NURS 615 ADV PHARM EXAM 4
QUESTIONS AND ANSWER; LATEST
UPDATED VERSION 2026
1st generation H1 antagonists antihistamines medications
- correct answer- chlorpheniramine
diphenhydramine (Benadryl)
hydroxyzine (Atarax)
promethazine (Phenergan)
1st line tx of H.pylori - correct answer- 10-14
days.
PPI BID + clarithromycin 500mg BID + amoxicillin 1000mg
(if allergic to cillins, metronidazole 500mg TID).
if cillin allergy AND previous macrolide use:
PPI BID + metronidazole 500mg TID + tetracycline 500mg
QID + bismuth subcitrate 120-300mg QID
2nd gen H1 antagonists antihistamine medications
,3rd gen medication - correct answer- azelastine
olopatadine
cetirizine (Zyrtec)
fexofenadine (Allegra)
loratadine (Claritin)
desloratidine
Absorbants - meds - correct answer- bismuth
salicylate (Pepto Bismol), kaolin pectin (Kaopectate),
activated attapulgite
action of bronchodilaters - correct answer-
decrease constriction
Action of corticosteroids - correct answer-
decrease inflammation
antacids - meds and tx - correct answer-
aluminum hydroxide
,magnesium hydroxide
calcium carbonate (Tums)
heartburn and acid reflux
antacids - MOA, SE, PE - correct answer- weak
base that neutralizes hydrochloric acid. does not affect
acid output.
mag containing leads to diarrhea
CA containing leads to kidney stones
don't take too many, leads to increased SE and chelation
(bonding) of other drugs
antihistamines - meds, use, MOA, SE - correct
answer- promethazine (Phenergen), dimenhydrinate
(Dramamine), diphenhydramine (Benadryl), hydroxyzine
(Atarax), meclizine (Antivert)
, mgmt of NV assoc with vestibular disturbances
interrupts different pathways responsible for NV
multiple drug interactions, sedation, anticholinergic
antihistamines - use, MOA, ADR, precautions - correct
answer- allergic rhinitis, pruritus, urticaria,
insomnia, NV, cold s/s.
competitively binds to histamine receptors (present on
nerve endings, smooth muscle, and glandular cells)
leading to blocked histamine action.
can't see/pee/spit/shit, sedation.
prostate problems and glaucoma
antitussives - use and medications - correct
answer- to suppress dry, hacking coughs.
QUESTIONS AND ANSWER; LATEST
UPDATED VERSION 2026
1st generation H1 antagonists antihistamines medications
- correct answer- chlorpheniramine
diphenhydramine (Benadryl)
hydroxyzine (Atarax)
promethazine (Phenergan)
1st line tx of H.pylori - correct answer- 10-14
days.
PPI BID + clarithromycin 500mg BID + amoxicillin 1000mg
(if allergic to cillins, metronidazole 500mg TID).
if cillin allergy AND previous macrolide use:
PPI BID + metronidazole 500mg TID + tetracycline 500mg
QID + bismuth subcitrate 120-300mg QID
2nd gen H1 antagonists antihistamine medications
,3rd gen medication - correct answer- azelastine
olopatadine
cetirizine (Zyrtec)
fexofenadine (Allegra)
loratadine (Claritin)
desloratidine
Absorbants - meds - correct answer- bismuth
salicylate (Pepto Bismol), kaolin pectin (Kaopectate),
activated attapulgite
action of bronchodilaters - correct answer-
decrease constriction
Action of corticosteroids - correct answer-
decrease inflammation
antacids - meds and tx - correct answer-
aluminum hydroxide
,magnesium hydroxide
calcium carbonate (Tums)
heartburn and acid reflux
antacids - MOA, SE, PE - correct answer- weak
base that neutralizes hydrochloric acid. does not affect
acid output.
mag containing leads to diarrhea
CA containing leads to kidney stones
don't take too many, leads to increased SE and chelation
(bonding) of other drugs
antihistamines - meds, use, MOA, SE - correct
answer- promethazine (Phenergen), dimenhydrinate
(Dramamine), diphenhydramine (Benadryl), hydroxyzine
(Atarax), meclizine (Antivert)
, mgmt of NV assoc with vestibular disturbances
interrupts different pathways responsible for NV
multiple drug interactions, sedation, anticholinergic
antihistamines - use, MOA, ADR, precautions - correct
answer- allergic rhinitis, pruritus, urticaria,
insomnia, NV, cold s/s.
competitively binds to histamine receptors (present on
nerve endings, smooth muscle, and glandular cells)
leading to blocked histamine action.
can't see/pee/spit/shit, sedation.
prostate problems and glaucoma
antitussives - use and medications - correct
answer- to suppress dry, hacking coughs.
