Study Guide
Questions and Answers
ATI Pharmacology
Answers Marked With *
Respiratory Medications
1. Which of the following is a second generation H1 antagonist (antihistamine) that
causes less sedation than the 1st generation antihistamines?
A. Diphenhydramine (Benadryl)
B. Dimenhydrinate (Dramamine)
C. Promethazine (Phenergan)
D. Loratadine (Claritin) *
2. A nurse is caring for a client who states she has been taking phenylephrine (Neo-
Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The
nurse has warned the client not to use Neo-Synephrine for more than 3 days. Which
of the following is NOT an adverse effect of this medication?
A. Rebound congestion
B. Hypertension
C. Agitation
D. Reduction in nasal membrane inflammation *
3. A preschool child recently diagnoses with cystic fibrosis has a new prescription
for acetylcysteine (Mucomyst). The nurse teaches the client and her family that
the purpose of this medication is to do which of the following?
A. Suppress cough
B. Loosen secretions *
C. Decrease pain
D. Minimize nasal congestion
4. A nurse is evaluating a client’s understanding of the teaching about the use of
fluticasone (Flonase) to treat perennial rhinitis. Which of the following
statements by the client indicate he understands the teaching?
A. It may take as long as 3 weeks before the medication takes a maximum effect *
B. I should use the spray every 4 hours while I am awake
C. This medication can also be used to treat motion sickness
D. I can use this medication when my nasal passages are blocked
5. Please fill in the following chart:
, Medication Route Therapeutic uses
Inhaled, short acting Prevention of asthma
Oral, long-acting attack
Treatment of ongoing
asthma attack
Long-term control of
asthma
Inhaled, long-acting Long-term control of
asthma
Oral, long-acting Long-term control of
asthma
6. The drug theophylline (Theoclair) is a methylxanthine that causes what?
____________________________________________________________
7. An inhaled anticholinergic such as ipratropium (Atrovent) does which of the
following?
A. Has anticholinergic effects that can cause dryness *
B. Causes bronchospasm
C. Causes bronchoconstriction
D. Causes increase in pulmonary secretions
Match the following drugs with the correct category and description:
A. Ipratropium (Atrovent)
B. Beclomethasone dipropionate (QVAR)
, C. Montelukast (Singulair)
D. Cromolyn sodium (Intal)
E. Theophylline (Theolair)
F. Albuterol (Proventil)
G. Salmeterol (Serevent)
H. Terbutaline (Brethine)
I. Prednisone (Deltasone)
Write in the letter, generic, and trade name of the correct drug:
8. ______________I_________________ Glucocorticoid given orally to prevent
inflammation, suppress airway mucus, and promote responsiveness of beta2
receptors in the bronchial tree
9. _______________G________________ Inhaled, long-acting beta2-adrenergic
agonist that results in bronchodilation, relieves bronchospasm, and inhibits the
release of histamine
10. ______________E________________ Methylxanthine given orally or IV for
emergency use that results in bronchodilation through relaxation bronchial
smooth muscles
11. _______________B________________ Glucocorticoid given by inhalation to
prevent inflammation, suppress airway mucus, and promote responsiveness of
beta2 receptors in the bronchial tree
12. ______________F_________________ Inhaled or oral short-acting beta2-
adrenergic agonist that results in bronchodilation, relieves bronchospasm, and
inhibits the release of histamine
13. ______________C_________________ Leukotriene modifier that suppresses
inflammation, bronchoconstriction, airway edema, and mucus production
14. _______________D________________ Mast cell stabilizer that inhibits the
release of histamine and other inflammatory mediators in the management of
chronic asthma
15. _____________H__________________ Oral long-acting beta2-adrenergic
agonist that results in bronchodilation, relieves bronchospasm, and inhibits the
release of histamine
16. ______________A_________________ Inhaled anticholinergic drug that blocks
muscarinic receptors of the bronchi, resulting in bronchodilation
17. Which of the following instructions should be given to a client who has been
prescribed albuterol (Proventil) and beclomethasone dipropionate (QVAR)
inhalers for the control of asthma?
