NURS 615 Pharm Exam 4 'WE GOT NO MORE' Questions And Answers.

615-PHARM EXAM 4 “WE GOT NO MORE” Q&A SUMMER 2017

615-Pharm Exam 4 “We Got No More” Q&A 2017

___ 1. Digoxin levels need to be monitored closely when the following medication is

started:

1

.

Loratadine

2

.

Diphenhydramine

3

.

Ipratropium

4

.

Albuterol

Albuterol

____ 2. Patients with pheochromocytoma should avoid which of the following classes of

drugs because of the possibility of developing hypertensive crisis?

1

.

Expectorants

2

.

Beta-2-agonists

3

.

Antitussives

4

.

Antihistamines

Beta 2-agonists

____ 3. Stan, a 42-year-old African American, has moderate persistent asthma. Which of

the following asthma medications should be used cautiously, if at all?

1

.

Betamethasone, an inhaled corticosteroid

2

.

Salmeterol, an inhaled long-acting beta-agonist

3

.

Albuterol, a short-acting beta-agonist

4

.

Montelukast, a leukotriene modifier

Salmeterol, an inhaled long-acting beta-agonist

____ 4. Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S.

Food and Drug Administration due to the:

1

.

Risk of life-threatening dermatological reactions

2 Increased incidence of cardiac events when LTBAs are used

1

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615-PHARM EXAM 4 “WE GOT NO MORE” Q&A SUMMER 2017

.

3

.

Increased risk of asthma-related deaths when LTBAs are

used

4

.

Risk for life-threatening alterations in electrolytes

Increased risk of asthma-related deaths when LTBAs are used

____ 5. The bronchodilator of choice for patients taking propranolol is:

1

.

Albuterol

2

.

Pirbuterol

3

.

Formoterol

4

.

Ipratropium

Ipratropium

____ 6. Mathew is a 52-year-old overweight smoker taking theophylline for his persistent

asthma. He tells his provider he is going to start the Atkin’s diet for weight loss. The appropriate

response would be:

1

.

Congratulate him on making a positive change in his life.

2

.

Recommend he try stopping smoking instead of the Atkin’s

diet.

3

.

Schedule him for regular testing of serum theophylline levels

during his diet due to increased excretion of theophylline.

4

.

Decrease his theophylline dose because a high-protein diet

may lead to elevated theophylline levels.

Recommend smoking cessation

____ 7. Marty takes theophylline for his persistent asthma and calls the office with a

complaint of nausea, vomiting, and headache. The best advice for him would be to:

1

.

Reassure him this is probably a viral infection and should be

better soon

2

.

Have him seen the same day for an assessment and

theophylline level

3

.

Schedule him for an appointment in 2 to 3 days, which he

can cancel if he is better

4

.

Order a theophylline level at the laboratory for him

Schedule him an appointment in 2-3 days

2

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615-PHARM EXAM 4 “WE GOT NO MORE” Q&A SUMMER 2017

____ 8. 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

Tx for COPD

____ 9. Angela 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

Beclomethasone needs to be used every day

____ 10. 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.

4

.

Lethargy and hypersomnia may occur when taking

montelukast.

Watch for aggression, anxiety, depression, and suicidal toughts

____ 11. Montelukast (Singulair) may be prescribed for:

1. A 6-year-old child with exercise-induced asthma

2. A 2-year-old child with moderate persistent asthma

3. An 18-month-old child with seasonal allergic rhinitis

4

.

None of the above; montelukast is not approved for use in

children

2 year old child with moderate persistent asthma

3

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