Respiratory Drugs: Pharmacology for Nurses - Online Learning Quizzes

Question 1

For the rapid relief of acute asthma attacks, which bronchodilator is the most appropriate choice?

Accepted Answer

Albuterol

Answer

Salmeterol

Answer

Fluticasone

Answer

Montelukast

Question 2

Identify the medication that is NOT classified as a bronchodilator used in the treatment of asthma?

Accepted Answer

Montelukast

Answer

Albuterol

Answer

Salmeterol

Answer

Ipratropium bromide

Question 3

Describe the primary mechanism of action of inhaled corticosteroids in the management of COPD?

Accepted Answer

Reduction of inflammation within the airways

Answer

Relaxation of smooth muscles

Answer

Inhibition of leukotriene synthesis

Answer

Stimulation of mucus production

Question 4

Identify a potential side effect associated with the use of inhaled corticosteroids?

Accepted Answer

Oral candidiasis

Answer

Tachycardia

Answer

Bronchospasm

Answer

Nausea

Question 5

Describe the primary role of mucolytics in the management of respiratory diseases

Accepted Answer

Thinning of mucus to facilitate expectoration

Answer

Enlargement of airway diameter

Answer

Reduction of inflammation

Answer

Prevention of airway spasms

Question 6

Which route of administration is commonly employed for respiratory medications?

Accepted Answer

Inhalation

Answer

Intravenous

Answer

Oral

Answer

Rectal

Question 7

Which of the following statements accurately describes the mechanism of action of inhaled corticosteroids in asthma treatment?

Accepted Answer

They reduce airway inflammation by suppressing inflammatory cytokine production.

Answer

They inhibit mast cell degranulation, reducing airway inflammation.

Answer

They enhance beta-adrenergic receptor sensitivity, increasing bronchodilation.

Answer

They stimulate mucociliary clearance, improving mucus removal.

Question 8

What is the optimal route of administration for rapid relief of acute asthma symptoms?

Accepted Answer

Inhaled bronchodilators

Answer

Oral bronchodilators

Answer

Intravenous bronchodilators

Answer

Subcutaneous bronchodilators

Question 9

Which of the following medications is commonly employed as an add-on therapy in the management of severe, persistent asthma?

Accepted Answer

Montelukast

Answer

Acetylcysteine

Answer

Dextromethorphan

Answer

Ipratropium bromide

Question 10

The primary pharmacological action of mucolytic agents is to:

Accepted Answer

Decrease the viscosity of sputum, facilitating its removal.

Answer

Dilate airways, improving airflow.

Answer

Reduce airway inflammation, alleviating symptoms.

Answer

Enhance immune function, fighting infections.

Question 11

Which of the following is a potential adverse effect associated with the use of inhaled beta-agonists?

Accepted Answer

Tachycardia

Answer

Hypotension

Answer

Hypoglycemia

Answer

Bronchospasm

Question 12

Which of the following patient profiles is less suitable for nebulizer therapy?

Accepted Answer

A patient with acute asthma exacerbation who can effectively use an MDI

Answer

A young child with acute bronchiolitis

Answer

An elderly individual with chronic obstructive pulmonary disease (COPD)

Answer

A patient with cystic fibrosis

Question 13

What is the primary distinction between a long-acting beta-agonist (LABA) and a short-acting beta-agonist (SABA) in the management of asthma?

Accepted Answer

LABAs provide sustained bronchodilation for up to 24 hours, while SABAs have a shorter duration of action.

Answer

LABAs are typically used for quick relief of symptoms, while SABAs are used for long-term maintenance therapy.

Answer

LABAs have a faster onset of action than SABAs.

Answer

LABAs are associated with fewer adverse effects than SABAs.

Question 14

Which of the following conditions is a contraindication to the use of inhaled ipratropium bromide?

Accepted Answer

Narrow-angle glaucoma

Answer

Benign prostatic hyperplasia

Answer

Congestive heart failure

Answer

Hypertension

Question 15

Which of the following bronchodilators acts by stimulating beta-adrenergic receptors?