Questions and Answers
ATI Pharmacology
Answers Marked With *
Respiratory Medications
1. Which of the following is a second generation H1 antagonist (antihistamine) that
causes less sedation than the 1st generation antihistamines?
A. Diphenhydramine (Benadryl)
B. Dimenhydrinate (Dramamine)
C. Promethazine (Phenergan)
D. Loratadine (Claritin) *
2. A nurse is caring for a client who states she has been taking phenylephrine (Neo-
Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The
nurse has warned the client not to use Neo-Synephrine for more than 3 days. Which
of the following is NOT an adverse effect of this medication?
A. Rebound congestion
B. Hypertension
C. Agitation
D. Reduction in nasal membrane inflammation *
3. A preschool child recently diagnoses with cystic fibrosis has a new prescription
for acetylcysteine (Mucomyst). The nurse teaches the client and her family that
the purpose of this medication is to do which of the following?
A. Suppress cough
B. Loosen secretions *
C. Decrease pain
D. Minimize nasal congestion
4. A nurse is evaluating a client’s understanding of the teaching about the use of
fluticasone (Flonase) to treat perennial rhinitis. Which of the following
statements by the client indicate he understands the teaching?
A. It may take as long as 3 weeks before the medication takes a maximum effect *
B. I should use the spray every 4 hours while I am awake
C. This medication can also be used to treat motion sickness
D. I can use this medication when my nasal passages are blocked
5. Please fill in the following chart:
, Medication Route Therapeutic uses
Inhaled, short acting Prevention of asthma
Oral, long-acting attack
Treatment of ongoing
asthma attack
Long-term control of
asthma
Inhaled, long-acting Long-term control of
asthma
Oral, long-acting Long-term control of
asthma
6. The drug theophylline (Theoclair) is a methylxanthine that causes what?
____________________________________________________________
7. An inhaled anticholinergic such as ipratropium (Atrovent) does which of the
following?
A. Has anticholinergic effects that can cause dryness *
B. Causes bronchospasm
C. Causes bronchoconstriction
D. Causes increase in pulmonary secretions
Match the following drugs with the correct category and description:
A. Ipratropium (Atrovent)
B. Beclomethasone dipropionate (QVAR)
, C. Montelukast (Singulair)
D. Cromolyn sodium (Intal)
E. Theophylline (Theolair)
F. Albuterol (Proventil)
G. Salmeterol (Serevent)
H. Terbutaline (Brethine)
I. Prednisone (Deltasone)
Write in the letter, generic, and trade name of the correct drug:
8. ______________I_________________ Glucocorticoid given orally to prevent
inflammation, suppress airway mucus, and promote responsiveness of beta2
receptors in the bronchial tree
9. _______________G________________ Inhaled, long-acting beta2-adrenergic
agonist that results in bronchodilation, relieves bronchospasm, and inhibits the
release of histamine
10. ______________E________________ Methylxanthine given orally or IV for
emergency use that results in bronchodilation through relaxation bronchial
smooth muscles
11. _______________B________________ Glucocorticoid given by inhalation to
prevent inflammation, suppress airway mucus, and promote responsiveness of
beta2 receptors in the bronchial tree
12. ______________F_________________ Inhaled or oral short-acting beta2-
adrenergic agonist that results in bronchodilation, relieves bronchospasm, and
inhibits the release of histamine
13. ______________C_________________ Leukotriene modifier that suppresses
inflammation, bronchoconstriction, airway edema, and mucus production
14. _______________D________________ Mast cell stabilizer that inhibits the
release of histamine and other inflammatory mediators in the management of
chronic asthma
15. _____________H__________________ Oral long-acting beta2-adrenergic
agonist that results in bronchodilation, relieves bronchospasm, and inhibits the
release of histamine
16. ______________A_________________ Inhaled anticholinergic drug that blocks
muscarinic receptors of the bronchi, resulting in bronchodilation
17. Which of the following instructions should be given to a client who has been
prescribed albuterol (Proventil) and beclomethasone dipropionate (QVAR)
inhalers for the control of asthma?
