MARYVILLE NUR 615 EXAMS SCRIPT PAPER 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔Methylaltrexone is used to treat constipation in: - ✔✔Opioid associated constipation
✔✔Richard is a 10 year old patient with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a year old child would be: - ✔✔Bisacodyl
suppository
✔✔Michelle is a year old patient who takes omeprazole for her chronic GERD. Chronic
long term omeprazole places her at risk for: - ✔✔megaloblastic anemia
✔✔Patients who are on chronic long term PPI therapy require monitoring for: - ✔✔Iron
deficiency anemia, Vitamin B12, and calcium deficiency.
✔✔Joe presents with complaints of "heartburn" that is minimally relieved with Tums and
is diagnosed with GERD. AN appropriate first step therapy would be: - ✔✔Ranitadine
BID
✔✔Angela is a 5 year old patient who presents to the clinic with a 48 hours history of
N/V and some diarrhea. She is unable to keep fluids down and is 4 pounds lighter then
her last recorded weight. Besides IVF, her exam warrants the use of and antinausea
medications. Which would be the appropriate drug to order for Angela? -
✔✔Ondansetron (Zofran)
✔✔Jaide will be traveling to Mexico with her church group over spring break to build
houses. She is concerned she may develop travelers diarrhea. Advice includes
following normal food and water precautions as well as taking: - ✔✔Bismuth
subsalicylate with each meal and at bedtime
✔✔Bismuth subsalicylate is a common OTC remedy for GI complaints. Bismuth
subsalicylate: - ✔✔may lead to toxicity if taken with aspirin
is contraindicated in children with flu like symptoms
has antimicrobial effects against bacterial and viral enteropathogens
✔✔Charlotte has diarrhea and is wondering if she can take loperamide for it.
Loperamide: - ✔✔Slows gastric motility and reduces fluid and electrolyte loss from
diarrhea
✔✔Patients taking antacids should be educated regarding these drugs, including letting
them know that: - ✔✔they may cause diarrhea or constipation
many are high in sodium
they should take 1 hour separate from other medications
, ✔✔Many patients elf medicate with antacids. Which patient should be counseled to not
take calcium carbonate antacids without discussing it with their provider or pharmacist?
- ✔✔Should be avoided in patients with kidney stones
✔✔Compliance with directly observed therapy can be increased by: - ✔✔convenient
clinic times, incentives such as food, clothing, and transportation cost, offering gifts for
compliance
✔✔Cidney is completing a 6-month regimen for TB. Monitoring a patient on TB therapy
includes: - ✔✔Monthly sputum cultures
✔✔Frankie is a 9 year old patient who lives in a household with a family member with
newly diagnosed TB. To prevent development of TB he should be treated with: - ✔✔9
months of INH
✔✔Lola is a 5 year old patient who has been diagnosed with TB. Her treatment would
include: - ✔✔Pyridoxine
✔✔Sunny is 24 weeks pregnant and has been diagnosed with TB. Treatment regimens
for a pregnant patient with TB would include: - ✔✔Pyridoxine
✔✔Jordan has extensively resistant TB. Treatment includes: - ✔✔Tx with at least 2
drugs which the TB is susceptible
✔✔Lilliana has confirmed TB and is placed on a 6 months treatment regimen. The 6
month treatment consists of - ✔✔2 months of four-drug therapy (INH, rifampin,
pyrazinamide, and ethambultol) followed by 4 months of INH and rifampin
✔✔The principles of drug therapy for the treatment of TB includes: - ✔✔Drugs need to
be taken on a regular basis for a sufficient amount of time
✔✔Goals when treating TB include: - ✔✔completion of therapy
✔✔Drug resistant TB is defined as TB that is resistant to: - ✔✔Rifampin and isonazid
✔✔Bailey is a 14 year old patient who presents to the clinic with symptoms consistent
with mycoplasma pneumonia. What is the treatment for suspected mycoplasma
pneumonia in an adolescent? - ✔✔Azithromycin
✔✔Charlie is a 4 year old patient who has suspected bacterial pneumonia. He has a
temp of 102, O2 95%, and taking fluids adequately. What would be the appropriate
initial treatment of is pneumonia? - ✔✔cefitraxone
QUESTIONS AND SOLUTIONS RATED A+
✔✔Methylaltrexone is used to treat constipation in: - ✔✔Opioid associated constipation
✔✔Richard is a 10 year old patient with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a year old child would be: - ✔✔Bisacodyl
suppository
✔✔Michelle is a year old patient who takes omeprazole for her chronic GERD. Chronic
long term omeprazole places her at risk for: - ✔✔megaloblastic anemia
✔✔Patients who are on chronic long term PPI therapy require monitoring for: - ✔✔Iron
deficiency anemia, Vitamin B12, and calcium deficiency.
