GNRS 576 Pharmacology Exam 3 2025 Azusa
Pacific University ACTUAL EXAM WITH
ANSWERS GRADED A
Loratadine (Claritin) has an advantage over traditional antihistamines such diphenhydramine
(Benadryle) in that loratadine has
A. less gastrointestinal upset.
B. less risk of cardiac arrhythmias.
C. less sedative effect.
D. increased bronchodilating effects.
C. less sedative effect.
Which laboratory value would the nurse assess before administering zafirlukast (Accolate) to a patient?
A. Complete blood count
B. Cardiac enzymes
C. Renal function tests
D. Liver enzymes
D. Liver enzymes
,A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a
corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient
A. "Take these two drugs at least 2 hours apart."
B. "Take the corticosteroid inhaler first."
C. "It does not matter which inhaler you use first."
D. "Take the bronchodilator inhaler first."
D. "Take the bronchodilator inhaler first."
When evaluating a patient's use of a metered-dose inhaler (MDI), the nurse notes that the patient is
unable to coordinate the activation of the inhaler with her breathing. What intervention is most
appropriate at this time?
A. Obtain an order for a spacer device.
B. Notify the doctor that the patient is unable to use the MDI.
C. Obtain an order for a peak flow meter.
D. Ask the prescriber if the medication can be given orally.
A. Obtain an order for a spacer device.
A gradener needs a decongestant because of seasonal allergy problems and asks the nurse whether he
should take an oral form or a nasal spray. The nurse's answer considers that one benefit of orally
administered decongestants is
A. shorter duration.
B. a more potent effect.
C. immediate onset.
,D. lack of rebound congestion.
D. lack of rebound congestion.
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine
because of one of its most common adverse effects. The nurse suspects that which adverse effect has
been bothering this patient?
A. Constipation
B. Decreased libido
C. Abdominal cramps
D. Drowsiness
D. Drowsiness
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent
theophylline level was 13 mcg/mL, and the nurse evaluates this level to be
A. at a toxic level.
B. above the therapeutic level.
C. at a therapeutic level.
D. below the therapeutic level.
C. at a therapeutic level.
The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol).
Which statement about this inhaler is accurate?
, A. It is indicated for the treatment of acute bronchospasms.
B. Patients need to avoid drinking water for 1 hour after taking this drug.
C. It needs to be used with a spacer for best results.
D. It is used for prevention of bronchospasms.
D. It is used for prevention of bronchospasms.
A patient is taking guaifenesin (Humibid) as part of treatment for a sinus infection. Which instruction will
the nurse include during patient teaching?
A. Avoid driving a car or operating heavy machinery because of the sedating effects.
B. Report symptoms that last longer then 2 days.
C. Report clear-colored sputum to the prescriber.
D. Force fluids to help loosen and liquify secretions.
D. Force fluids to help loosen and liquify secretions
A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which
medication will be used for initial treatement?
A. An anticholinergic such as ipratropium (Atrovent)
B. A long-acting beta2 agonist such as salmeterol (Serevent)
C. A short-acting beta2 agonist such as albuterol (Proventil)
D. A corticosteroid such as fluticasone (Flovent)
C. A short-acting beta2 agonist such as albuterol (Proventil)
Pacific University ACTUAL EXAM WITH
ANSWERS GRADED A
Loratadine (Claritin) has an advantage over traditional antihistamines such diphenhydramine
(Benadryle) in that loratadine has
A. less gastrointestinal upset.
B. less risk of cardiac arrhythmias.
C. less sedative effect.
D. increased bronchodilating effects.
C. less sedative effect.
Which laboratory value would the nurse assess before administering zafirlukast (Accolate) to a patient?
A. Complete blood count
B. Cardiac enzymes
C. Renal function tests
D. Liver enzymes
D. Liver enzymes
,A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a
corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient
A. "Take these two drugs at least 2 hours apart."
B. "Take the corticosteroid inhaler first."
C. "It does not matter which inhaler you use first."
D. "Take the bronchodilator inhaler first."
D. "Take the bronchodilator inhaler first."
When evaluating a patient's use of a metered-dose inhaler (MDI), the nurse notes that the patient is
unable to coordinate the activation of the inhaler with her breathing. What intervention is most
appropriate at this time?
A. Obtain an order for a spacer device.
B. Notify the doctor that the patient is unable to use the MDI.
C. Obtain an order for a peak flow meter.
D. Ask the prescriber if the medication can be given orally.
A. Obtain an order for a spacer device.
A gradener needs a decongestant because of seasonal allergy problems and asks the nurse whether he
should take an oral form or a nasal spray. The nurse's answer considers that one benefit of orally
administered decongestants is
A. shorter duration.
B. a more potent effect.
C. immediate onset.
,D. lack of rebound congestion.
D. lack of rebound congestion.
During a routine checkup, a patient states that she is unable to take the prescribed antihistamine
because of one of its most common adverse effects. The nurse suspects that which adverse effect has
been bothering this patient?
A. Constipation
B. Decreased libido
C. Abdominal cramps
D. Drowsiness
D. Drowsiness
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent
theophylline level was 13 mcg/mL, and the nurse evaluates this level to be
A. at a toxic level.
B. above the therapeutic level.
C. at a therapeutic level.
D. below the therapeutic level.
C. at a therapeutic level.
The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol).
Which statement about this inhaler is accurate?
, A. It is indicated for the treatment of acute bronchospasms.
B. Patients need to avoid drinking water for 1 hour after taking this drug.
C. It needs to be used with a spacer for best results.
D. It is used for prevention of bronchospasms.
D. It is used for prevention of bronchospasms.
A patient is taking guaifenesin (Humibid) as part of treatment for a sinus infection. Which instruction will
the nurse include during patient teaching?
A. Avoid driving a car or operating heavy machinery because of the sedating effects.
B. Report symptoms that last longer then 2 days.
C. Report clear-colored sputum to the prescriber.
D. Force fluids to help loosen and liquify secretions.
D. Force fluids to help loosen and liquify secretions
A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which
medication will be used for initial treatement?
A. An anticholinergic such as ipratropium (Atrovent)
B. A long-acting beta2 agonist such as salmeterol (Serevent)
C. A short-acting beta2 agonist such as albuterol (Proventil)
D. A corticosteroid such as fluticasone (Flovent)
C. A short-acting beta2 agonist such as albuterol (Proventil)
