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Pharmacology NURS 251 Module 5 Exam
1. Name the microscopic sacs within the lungs that are the site where oxygen is exchanged for
carbon dioxide. ANS alveoli
2. Select the correct statement below. ANS Emphysema is a disease process involv- ing inflammation of
the alveoli
3. There are several chemical mediators responsible for the symptoms and complications of
Asthma and COPD. Name the one that has a known drug therapy that has been shown to improve patient symptoms. ANS Leukotrienes
4. True or False. Intrinsic asthma is caused by allergies. ANS False
5. Describe the pathophysiology of asthma. ANS The Bronchioles narrow causing bronchospasm and
inflammation, edema and the production of mucus. This ulti- mately obstructs airflow meaning that the carbon dioxide cannot t get out and the oxygen cannot get in.
6. Tobacco smoke is an irritant closely linked to the cause of what disease state? ANS COPD
7. True or False. Beta adrenergic agonists are an example of a drug class that works as a
bronchodilator. ANS True
8. True or False. Albuterol is primarily used to prevent symptoms of Asthma.-
ANS True
9. List the drug classes with anti-inflammatory effects that are used in the treatment of COPD
and asthma. ANS Inhaled corticosteroids Leukotriene inhibitors
10. Which of the following statements is true regarding beta adrenergic ago- nists?
a. Beta adrenergic agonists that are used to treat asthma act on beta1recep- tors
b. Beta adrenergic agonists can be used both as a rescue medication and maintenance therapy
c. Possible side effects include skeletal muscle tremor and oral infection
d. Salmeterol is an example of a short acting beta agonist. ANS b. Beta adrenergic agonists can be
used both as a rescue medication and maintenance therapy
11. Medications that block the neurotransmitter Acetylcholine fall into what pharmacological
15. 1. What medication class works by inhibiting the enzyme phosphodi- esterase?
- What medication class works by stimulating receptors in the lungs? ANS 1. Xanthines
- Beta adrenergic agonists
16. What medication class would require you to educate the patient to rinse their mouth out after
each use to prevent infection? ANS inhaled corticosteroids
17. What two drugs work specifically by blocking the leukotriene-1 receptor?-
ANS
Singular Zileuton
18. Provide an example of one class of bronchodilators. ANS beta adrenergic ago- nists, for example
albuterol.
19. List out the five steps involved in using a metered dose inhaler correctly. ANS 1. Remove cap and
shake inhaler
2. Breathe out all the way
3. Breathe in and press down on the inhaler at the same time
4. Hold breath for 10 seconds
5. Breathe out slowly
20. Provide an example of a different type of inhaler besides a metered dose inhaler, and provide the
name of a medication that is available in that type of inhaler. (2 points for inhaler type and 1 point for correct example) ANS Dry powder inhaler, for example tiotropium.
21. True or False. Nebulization is a good option for patients with dexterity limitations. ANS True
22. Select the respiratory medication that is recommended as first line for the treatment of persistent
asthma. ANS Fluticasone
23. What would be the most appropriate add on therapy for a patient with persistent asthma who is
taking a high dose ICS and a high dose LABA? ANS Oral corticosteroids
24. How often should a patient need to use their rescue inhaler if their asthma is controlled? ANS no
more than 2 times per week
25. True or False. An example of a preferred therapy for persistent asthma is the combination of
fluticasone and salmeterol. ANS True
26. True or False. Low dose fluticasone would be an appropriate first treatment option for a patient
with COPD in need of a long-term controller. ANS True
27. Select the most likely long-term controller combination treatment regimen for a patient with
COPD. ANS Tiotropium and salmeterol
would be the most likely cause? ANS mometasone
34. Name the respiratory condition being treated based on the following med- ication list
Fluticasone in combination with salmeterol twice daily. Albuterol as needed.- ANS asthma
