NSG 6005 MIDTERM LATEST ACTUAL

NSG 6005 MIDTERM LATEST ACTUAL

EXAM 2024-2025 / NSG 6005 ADVANCED

PHARMACOLOGY MIDTERM EXAM WITH

300+ REAL EXAM QUESTIONS WITH 100%

CORRECT DETAILED ANSWERS ALREADY

GRADED A+(BRAND NEW!!)

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:

• Use one to two puffs of albuterol per day to prevent an attack with no more than

eight puffs per day

• Beclomethasone needs to be used every day to treat her asthma

• Report any systemic side effects she is experiencing, such as weight gain

• 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

Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would

include assessing for:

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• Urinary retention

• Cardiac output

• Peripheral edema

• Skin rash - ANSWER-1. Urinary retention

When prescribing montelukast (Singulair) for asthma, patients or parents of

patients should be instructed:

• Montelukast twice a day is started when there is an asthma exacerbation.

• Patients may experience weight gain on montelukast.

• Aggression, anxiety, depression, and/or suicidal thoughts may occur when

taking montelukast.

• Lethargy and hypersomnia may occur when taking montelukast. - ANSWER-3.

Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.

Montelukast (Singulair) may be prescribed for:

• A 6-year-old child with exercise-induced asthma

• A 2-year-old child with moderate persistent asthma 2 / 4

• An 18-month-old child with seasonal allergic rhinitis

• None of the above; montelukast is not approved for use in children - ANSWER-
• A 2-year-old child with moderate persistent asthma

The known drug interactions with the inhaled corticosteroid beclomethasone

(QVAR) include:

• Albuterol

• MMR vaccine

• Insulin

• None of the above - ANSWER-4. None of the above

When educating patients who are starting on inhaled corticosteroids, the provider

should tell them that:

• They need to get any live vaccines before starting the medication.

• Inhaled corticosteroids need to be used daily during asthma exacerbations to be

effective.

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• Patients should rinse their mouths out after using the inhaled corticosteroid to

prevent thrush.

• 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.

Patients with allergic rhinitis may benefit from a prescription of:

• Fluticasone (Flonase)

• Cetirizine (Zyrtec)

• OTC cromolyn nasal spray (Nasalcrom)

• Any of the above - ANSWER-4. Any of the above

First-generation antihistamines such as loratadine (Claritin) are prescribed for

seasonal allergies because they are:

• More effective than first-generation antihistamines

• Less sedating than the first-generation antihistamines

• Prescription products, therefore are covered by insurance
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