANSWER -reduce bronchospasm (ipratropium,
dicyclomine) blocks a neurotransmitter called acetylcholine, released by
muscarinic receptor, which, in lungs, allows smooth muscle to relax
reduce secretions
used in asthma, copd, emphysema
liquid aerosol or metered dose inhailer
contraindications anticholinergics - CORRECT ANSWER -Glaucoma, BPH,
hyperplasia, renal disorders, urinary bladder neck obstruction
-Breastfeeding women
Leukotrine Re - CORRECT ANSWER -Montelukast (Singulair) inflammatory
mediator, reduces bronchoconstriction,
asthma and exercise induced bronchospasm in adults
2 years> seasonal allergies
6months year-round allergies
LRA black box - CORRECT ANSWER -in children: aggression, anxiety,
insomnia, suicidal ideation, should be stopped immediately
mast cell stabilizers - CORRECT ANSWER -Cromolyn (alternative therapy)
exercise induced asthma
