NUR 338 Exam 1 Latest Questions
with Solved Solutions 2025-2026
Updated.
The lower respiratory tract consists of the bronchial tree to the alveoli. What physiological
mechanism occurs here? - Answer Gas exchange
Xanthine PT - Answer aminophylline
Action of Aminophylline - Answer Dilates the smooth muscle of the respiratory tract and
blocks the release of inflammatory chemicals
The patient was admitted to the emergency room from having an acute asthma attack. They
were started on parental aminophylline but will be switched to PO pending discharge. What is
the reasoning behind this? - Answer Switching the med to PO will lower adverse effects
A patient who smokes is being started on aminophylline to treat their COPD. They tell the nurse
they smoke 2 packs of cigarettes a day. Patient education regarding this med should include the
patient to continue smoking how many packs of cigarettes?
a. 0 packs a day
b. 2 packs a day
c. 3 packs a day
d. limit one cigarette a day - Answer B; The patient needs to continue to smoke the same
amount because of the metabolism effected with nicotine.
Due to the narrow therapeutic range of aminophylline, the patient will need regular what? -
Answer Regular serum levels drawn to monitor.
GI problems such as what should be cautioned with use of aminophylline? - Answer Peptic
ulcer dz and gastritis due to further exacerbation
Diseases of the what other organs should be cautioned with aminophylline? - Answer Heart
Respiratory
Renal
Hepatic
______thyroidism should be cautioned with aminophylline? - Answer hyper
, True or False: Aminophylline can cross breastmilk. - Answer True
What pregnancy category is aminophylline? - Answer C
Serum levels of less than or equal to 20 of aminophylline - Answer Have uncommon adverse
effects
Serum levels less than or equal to 20-25 of aminophylline - Answer Nausea
Vomiting
Diarrhea
Insomnia
Headache
Irritability
Serum levels GREATER or equal to 30-35 of aminophylline - Answer Hyperglycemia
HypOtension
Cardiac arrythmias
Tachycardia
Seizures
Brain Damage
DEATH
Sympathomimetic PT - Answer epinephrine
What action does epinephrine have on the bronchi? - Answer Dilates the bronchi leading to
increased RR and depth
The potential for systemic effects of epinephrine need to be cautioned in patients with what
diseases/disorders? - Answer Cardiac disease
Vascular disease
Diabetes
Hyperthyroidism
BBW for LABA - Answer Asthma-related death
with Solved Solutions 2025-2026
Updated.
The lower respiratory tract consists of the bronchial tree to the alveoli. What physiological
mechanism occurs here? - Answer Gas exchange
Xanthine PT - Answer aminophylline
Action of Aminophylline - Answer Dilates the smooth muscle of the respiratory tract and
blocks the release of inflammatory chemicals
The patient was admitted to the emergency room from having an acute asthma attack. They
were started on parental aminophylline but will be switched to PO pending discharge. What is
the reasoning behind this? - Answer Switching the med to PO will lower adverse effects
A patient who smokes is being started on aminophylline to treat their COPD. They tell the nurse
they smoke 2 packs of cigarettes a day. Patient education regarding this med should include the
patient to continue smoking how many packs of cigarettes?
a. 0 packs a day
b. 2 packs a day
c. 3 packs a day
d. limit one cigarette a day - Answer B; The patient needs to continue to smoke the same
amount because of the metabolism effected with nicotine.
Due to the narrow therapeutic range of aminophylline, the patient will need regular what? -
Answer Regular serum levels drawn to monitor.
GI problems such as what should be cautioned with use of aminophylline? - Answer Peptic
ulcer dz and gastritis due to further exacerbation
Diseases of the what other organs should be cautioned with aminophylline? - Answer Heart
Respiratory
Renal
Hepatic
______thyroidism should be cautioned with aminophylline? - Answer hyper
, True or False: Aminophylline can cross breastmilk. - Answer True
What pregnancy category is aminophylline? - Answer C
Serum levels of less than or equal to 20 of aminophylline - Answer Have uncommon adverse
effects
Serum levels less than or equal to 20-25 of aminophylline - Answer Nausea
Vomiting
Diarrhea
Insomnia
Headache
Irritability
Serum levels GREATER or equal to 30-35 of aminophylline - Answer Hyperglycemia
HypOtension
Cardiac arrythmias
Tachycardia
Seizures
Brain Damage
DEATH
Sympathomimetic PT - Answer epinephrine
What action does epinephrine have on the bronchi? - Answer Dilates the bronchi leading to
increased RR and depth
The potential for systemic effects of epinephrine need to be cautioned in patients with what
diseases/disorders? - Answer Cardiac disease
Vascular disease
Diabetes
Hyperthyroidism
BBW for LABA - Answer Asthma-related death
