University of Florida
Course Number: NUR 3123
Course Title: Pathophysiology & Pharmacology 2
Exam: Final Exam
Date:2026
1. A patient has been dx with asthma. Prescribed ICS, the nurse providing discharge teaching
a. Inhaled ICS are not for use for acute asthma attack or asthmaticus
2. A patient with asthma has been prescribe an anti-inflammatory medication, the patient asks the
nurse how this medication
a. Increase ability to metabolize medication in lower bronchioles
b. Decrease ability of mucous secretion
c. Decrease airway
d. Increases uptake of corticosteroids to medication
3. A nurse is providing discharge teaching to a patient with an order chemical stimulant laxatives
prn, the nurse cautions the patient about which possible adverse effect?
a. abdominal cramping
4. A patient with hypertension and asthma can have an adverse reaction to which class of drugs
a. aspirin and nsaids may cause bronchoconstriction in sensitive patients
b. Non selective beta adergenic antagonist such as propranolol, carvedilil, Labetalol may
cause llamas vasoconstriction
c. SAMAs an LAMAs may cause vaso constriction in sensitive patients
d.
5. Deaths due to the delayed bronchial effects on the improper use black box label
a. Salmeterol
6. Which of the following medications provides the best anti inflammatory effect for the treatment
of asthma
a. Fluticasone and salmeterol
7. A nurse questions the order when omeprazole is prescribed to a patient taking Plavix
(clopidogrel) adverse effect is:
a. Antiplatelet effect will be more effective
b. Patient may experience a lower risk of bleeding
c. The antiplatelet effect will be less effective
8. A nurse giving discharge instructions to a patient scription for antihistamine informs the patient
they are receiving the most sedating antihistamine which antihistamine is the most sedating
a. Benadryl
9. A patient with a history of angina has been prescribed pseudoephedrine for nasal congestion the
nurse understands new to pseudo ephedrine should not be used by
a. patients with any type of heart disease
b. is safe to take pseudoephedrine if you're only taking labetalol
c. rebound congestion is more common when a person with angina take pseudoephedrine
, d. it is safe to use this pseudo ephedrine if you're only taking nitro
10. Which medication prescribed for asthma has a narrow therapeutic range and must be monitored
with plasma drug levels
a. Theophylline
11. a nurse counsels a patient using 2 different types of medication hey Saba and a inhaled
glucocorticoid the patient questions purpose of inhaler the nurses best response would be that
glucocorticoids prescribed to help control asthma
12. How true receptor blockers pathol physiologically worked to promote ulcer healing
a. Suppress gastric acid secretion
13. What are some of the adverse effects of PPI's (select all) maybe all of them???
a. inhibit absorption of calcium
b. increased fractures increase
c. absorption of some medications for example drugs for HIV and antifungals such as
ketoconazole that
d. inhibit absorption of vitamin D
14. nurse teaching to a patient with gerd identify some of the non drug measures used for gerd
a. avoidance of alcohol
b. stop smoking meals
c. avoid late night meals
d. weight loss
15. Care feet promote ulcer healing by careful
a. Creating a barrier to …… hydrogen ions ??
b. Increasing bile salts to increase mucosal lining
c. Decreasing hepatic drug metabolising enzymes or
d. increasing hepatic drug metabolising enzymes
16. PPIs work 90% compared to 65% for histamine receptor antagonist maybe and have more
adverse effects and should be used for the shortest amount of time. T/ F ?
17. Which medication can reduce the effect of clopidogrel, antiplatelet?
a. Carafate
b. Ppis
c. insulin
18. Which class of diuretics is particularly therapeutic in patientt with renal impairment ?
a. Thiazide
b. Loop diuretics???
c. Hydrochlorothiaze
d. Potassium sparing
19. Which drug class is the most effective anti emetic
a. Carafate
b. Phenergan
c. Zofran
d. Reglan
20. What are the therapeutic uses of Reglan pro-kinetic drug ?
a. Decrease nausea vomiting
b. Decrease heartburn
, c. Relieve the feeling of fullness long after meals
d. Relieve smptoms of slow stomach emptying
21. Long term therapy with regland can lead to
a. autotoxicity
b. extrapyramidal reactions
c. anti cholinergic effects ???
d. tardive kinesia
22. List the adverse effects of lasik's
a. Hypotension
b. dehydration
c. electrolytes such as sodium decrease of electrolytes such as sodium potassium sleep
d. apnea
23. Compazine an phenergan suppress
a. Releasing dompamine two receptors in the CTZ
b. By decreasing the feeling of fullness
c. slowing stomach emptying
d. by blocking dopamine two receptors in the chemoreceptor trigger zone
24. The eating nurse is providing discharge teaching a patient with diarrhea an advises that the most
effective anti diarrheal medication is :