✔✔Joe presents with complaints of "heartburn" that is minimally relieved with Tums and
is diagnosed with GERD. AN appropriate first step therapy would be: - ✔✔Ranitadine
BID
✔✔Angela is a 5 year old patient who presents to the clinic with a 48 hours history of
N/V and some diarrhea. She is unable to keep fluids down and is 4 pounds lighter then
her last recorded weight. Besides IVF, her exam warrants the use of and antinausea
medications. Which would be the appropriate drug to order for Angela? -
✔✔Ondansetron (Zofran)
✔✔Jaide will be traveling to Mexico with her church group over spring break to build
houses. She is concerned she may develop travelers diarrhea. Advice includes
following normal food and water precautions as well as taking: - ✔✔Bismuth
subsalicylate with each meal and at bedtime
✔✔Bismuth subsalicylate is a common OTC remedy for GI complaints. Bismuth
subsalicylate: - ✔✔may lead to toxicity if taken with aspirin
is contraindicated in children with flu like symptoms
has antimicrobial effects against bacterial and viral enteropathogens
✔✔Charlotte has diarrhea and is wondering if she can take loperamide for it.
Loperamide: - ✔✔Slows gastric motility and reduces fluid and electrolyte loss from
diarrhea
✔✔Patients taking antacids should be educated regarding these drugs, including letting
them know that: - ✔✔they may cause diarrhea or constipation
many are high in sodium
they should take 1 hour separate from other medications
, ✔✔Many patients elf medicate with antacids. Which patient should be counseled to not
take calcium carbonate antacids without discussing it with their provider or pharmacist?
- ✔✔Should be avoided in patients with kidney stones
✔✔Compliance with directly observed therapy can be increased by: - ✔✔convenient
clinic times, incentives such as food, clothing, and transportation cost, offering gifts for
compliance
✔✔Cidney is completing a 6-month regimen for TB. Monitoring a patient on TB therapy
includes: - ✔✔Monthly sputum cultures
✔✔Frankie is a 9 year old patient who lives in a household with a family member with
newly diagnosed TB. To prevent development of TB he should be treated with: - ✔✔9
months of INH
✔✔Lola is a 5 year old patient who has been diagnosed with TB. Her treatment would
include: - ✔✔Pyridoxine
✔✔Sunny is 24 weeks pregnant and has been diagnosed with TB. Treatment regimens
for a pregnant patient with TB would include: - ✔✔Pyridoxine
✔✔Jordan has extensively resistant TB. Treatment includes: - ✔✔Tx with at least 2
drugs which the TB is susceptible
✔✔Lilliana has confirmed TB and is placed on a 6 months treatment regimen. The 6
month treatment consists of - ✔✔2 months of four-drug therapy (INH, rifampin,
pyrazinamide, and ethambultol) followed by 4 months of INH and rifampin
✔✔The principles of drug therapy for the treatment of TB includes: - ✔✔Drugs need to
be taken on a regular basis for a sufficient amount of time
✔✔Goals when treating TB include: - ✔✔completion of therapy
✔✔Drug resistant TB is defined as TB that is resistant to: - ✔✔Rifampin and isonazid
✔✔Bailey is a 14 year old patient who presents to the clinic with symptoms consistent
with mycoplasma pneumonia. What is the treatment for suspected mycoplasma
pneumonia in an adolescent? - ✔✔Azithromycin
✔✔Charlie is a 4 year old patient who has suspected bacterial pneumonia. He has a
temp of 102, O2 95%, and taking fluids adequately. What would be the appropriate
initial treatment of is pneumonia? - ✔✔cefitraxone
