NUR 635 PHARM FINAL EXAM STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS, VERIFIED
ANSWERS & COMPREHENSIVE REVIEW
Why can NPs prescribe? - ANS ✔✔Increase access to healthcare
How do you titrate medications? - ANS ✔✔Monitor plasma levels closely
Sam is a 90 y/o pt who requires a new RX. what changes in drug distribution with aging would
influence rxing for Sadie - ANS ✔✔Decreased plasma proteins
10mg Percocet vs 10mg oxy one works better because of..? - ANS ✔✔The filler changes
metabolism of the medication
Medications need albumin to bind to and they are toxic (therapeutic index), is something
competing for the albumin? - ANS ✔✔Check other drugs
When writing a prescription what is not allowed? - ANS ✔✔Abbreviations that are not allowed
Qd
What medication causes gray teeth? - ANS ✔✔Tetracycline
A patient on seizure medication is still having seizures after a few weeks what do you want to
do? - ANS ✔✔Check serum drug levels because of narrow therapeutic index
A patient is on phenytoin cannot be started on oral contraceptives they need a barrier method?
- ANS ✔✔Anything other than oral contraceptives
When do you stop tetragons? - ANS ✔✔Stop before the patient becomes pregnant
, A pregnant women is taking aspirin why is that bad? - ANS ✔✔Causes PDA premature closure of
__
A patient is taking Phenytoin for seizures and has a rash a month later what has happened? -
ANS ✔✔hypersensitivity can happen a month later
A young healthy female has frequency and burning what do we prescribe? - ANS ✔✔tx with
Macrobid
What is the 1st line drug choice for a previously healthy adult pt dx with community acquired
pneumonia? - ANS ✔✔Azithromycin
How do you treat community acquired pneumonia with comorbidities? - ANS ✔✔Tx with
Rocephin and Azithromycin (a Macrolide)
do NOT tx with LEVAQUIN.
Why do we not treat onychomycosis (a fungal infection of the nails) ? - ANS ✔✔Treatment can
lead to liver/hepatotoxicity
How do we titrate pancreatic enzymes? - ANS ✔✔Look at poop color. Who needs pancreatic
enzymes? CF pts & Gastric bypass pts need pancreatic enzymes statarea (color of poop)
How do we prescribe for pancreatic enzymes? - ANS ✔✔Prescribe units of lipase for pancreatic
enzymes based on your poop color
A patients daughter said she took Demerol/Meperidine for her surgery and wants it for her dads
hip replacement: - ANS ✔✔We do not give Demerol anymore it is DIRTY! A Lot of side effects.
ANSWERS & COMPREHENSIVE REVIEW
Why can NPs prescribe? - ANS ✔✔Increase access to healthcare
How do you titrate medications? - ANS ✔✔Monitor plasma levels closely
Sam is a 90 y/o pt who requires a new RX. what changes in drug distribution with aging would
influence rxing for Sadie - ANS ✔✔Decreased plasma proteins
10mg Percocet vs 10mg oxy one works better because of..? - ANS ✔✔The filler changes
metabolism of the medication
Medications need albumin to bind to and they are toxic (therapeutic index), is something
competing for the albumin? - ANS ✔✔Check other drugs
When writing a prescription what is not allowed? - ANS ✔✔Abbreviations that are not allowed
Qd
What medication causes gray teeth? - ANS ✔✔Tetracycline
A patient on seizure medication is still having seizures after a few weeks what do you want to
do? - ANS ✔✔Check serum drug levels because of narrow therapeutic index
A patient is on phenytoin cannot be started on oral contraceptives they need a barrier method?
- ANS ✔✔Anything other than oral contraceptives
When do you stop tetragons? - ANS ✔✔Stop before the patient becomes pregnant
, A pregnant women is taking aspirin why is that bad? - ANS ✔✔Causes PDA premature closure of
__
A patient is taking Phenytoin for seizures and has a rash a month later what has happened? -
ANS ✔✔hypersensitivity can happen a month later
A young healthy female has frequency and burning what do we prescribe? - ANS ✔✔tx with
Macrobid
What is the 1st line drug choice for a previously healthy adult pt dx with community acquired
pneumonia? - ANS ✔✔Azithromycin
How do you treat community acquired pneumonia with comorbidities? - ANS ✔✔Tx with
Rocephin and Azithromycin (a Macrolide)
do NOT tx with LEVAQUIN.
Why do we not treat onychomycosis (a fungal infection of the nails) ? - ANS ✔✔Treatment can
lead to liver/hepatotoxicity
How do we titrate pancreatic enzymes? - ANS ✔✔Look at poop color. Who needs pancreatic
enzymes? CF pts & Gastric bypass pts need pancreatic enzymes statarea (color of poop)
How do we prescribe for pancreatic enzymes? - ANS ✔✔Prescribe units of lipase for pancreatic
enzymes based on your poop color
A patients daughter said she took Demerol/Meperidine for her surgery and wants it for her dads
hip replacement: - ANS ✔✔We do not give Demerol anymore it is DIRTY! A Lot of side effects.
