NUR 635 FINAL EXAM / ( ADVANCED PHARMACOLOGY )
/ REAL EXAM WITH 70+ QUESTIONS AND CORRECT
VERIFIED ANSWERS GRADED A+/ 100% VERIFIED/ 2025
EDITION!
The first-line drug choice for a previously healthy adult patient diagnosed with community-
acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - ANSWER 2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWER 2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due
to medication noncompliance. He was treated with IM long-acting haloperidol. Besides
monitoring his schizophrenia symptoms, the patient should be assessed by his primary care
provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
,4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill
patients - ANSWER 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - ANSWER 4. Albuterol
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following
asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWER B.Salmeterol, an inhaled long-acting beta-
agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - ANSWER 1. Used for the
treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol
15 minutes before exercise and as needed for wheezing. One puff per day of beclomethasone
(QVAR) is also prescribed. Teaching regarding her inhalers includes:
,1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs
per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid MDI to
facilitate bronchodilation - ANSWER 2. Beclomethasone needs to be used every day to treat her
asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be
instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. - ANSWER 3. Aggression,
anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the provider should tell
them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
4. They can triple the dose number of inhalations of medication during colds to prevent needing
systemic steroids - ANSWER 3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing
for:
, Urinary retention
Cardiac output
Peripheral edema
Skin for rash - ANSWER Urinary retention
Second generation antihistamines such as loratadine (Claritin) are prescribed for seasonal
allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol - ANSWER B.Less sedating than the first
generation antihistamines
4. Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug
Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
4. Risk for life-threatening alterations in electrolytes - ANSWER 3. Increased risk of asthma-
related deaths when LTBAs are used
Prior to developing a plan for the treatment of asthma, the patient's asthma should be classified
according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified
as asthma symptoms that occur:
1. Daily
2. Daily and limit physical activity
3. Less than twice a week
/ REAL EXAM WITH 70+ QUESTIONS AND CORRECT
VERIFIED ANSWERS GRADED A+/ 100% VERIFIED/ 2025
EDITION!
The first-line drug choice for a previously healthy adult patient diagnosed with community-
acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - ANSWER 2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWER 2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due
to medication noncompliance. He was treated with IM long-acting haloperidol. Besides
monitoring his schizophrenia symptoms, the patient should be assessed by his primary care
provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
,4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill
patients - ANSWER 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - ANSWER 4. Albuterol
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following
asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWER B.Salmeterol, an inhaled long-acting beta-
agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - ANSWER 1. Used for the
treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol
15 minutes before exercise and as needed for wheezing. One puff per day of beclomethasone
(QVAR) is also prescribed. Teaching regarding her inhalers includes:
,1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs
per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid MDI to
facilitate bronchodilation - ANSWER 2. Beclomethasone needs to be used every day to treat her
asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be
instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
4. Lethargy and hypersomnia may occur when taking montelukast. - ANSWER 3. Aggression,
anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.
When educating patients who are starting on inhaled corticosteroids, the provider should tell
them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
4. They can triple the dose number of inhalations of medication during colds to prevent needing
systemic steroids - ANSWER 3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his
seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing
for:
, Urinary retention
Cardiac output
Peripheral edema
Skin for rash - ANSWER Urinary retention
Second generation antihistamines such as loratadine (Claritin) are prescribed for seasonal
allergies because they are:
A.More effective than first generation antihistamines
B.Less sedating than the first generation antihistamines
C.Prescription products, therefore are covered by insurance
D.Able to be taken with CNS sedatives, such as alcohol - ANSWER B.Less sedating than the first
generation antihistamines
4. Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug
Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
4. Risk for life-threatening alterations in electrolytes - ANSWER 3. Increased risk of asthma-
related deaths when LTBAs are used
Prior to developing a plan for the treatment of asthma, the patient's asthma should be classified
according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified
as asthma symptoms that occur:
1. Daily
2. Daily and limit physical activity
3. Less than twice a week
