NR 508 Actual Exam Questions
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Correct Detailed Answers
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1. 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)
2. 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
,3. 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. - ANSWER
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when
taking montelukast.
4. 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 - ANSWER
2. A 2-year-old child with moderate persistent asthma
5. The known drug interactions with the inhaled corticosteroid beclomethasone
(QVAR) include:
1. Albuterol
2. MMR vaccine
3. Insulin
4. None of the above - ANSWER 4. None of the above
6. 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.
7. Patients with allergic rhinitis may benefit from a prescription of:
1. Fluticasone (Flonase)
2. Cetirizine (Zyrtec)
3. OTC cromolyn nasal spray (Nasalcrom)
4. Any of the above - ANSWER 4. Any of the above
8. 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:
1. Urinary retention
2. Cardiac output
3. Peripheral edema
4. Skin rash - ANSWER 1. Urinary retention
9. First-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they are:
1. More effective than first-generation antihistamines
With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1. 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)
2. 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
,3. 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. - ANSWER
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when
taking montelukast.
4. 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 - ANSWER
2. A 2-year-old child with moderate persistent asthma
5. The known drug interactions with the inhaled corticosteroid beclomethasone
(QVAR) include:
1. Albuterol
2. MMR vaccine
3. Insulin
4. None of the above - ANSWER 4. None of the above
6. 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.
7. Patients with allergic rhinitis may benefit from a prescription of:
1. Fluticasone (Flonase)
2. Cetirizine (Zyrtec)
3. OTC cromolyn nasal spray (Nasalcrom)
4. Any of the above - ANSWER 4. Any of the above
8. 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:
1. Urinary retention
2. Cardiac output
3. Peripheral edema
4. Skin rash - ANSWER 1. Urinary retention
9. First-generation antihistamines such as loratadine (Claritin) are prescribed for
seasonal allergies because they are:
1. More effective than first-generation antihistamines
