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1 Lungs SLO Practice (online) Page 1 of 5 1. A 15 year- old teen has asthma. A nebulizer treatment has been ordered. The type of medication most likely to be used in this treatment for asthma management is: A. A leukotriene receptor blocker B. A corticosteroid C. A LOX inhibitor or Leukotriene modifier D. A beta blocker E. A beta (2) agonist 2. A client with asthma asks which prescribed medication should be used to treat an acute episode of bronchospasm. The nurse knows the client should use: A. Fluticasone, by mouth B. Albuterol, by inhalation. C. Ipratropium, by inhalation D. Montelukast, by mouth E. Theophylline, by mouth 3. Acetylcysteine is associated with? A. Tachycardia and increased blood pressure, C. Tachycardia, blood pressure changes, flushing, nausea, vomiting, bronchospasm, and anaphylaxis at any time during therapy D. Sedation, psychic and physical dependence, E. Significant antimuscarinic effects. 4. Albuterol (Proventil) is a(n): A. Mixed alpha and beta catecholamine used to treat anaphylaxis B. Antimuscarinic bronchodilator for COPD D. LT receptor antagonist for asthma and 5. An asthma patient is prescribed a Flunisolide (AeroBid) inhaler. Which of the following is an education point covered by the astute nurse? A. "Rinse your mouth after each use." B. "You should feel tired after using this drug." C. "Take as soon as you experience bronchoconstriction." D. "This drug will protect you from superinfections caused by antibiotics." E. "Flunisolide will reverse status asthmaticus, so make sure to always carry your inhaler." 6. Budesonide (Rhinocort Aqua) is a: A. Topical non- steroid nasal decongestant B. Sympathomimetic (alpha agonist) topical nasal C. Beta 2 agonist for asthma D. Topical and orally inhaled steroid nasal also available PO for Crohn s E. Sympathomimetic (alpha agonist) oral nasal 7. Dextromethorphan (DXM, DM) is a: A. C- III narcotic Opioid antitussive/analgesic with B. Topical and orally inhaled steroid nasal C. Non- narcotic Opioid NMDA antagonist D. Xanthine bronchodilator E. Sympathomimetic (alpha agonist) topical nasal 8. Dextromethorphan is associated with? A. Sedation, psychic and physical dependence, C. Tachycardia and increased blood pressure, D. Significant antimuscarinic effects. E. Vomiting when taken in excess.

2 Lungs SLO Practice (online) Page 2 of 5 9. Diphenhydramine (Benadryl) is a: A. Mucolytic when inhaled, antidote to APAP OD B. Corticosteroid anti- inflammatory. C. Xanthine Bronchodilator for asthma & COPD D. 2 nd generation antihistamine indicated to treat E. 1 st generation antihistamine and 10. Drugs that convert a dry cough to a productive cough (to clear phlegm) are called: C. Mucolytic D. Surfactant E. Expectorant 11. Drugs that decrease the amount of mucous or edema produced due to colds or are called: B. Mucolytic C. Expectorant D. Surfactant E. Decongestant 12. Drugs that replace the natural lubricant in the lung are called: B. Surfactant C. Mucolytic E. Decongestant 13. Drugs that suppress coughing are called: A. Surfactant C. E. Mucolytic 14. Drugs that thin mucous in the upper airwys by chemically removing sulphur cross- linkages in mucoproteins are called: C. Surfactant E. Mucolytic 15. Epinephrine (EpiPen) is a(n): A. Xanthine Bronchodilator for asthma or COPD C. Beta- 2 agonist bronchodilator D. Mixed alpha and beta catecholamine used to treat anaphylaxis E. Antimuscarinic bronchodilator for COPD 16. Fexofenadine (Allegra) is a: A. Xanthine Bronchodilator for asthma & COPD B. Corticosteroid anti- inflammatory. C. Mucolytic when inhaled, antidote to APAP OD D. 1 st generation antihistamine and E. 2 nd generation antihistamine indicated to treat 17. Flunisolide (AeroBid) is a: A. Sympathomimetic (alpha agonist) topical nasal B. Xanthine bronchodilator C. Topical and orally inhaled steroid anti D. Beta 2 agonist bronchodilator E. Injectable steroid nasal decongestant 18. Fluticasone (Flonase) is a: A. Topical and orally inhaled steroid anti B. Topical non- steroidal nasal decongestant C. Xanthine bronchodilator D. Orally inhaled Beta 2 agonist bronchodilator E. Sympathomimetic (alpha agonist) topical nasal

