NURS 615 Exam 4 Study Questions and
Well Detailed Answers | 2026 Update |
100% Correct – MVU
SAMA - meds, MOA, duration and onset -CORRECTANSWER atropine, ipratropium
(Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which normally
constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution -CORRECTANSWER CV disease, uncontrolled HTN, narrow angle
glaucoma
ICS medications -CORRECTANSWER mometasone (Asmanex) - most potent and
expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
LAMAs for COPD - meds, MOA, dose -CORRECTANSWER aclidinium bromide
(Tudorza), umeclidinium (Ellipta)
,inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
ICS - use and SE -CORRECTANSWER asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
LABA - MOA, onset and duration, SE, dose -CORRECTANSWER stimulates beta 2
receptors on bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
LAMA - Spiriva generic, use, dose, age of use -CORRECTANSWER tiotropium
bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
LABA - meds and use -CORRECTANSWER salmeterol (Serevent) and formoterol
(Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids
with nighttime coughing and wheezing.
, LABA meds for COPD use only -CORRECTANSWER olodaterol and indacaterol (a dry
powder inhaler)
LAMA/LABA for COPD -CORRECTANSWER umeclidinium/vilanterol and tiotropium
bromide/olodaterol
Steps for asthma -CORRECTANSWER
Related to SABA meds, what indicates poor control of the disease? -
CORRECTANSWER use of SABA more than 2 times a week
SABA - MOA, onset and duration, SE, Dose -CORRECTANSWER stimulates beta 2
receptors on bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
What patient should not use a LABA? -CORRECTANSWER black
Action of corticosteroids -CORRECTANSWER decrease inflammation
SABA meds and use -CORRECTANSWER albuterol (Proventil HFA, Ventolin HFA),
albuterol/ipratropium (DuoNeb)
Well Detailed Answers | 2026 Update |
100% Correct – MVU
SAMA - meds, MOA, duration and onset -CORRECTANSWER atropine, ipratropium
(Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which normally
constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution -CORRECTANSWER CV disease, uncontrolled HTN, narrow angle
glaucoma
ICS medications -CORRECTANSWER mometasone (Asmanex) - most potent and
expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
LAMAs for COPD - meds, MOA, dose -CORRECTANSWER aclidinium bromide
(Tudorza), umeclidinium (Ellipta)
,inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
ICS - use and SE -CORRECTANSWER asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
LABA - MOA, onset and duration, SE, dose -CORRECTANSWER stimulates beta 2
receptors on bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
LAMA - Spiriva generic, use, dose, age of use -CORRECTANSWER tiotropium
bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
LABA - meds and use -CORRECTANSWER salmeterol (Serevent) and formoterol
(Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids
with nighttime coughing and wheezing.
, LABA meds for COPD use only -CORRECTANSWER olodaterol and indacaterol (a dry
powder inhaler)
LAMA/LABA for COPD -CORRECTANSWER umeclidinium/vilanterol and tiotropium
bromide/olodaterol
Steps for asthma -CORRECTANSWER
Related to SABA meds, what indicates poor control of the disease? -
CORRECTANSWER use of SABA more than 2 times a week
SABA - MOA, onset and duration, SE, Dose -CORRECTANSWER stimulates beta 2
receptors on bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
What patient should not use a LABA? -CORRECTANSWER black
Action of corticosteroids -CORRECTANSWER decrease inflammation
SABA meds and use -CORRECTANSWER albuterol (Proventil HFA, Ventolin HFA),
albuterol/ipratropium (DuoNeb)