Accepted Answer

Salmeterol

Answer

Montelukast

Answer

Cromolyn sodium

Answer

Budesonide

Question 16

What is the primary mechanism of action of inhaled corticosteroids?

Accepted Answer

Reduction of airway inflammation

Answer

Inhibition of leukotriene synthesis

Answer

Relaxation of airway smooth muscle

Answer

Enhancement of mucus production

Question 17

What is a potential adverse effect of inhaled corticosteroids?

Accepted Answer

Oral candidiasis

Answer

Bronchospasm

Answer

Hypoglycemia

Answer

Hypertension

Question 18

Which of the following is a characteristic feature of chronic obstructive pulmonary disease (COPD)?

Accepted Answer

Persistent and progressive airflow limitation

Answer

Reversible airway obstruction

Answer

Wheezing and coughing

Answer

Sudden onset of dyspnea

Question 19

What is the primary goal of pharmacological therapy in COPD?

Accepted Answer

Prevention of exacerbations

Answer

Reversal of airway obstruction

Answer

Improvement of exercise capacity

Answer

Reduction of lung inflammation

Question 20

Which of the following is a long-acting muscarinic antagonist (LAMA) used in the treatment of COPD?

Accepted Answer

Tiotropium

Answer

Salmeterol

Answer

Budesonide

Answer

Formoterol

Question 21

What is a potential drug-drug interaction to consider when administering theophylline?

Accepted Answer

Erythromycin

Answer

Ibuprofen

Answer

Albuterol

Answer

Acetaminophen

Question 22

Which of the following is an important nursing assessment prior to administering inhaled medications?

Accepted Answer

Respiratory rate

Answer

Blood pressure

Answer

Heart rate

Answer

Pain level

Question 23

What is a key patient education point when teaching about the use of nasal decongestants?

Accepted Answer

Limit use to no more than 3 days

Answer

Use as needed to relieve nasal congestion

Answer

Take with a full glass of water

Answer

Avoid alcohol consumption while taking the medication

Question 24

Which of the following is a short-acting beta-2 agonist commonly used as a rescue medication for asthma?

Accepted Answer

Albuterol

Answer

Salmeterol

Answer

Ipratropium bromide

Answer

Montelukast

Question 25

How do inhaled corticosteroids primarily work in the management of chronic obstructive pulmonary disease (COPD)?

Accepted Answer

Reduce airway inflammation

Answer

Increase airway mucus production

Answer

Relax airway smooth muscles

Answer

Inhibit histamine release

Question 26

What is the main purpose of mucolytic agents in the treatment of respiratory disorders?

Accepted Answer

To liquefy and facilitate removal of mucus

Answer

To reduce airway inflammation

Answer

To stimulate bronchodilation

Answer

To prevent respiratory infections

Question 27

What is the primary goal of medication therapy in treating acute asthma exacerbations?

Accepted Answer

To relieve bronchospasm and improve airflow

Answer

To reduce airway inflammation

Answer

To prevent progression to respiratory failure

Answer

To improve lung function

Question 28

In asthma management, explain the differences in mechanisms of action and clinical applications between short-acting and long-acting bronchodilators.

Accepted Answer

Short-acting bronchodilators provide quick relief but require frequent use, while long-acting bronchodilators offer sustained bronchodilation for maintenance.

Answer

Long-acting bronchodilators have a faster onset of action than short-acting bronchodilators.

Answer

Both short-acting and long-acting bronchodilators are used for maintenance therapy in asthma.

Answer

Short-acting bronchodilators have a longer duration of action than long-acting bronchodilators.

Question 29

For a patient experiencing a severe acute asthma attack, which medication would be most suitable?

Accepted Answer

Albuterol

Answer

Salmeterol

Answer

Budesonide

Answer

Montelukast

Question 30

What is the primary mechanism of action of short-acting beta-agonists (SABAs) used in asthma treatment?