3 Lungs SLO Practice (online) Page 3 of Hydrocodone with homatropine (Hycodan) is a: A. C- III narcotic Opioid antitussive/analgesic with B. Sympathomimetic (alpha agonist) topical nasal C. Topical and orally inhaled steroid nasal D. Non- narcotic Opioid NMDA antagonist E. Sympathomimetic (alpha agonist) oral nasal 20. Hydrocodone with homatropine is associated with? A. Nasal burning, epistaxis, nasal dryness, B. Significant sympathetic effects. C. Sedation, psychic and physical dependence, D. Vomiting when taken in excess. E. Tachycardia and increased blood pressure, 21. Ipratropium (Atrovent) is a(n): A. Antimuscarinic bronchodilator for COPD D. Mixed alpha and beta (mostly beta) synthetic 22. Isoproterenol (Isuprel) is a(n): A. LT receptor antagonist for asthma and B. Beta- 2 agonist bronchodilator C. Antimuscarinic bronchodilator for COPD D. Xanthine Bronchodilator for asthma or COPD E. Mixed alpha and beta (mostly beta) synthetic 23. Mometasone (Nasonex) is a: A. Topical and orally inhaled steroid anti B. Sympathomimetic (alpha agonist) oral nasal C. Topical non- steroidal nasal decongestant D. Sympathomimetic (alpha agonist) topical nasal E. Beta 2 agonist bronchodilator 24. Montelukast (Singulair) is a(n): A. Mixed alpha and beta (mostly beta) synthetic D. Antimuscarinic bronchodilator for COPD 25. Oxymetazoline (Afrin) is a: A. Non- narcotic Opioid NMDA antagonist B. C- III narcotic Opioid antitussive/analgesic with C. Topical and orally inhaled steroid nasal D. Sympathomimetic (alpha agonist) topical nasal E. Sympathomimetic (alpha agonist) topical spray nasal 26. Pseudoephedrine (Sudafed) is a: A. Topical and orally inhaled steroid nasal B. C- III narcotic Opioid antitussive/analgesic with C. Sympathomimetic (alpha agonist) oral nasal D. Xanthine Bronchodilator for asthma or COPD E. Beta 2 agonist for asthma

4 Lungs SLO Practice (online) Page 4 of The First Generation Antihistamines are associated with? A. Tachycardia and increased blood pressure, vomiting, dry mouth, and urinary retention. C. Significant antimuscarinic effects. D. Vomiting when taken in excess. E. Sedation, psychic and physical dependence, 28. The sympathomimetic bronchodilators are associated with? A. Significant antimuscarinic effects. B. Sedation, psychic and physical dependence, C. Tachycardia and increased blood pressure, D. Tachycardia, anxiety and sweating E. Nasal burning, epistaxis, nasal dryness, 29. The sympathomimetic decongestants are associated with? A. Vomiting when taken in excess. B. Significant antimuscarinic effects. C. Nasal burning, epistaxis, nasal dryness, D. Sedation, psychic and physical dependence, E. Tachycardia and increased blood pressure, 30. The topically applied corticosteroids are associated with? A. Sedation, psychic and physical dependence, B. Tachycardia and increased blood pressure, C. Significant antimuscarinic effects. D. Nasal burning, epistaxis, nasal dryness, E. Vomiting when taken in excess. 31. Theophylline (Theo- 24) is a: A. Oral expectorant to move phlegm out of airways B. Xanthine Bronchodilator for asthma & COPD C. 2 nd generation antihistamine indicated to treat D. 1 st generation antihistamine and E. Mucolytic when inhaled, antidote to APAP OD 32. Which of the following OTC cold products will NOT help alleviate cough associated with colds or? A. Phenylephrine B. Dextromethorphan C. Guaifenesin D. Diphenhydramine E. All of the above 33. Zafirlukast (Accolate) is a(n): A. LT receptor antagonist for asthma and B. Beta- 2 agonist bronchodilator C. Antimuscarinic bronchodilator for COPD D. Mixed alpha and beta (mostly beta) synthetic E. Xanthine Bronchodilator for asthma or COPD

5 Lungs SLO Practice (online) Page 5 of Amantadine is a(n): A. Mast cell stabilizer (inhibits the release of B. Neuraminidase inhibitor against Influenza A C. Topical steroid nasal decongestant D. Ion channel M2 protein inhibitor on Influenza E. Lung surfactant replacement (natural bovine 38. Zanamivir is a(n): A. Neuraminidase inhibitor against Influenza A B. Topical steroid nasal decongestant C. Ion channel M2 protein inhibitor on Influenza D. Lung surfactant replacement (natural bovine E. Mast cell stabilizer (inhibits the release of 35. Beractant (Survanta) is a(n): A. Ion channel M2 protein inhibitor on Influenza B. Topical steroid nasal decongestant C. Neuraminidase inhibitor against Influenza A D. Lung surfactant replacement (natural bovine E. Mast cell stabilizer (inhibits the release of 36. Cromolyn is a(n): A. Neuraminidase inhibitor against Influenza A B. Ion channel M2 protein inhibitor on Influenza C. Topical steroid nasal decongestant D. Mast cell stabilizer (inhibits the release of E. Lung surfactant replacement (natural bovine 37. Oseltamivir is a(n): A. Lung surfactant replacement (natural bovine B. Ion channel M2 protein inhibitor on Influenza C. Mast cell stabilizer (inhibits the release of D. Topical steroid nasal decongestant E. Neuraminidase inhibitor against Influenza A

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