NURS 615 PHARM Exam 4 Real Exam 2026 Questions And Correct Detailed Answers (Correct Verified Answers) Complete Exam Latest Updates 2026 |A Graded (Maryville University)

NURS 615 PHARM Exam 4 Real Exam 2025 Questions And Correct Detailed Answers (Correct Verified Answers) Complete Exam Latest Updates 2025 |A Graded (Maryville University)

1. Digoxin levels need to be monitored closely when the following medication isstarted: 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 2 . 3 Increased risk of asthma-related deaths when LTBAs are . used 4 . Risk for life-threatening alterationsin electrolytes Increased risk of asthma-related deaths when LTBAs are used 5. The bronchodilator of choice for patientstaking 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 regulartesting ofserum theophylline levels during his diet due to increased excretion of theophylline. 4 . Decrease histheophylline dose because a high-protein diet may lead to elevated theophylline levels. Recommend smoking cessation 7. Marty takestheophylline for his persistent asthma and callsthe office with a complaint of nausea, vomiting, and headache. The best advice for him would be to: 1 . Reassure him thisis probably a viral infection and should be bettersoon 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 3 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 needsto be used every day to treat her . asthma 3 Report any systemic side effectsshe is experiencing,such as . weight gain 4 Use the albuterol metered-dose inhaler (MDI) immediately . after her corticosteroid MDI to facilitate bronchodilation Beclomethasone needsto 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 . Patientsmay experience weight gain on montelukast. 3 . Aggression, anxiety, depression, and/orsuicidal 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 4 12. The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR) include: 1. Albuterol 2. MMR vaccine 3. Insulin 4 . None of the above Insulin 13. 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 . exacerbationsto be effective. 3 Patientsshould rinse their mouths out after using the . inhaled corticosteroid to prevent thrush. 4 They can triple the dose number of inhalations of . medication during coldsto prevent needing systemic steroids. Patientsshould rinse their mouth out to prevent thrush. 14. Patients with allergic rhinitis may benefit from a prescription of: 1. Fluticasone (Flonase) 2. Cetirizine (Zyrtec) 3. OTC cromolyn nasalspray (Nasalcrom) 4 . Any of the above All of the above 15. William is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for: 1 . Urinary retention 2 . Cardiac output 3 . Peripheral edema 4 . Skin rash Urinary retention 5 16. First-generation antihistaminessuch asloratadine (Claritin) are prescribed for seasonal allergies because they are: 1 . More effective than first-generation antihistamines 2 . Lesssedating than the first-generation antihistamines 3 . Prescription products, therefore are covered by insurance 4 . Able to be taken with central nervoussystem (CNS) sedatives,such as alcohol Lesssedating than 1 st generation antihistamines 17. When recommending dimenhydrinate (Dramamine) to treat motion sickness, patients should be instructed to: 1 . Take the dimenhydrinate afterthey get nauseated 2 . Drink lots of water while taking the dimenhydrinate 3 . Take the dimenhydrinate 15 minutes before it is needed 4 . Double the dose if one tablet is not effective Be sure to take it 15 minutes before it is needed 18. Decongestantssuch as pseudoephedrine (Sudafed): 1 . Are Schedule III drugs in all states 2 . Should not be prescribed or recommended for children under 4 years of age 3 . Are effective in treating the congestion children experience with the common cold 4 . May cause drowsinessin patients of all ages Should be avoided in children young than 4 years old 19. Cough and cold medicationsthat contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population: 1. Older adults 2. Hypertensive patients 3. Infants 4 . All of the above