Page 1 of 133
NUR 635 pharmacology FINAL EXAM NEWEST
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: Harold, a 42-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWER-B.Salmeterol, an inhaled long-acting beta-
agonist
QUESTION: Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - ANSWER-1. Used for the
treatment of chronic obstructive pulmonary disease (COPD)
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QUESTION: Christy has exercise-induced and mild persistent asthma and is prescribed two puffs
of albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs
per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid MDI to
facilitate bronchodilation - ANSWER-2. Beclomethasone needs to be used every day to treat her
asthma
QUESTION: When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
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4. Lethargy and hypersomnia may occur when taking montelukast. - ANSWER-3. Aggression,
anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.
QUESTION: When educating patients who are starting on inhaled corticosteroids, the provider
should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
4. They can triple the dose number of inhalations of medication during colds to prevent needing
systemic steroids - ANSWER-3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Q; The first-line drug choice for a previously healthy adult patient diagnosed with community-
acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
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3.Amoxicillin
4.Doxycycline - ANSWER-2.Azithromycin
QUESTION: Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWER-2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
QUESTION: Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute
psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol.
Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary
care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
4
NUR 635 pharmacology FINAL EXAM NEWEST
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: Harold, a 42-year-old African American, has moderate persistent asthma. Which of
the following asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - ANSWER-B.Salmeterol, an inhaled long-acting beta-
agonist
QUESTION: Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - ANSWER-1. Used for the
treatment of chronic obstructive pulmonary disease (COPD)
1
, Page 2 of 133
QUESTION: Christy has exercise-induced and mild persistent asthma and is prescribed two puffs
of albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs
per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid MDI to
facilitate bronchodilation - ANSWER-2. Beclomethasone needs to be used every day to treat her
asthma
QUESTION: When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation.
2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
2
, Page 3 of 133
4. Lethargy and hypersomnia may occur when taking montelukast. - ANSWER-3. Aggression,
anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.
QUESTION: When educating patients who are starting on inhaled corticosteroids, the provider
should tell them that:
1. They need to get any live vaccines before starting the medication.
2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.
3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent
thrush.
4. They can triple the dose number of inhalations of medication during colds to prevent needing
systemic steroids - ANSWER-3. Patients should rinse their mouths out after using the inhaled
corticosteroid to prevent thrush.
Q; The first-line drug choice for a previously healthy adult patient diagnosed with community-
acquired pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
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, Page 4 of 133
3.Amoxicillin
4.Doxycycline - ANSWER-2.Azithromycin
QUESTION: Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - ANSWER-2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
QUESTION: Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute
psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol.
Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary
care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
4
