NUR 635 FINAL Exam 2026 Questions
and Answers
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 - Correct 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
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,4. Observation only, with further assessment if she worsens - Correct 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 - Correct 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
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,4. Albuterol - Correct 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 - Correct 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 - Correct
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
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, 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 - Correct 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. - Correct
answer-3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
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and Answers
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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,4. Observation only, with further assessment if she worsens - Correct 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,4. Albuterol - Correct 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 - Correct 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 - Correct
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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 - Correct 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. - Correct
answer-3. Aggression, anxiety, depression, and/or suicidal thoughts may occur
when taking montelukast.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