a. reglin
b. Zofran
c. sucralfate
d. Lomotil
25. What adverse effect when lithium in lasix or combined ?
a. Low sodium levels in the body can increase lithium levels
b. otoxicity
c. low sodium in the body can elevate lithium levels to toxic levels
d. pulmonary edema
26. Patient recently discharged calls the health care provider to ask adverse effects when diuretics
and digoxin are combines
a. Gout may develop
b. potassium levels can increase dig levels become toxic
c. ototoxicity may develop
27. A nurse is providing teaching to a patient discharged prescription for diuretics with renal
impairment the nurse cautions the patient to refrain from foods high in potassium
a. nuts
b. bananas
c. coffee
d. spinach
28. A patient presents the 80 with hyperkalemia the nurse expects to administer the following
medications to treat hyperkalemia
a. Potassium sparing diuretic
b. Ace inhibitors
c. Insulin
, d. Calcium gluconate, insulin, glucose
29. The nurse practitioner prescribes medication used to treat nausea vomiting and dizziness caused
by motion sickness Which may also be used to reduce dizziness and loss of balance
a. Meclizine
30. Match the match the following medications with the class
a. Xolpanex - bronchodilator
b. Benadryl - antihistanmine
c. Hydrocones cough suppressant
31. GI meds match
a. Ex-lax stimiulant
b. Metamucil – bulk formin
c. Colace – softener
d. M.o.M. –
32. The nurse is caring for a patient taking lasics the nurse should expect which side effects of this
medication
a. lower blood pressure
b. visual disturbances
c. tremors
d. far sightedness
33. patient is taking lisinopril and spirolactalone should be monitored for which of the following
adverse effects
a. select all hyperkalemia
b. autotoxicity
c. fever
d. hyportension
34. A patient has taken a high dose of oral glucocorticoids for two months for severe asthma the
symptoms have resolved the nurse teaches the patients how to discontinue the medication
a. doses should be tapered over the course of seven to 10 days
35. which of the following medications are for allergic rhinitis
a. all of them.
36. A patient calls the physician's office and asks how many motion sickness pills he can take
a. adults can take one diphenhydramine every 10 hours
b. adult can take one diphenhydramine every four to six hours ???
c. the dose is determined by weight
d. adult can take one Dyphenhydramine every hour as needed
37. A patient with asthma is admitted to the Ed with severe bronchospasms the Ed will expect the
administration of what medication
a. Long acting beta salmetrol
b. Oral beta two agonist
c. Short acting nebulizer albuterol
38. Ipratropium bromide (Atrovent) Are used for the treatment of COPD the anti cholinergic
properties with pathophysiologically by promoting
a. Decrease secretions
b. bronchial vaso constriction
Course Number: NUR 3123
Course Title: Pathophysiology & Pharmacology 2
Exam: Final Exam
Date:2026
1. A patient has been dx with asthma. Prescribed ICS, the nurse providing discharge teaching
a. Inhaled ICS are not for use for acute asthma attack or asthmaticus
2. A patient with asthma has been prescribe an anti-inflammatory medication, the patient asks the
nurse how this medication
a. Increase ability to metabolize medication in lower bronchioles
b. Decrease ability of mucous secretion
c. Decrease airway
d. Increases uptake of corticosteroids to medication
3. A nurse is providing discharge teaching to a patient with an order chemical stimulant laxatives
prn, the nurse cautions the patient about which possible adverse effect?
a. abdominal cramping
4. A patient with hypertension and asthma can have an adverse reaction to which class of drugs
a. aspirin and nsaids may cause bronchoconstriction in sensitive patients
b. Non selective beta adergenic antagonist such as propranolol, carvedilil, Labetalol may
cause llamas vasoconstriction
c. SAMAs an LAMAs may cause vaso constriction in sensitive patients
d.
5. Deaths due to the delayed bronchial effects on the improper use black box label
a. Salmeterol
6. Which of the following medications provides the best anti inflammatory effect for the treatment
of asthma
a. Fluticasone and salmeterol
7. A nurse questions the order when omeprazole is prescribed to a patient taking Plavix
(clopidogrel) adverse effect is:
a. Antiplatelet effect will be more effective
b. Patient may experience a lower risk of bleeding
c. The antiplatelet effect will be less effective
8. A nurse giving discharge instructions to a patient scription for antihistamine informs the patient
they are receiving the most sedating antihistamine which antihistamine is the most sedating
a. Benadryl
9. A patient with a history of angina has been prescribed pseudoephedrine for nasal congestion the
nurse understands new to pseudo ephedrine should not be used by
a. patients with any type of heart disease
b. is safe to take pseudoephedrine if you're only taking labetalol
c. rebound congestion is more common when a person with angina take pseudoephedrine
, d. it is safe to use this pseudo ephedrine if you're only taking nitro
10. Which medication prescribed for asthma has a narrow therapeutic range and must be monitored
with plasma drug levels
a. Theophylline
11. a nurse counsels a patient using 2 different types of medication hey Saba and a inhaled
glucocorticoid the patient questions purpose of inhaler the nurses best response would be that
glucocorticoids prescribed to help control asthma
12. How true receptor blockers pathol physiologically worked to promote ulcer healing
a. Suppress gastric acid secretion
13. What are some of the adverse effects of PPI's (select all) maybe all of them???
a. inhibit absorption of calcium
b. increased fractures increase
c. absorption of some medications for example drugs for HIV and antifungals such as
ketoconazole that
d. inhibit absorption of vitamin D
14. nurse teaching to a patient with gerd identify some of the non drug measures used for gerd
a. avoidance of alcohol
b. stop smoking meals
c. avoid late night meals
d. weight loss
15. Care feet promote ulcer healing by careful
a. Creating a barrier to …… hydrogen ions ??