Accepted Answer

Stimulation of beta-2 adrenergic receptors

Answer

Histamine receptor blockade

Answer

Phosphodiesterase enzyme inhibition

Answer

Muscarinic receptor stimulation

Question 31

Which medication is classified as a leukotriene modifier and is used to treat asthma?

Accepted Answer

Montelukast

Answer

Salmeterol

Answer

Budesonide

Answer

Albuterol

Question 32

What is a primary indication for using mucolytic agents in respiratory disorders?

Accepted Answer

Enhancing airway secretions

Answer

Relieving bronchospasm

Answer

Reducing inflammation

Answer

Preventing bacterial colonization

Question 33

Which patient profile is suitable for inhaled nitric oxide (iNO) therapy?

Accepted Answer

Severe asthma unresponsive to standard treatments

Answer

Chronic bronchitis

Answer

Pneumonia

Answer

Pulmonary fibrosis

Question 34

Which of the following statements accurately describes potential side effects and contraindications associated with systemic corticosteroids used in respiratory therapy?

Accepted Answer

Systemic corticosteroids should not be used in patients with active infections, as they can weaken the immune system.

Accepted Answer

Systemic corticosteroids should be avoided in patients with a history of stomach ulcers, as they can increase the risk of bleeding.

Answer

Systemic corticosteroids have no known side effects or contraindications.

Answer

Systemic corticosteroids are safe for patients with diabetes, as they do not affect blood sugar levels.

Question 35

What is the primary mechanism of action of beta-2 agonists in alleviating asthma symptoms?

Accepted Answer

Relaxation of bronchial smooth muscles

Answer

Prevention of histamine release

Answer

Stimulation of mucus production

Answer

Reduction of airway inflammation

Question 36

Which class of inhaled corticosteroids is preferred for the long-term management of persistent asthma?

Accepted Answer

Budesonide

Answer

Salmeterol

Answer

Montelukast

Answer

Formoterol

Question 37

Which adverse effect is commonly associated with theophylline therapy?

Accepted Answer

Convulsions

Answer

Nausea and vomiting

Answer

Low potassium levels

Answer

Myelosuppression

Question 38

Which drug-drug interaction should be considered when using inhaled corticosteroids?

Accepted Answer

Rifampin

Answer

Erythromycin

Answer

Warfarin

Answer

Metformin

Question 39

Which of the following is a long-acting beta-2 agonist (LABA) used in the management of asthma?

Accepted Answer

Salmeterol

Answer

Tiotropium bromide

Answer

Ipratropium bromide

Answer

Albuterol

Question 40

Which of the following describes a mechanism of action of leukotriene modifiers?

Accepted Answer

Inhibition of leukotriene production and release

Answer

Bronchodilation

Answer

Stimulation of mucus production

Answer

Anticholinergic effect

Question 41

Which medication is a combination of a LABA and an inhaled corticosteroid?

Accepted Answer

Fluticasone/Salmeterol

Answer

Salmeterol/Formoterol

Answer

Albuterol/Ipratropium bromide

Answer

Tiotropium bromide/Montelukast

Question 42

Which of the following is an indication for the use of ipratropium bromide?

Accepted Answer

Chronic bronchitis

Answer

Pneumonia

Answer

Asthma

Answer

Pulmonary embolism

Question 43

Which of the following is a phosphodiesterase-4 (PDE-4) inhibitor used in the management of COPD?

Accepted Answer

Roflumilast

Answer

Salmeterol

Answer

Budesonide

Answer

Formoterol

Question 44

Which medication is known to interact with theophylline?

Accepted Answer

Cimetidine

Answer

Albuterol

Answer

Fluticasone

Answer

Ipratropium bromide

Question 45

Which of the following is a mucolytic agent?

Accepted Answer

N-acetylcysteine

Answer

Salmeterol

Answer

Fluticasone

Answer

Albuterol

Question 46

Which of the following is an important consideration when administering inhaled medications?

Accepted Answer

Using a spacer device

Answer

Swallowing the medication

Answer

Holding the inhaler upside down

Answer

Inhaling the medication through the nose