b. Increasing bile salts to increase mucosal lining
c. Decreasing hepatic drug metabolising enzymes or
d. increasing hepatic drug metabolising enzymes
16. PPIs work 90% compared to 65% for histamine receptor antagonist maybe and have more
adverse effects and should be used for the shortest amount of time. T/ F ?
17. Which medication can reduce the effect of clopidogrel, antiplatelet?
a. Carafate
b. Ppis
c. insulin
18. Which class of diuretics is particularly therapeutic in patientt with renal impairment ?
a. Thiazide
b. Loop diuretics???
c. Hydrochlorothiaze
d. Potassium sparing
19. Which drug class is the most effective anti emetic
a. Carafate
b. Phenergan
c. Zofran
d. Reglan
20. What are the therapeutic uses of Reglan pro-kinetic drug ?
a. Decrease nausea vomiting
b. Decrease heartburn
, c. Relieve the feeling of fullness long after meals
d. Relieve smptoms of slow stomach emptying
21. Long term therapy with regland can lead to
a. autotoxicity
b. extrapyramidal reactions
c. anti cholinergic effects ???
d. tardive kinesia
22. List the adverse effects of lasik's
a. Hypotension
b. dehydration
c. electrolytes such as sodium decrease of electrolytes such as sodium potassium sleep
d. apnea
23. Compazine an phenergan suppress
a. Releasing dompamine two receptors in the CTZ
b. By decreasing the feeling of fullness
c. slowing stomach emptying
d. by blocking dopamine two receptors in the chemoreceptor trigger zone
24. The eating nurse is providing discharge teaching a patient with diarrhea an advises that the most
effective anti diarrheal medication is :
a. reglin
b. Zofran
c. sucralfate
d. Lomotil
25. What adverse effect when lithium in lasix or combined ?
a. Low sodium levels in the body can increase lithium levels
b. otoxicity
c. low sodium in the body can elevate lithium levels to toxic levels
d. pulmonary edema
26. Patient recently discharged calls the health care provider to ask adverse effects when diuretics
and digoxin are combines
a. Gout may develop
b. potassium levels can increase dig levels become toxic
c. ototoxicity may develop
27. A nurse is providing teaching to a patient discharged prescription for diuretics with renal
impairment the nurse cautions the patient to refrain from foods high in potassium
a. nuts
b. bananas
c. coffee
d. spinach
28. A patient presents the 80 with hyperkalemia the nurse expects to administer the following
medications to treat hyperkalemia
a. Potassium sparing diuretic
b. Ace inhibitors
c. Insulin
, d. Calcium gluconate, insulin, glucose
29. The nurse practitioner prescribes medication used to treat nausea vomiting and dizziness caused
by motion sickness Which may also be used to reduce dizziness and loss of balance
a. Meclizine
30. Match the match the following medications with the class
a. Xolpanex - bronchodilator
b. Benadryl - antihistanmine
c. Hydrocones cough suppressant
31. GI meds match
a. Ex-lax stimiulant
b. Metamucil – bulk formin
c. Colace – softener
d. M.o.M. –
32. The nurse is caring for a patient taking lasics the nurse should expect which side effects of this
medication
a. lower blood pressure
b. visual disturbances
c. tremors
d. far sightedness
33. patient is taking lisinopril and spirolactalone should be monitored for which of the following
adverse effects
a. select all hyperkalemia
b. autotoxicity
c. fever
d. hyportension
34. A patient has taken a high dose of oral glucocorticoids for two months for severe asthma the
symptoms have resolved the nurse teaches the patients how to discontinue the medication
a. doses should be tapered over the course of seven to 10 days
35. which of the following medications are for allergic rhinitis
a. all of them.
36. A patient calls the physician's office and asks how many motion sickness pills he can take
a. adults can take one diphenhydramine every 10 hours
b. adult can take one diphenhydramine every four to six hours ???
c. the dose is determined by weight
d. adult can take one Dyphenhydramine every hour as needed
37. A patient with asthma is admitted to the Ed with severe bronchospasms the Ed will expect the
administration of what medication
a. Long acting beta salmetrol
b. Oral beta two agonist
c. Short acting nebulizer albuterol
38. Ipratropium bromide (Atrovent) Are used for the treatment of COPD the anti cholinergic
properties with pathophysiologically by promoting
a. Decrease secretions
b. bronchial vaso constriction
