NUR 635 FINAL TYLER REVIEW STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS, VERIFIED
ANSWERS & ADVANCED PHARMACOLOGY EXAM PREP
Prescribing concerns with SSRI - correct answer ✔✔serotonin syndrome caused by drug-drug
interactions
what causes carbamazepine levels to drop despite no other change - correct answer ✔✔auto
metabolizes- med digests itself, need to increase dose
Long-term carbamazepine use requires monitoring of - correct answer ✔✔CBC minimum 4
times a year due to risk of hematological effects
Prescribing SSRI: Educate - When should pts notice a difference - correct answer ✔✔Check back
in four weeks. May take some time.
Carbamazepine black box warning - correct answer ✔✔Asians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - correct answer ✔✔Buspar
Buspar class - correct answer ✔✔SNRI
classic migraine, first choice tx - correct answer ✔✔triptans
classic migraine, tx after triptans are not working, first choice prophylactic - correct answer
✔✔propranolol (beta blocker)
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? - correct
answer ✔✔Medication formulations (fillers and other additives) can effect pharmacodynamics
,"Sig" on a prescription - correct answer ✔✔how you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - correct answer ✔✔QD
pts taking teratogen rx and thinking about getting pregnant, when to dc - correct answer
✔✔Now. Before getting pregnant. Most defects occur in first trimester
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - correct answer ✔✔current AB not
targeting the right pathogen
Adults w/no risk factors with CAP tx: - correct answer ✔✔macrolide such as azithromycin,
clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
Adults with pneumonia and comorbidities i.e. heart/lung/liver disease; dm; etoh; ca; asplenia;
immunosuppressed; or use of ab w/in 3 mos; or other risk for DRSP inf. Tx: - correct answer
✔✔respiratory fluoroquinolone: levofloxacin(Levaquin) or beta-lactam PLUS macrolide such as
amoxicillin or amoxicillin-clavulanate (Augmentin)
adults older than 60, comorbid w/CAP. Outpt tx: - correct answer ✔✔ceftriaxone (Rocephin)
IM/IV IM
or
levofloxacin IV daily
switch to oral once pt can tolerate
CAP in preg women tx: - correct answer ✔✔w/o comorbidities: erythromycin, azithromycin,
clarithromycin
, comorbid: azithromycin PLUS pcn
when tx pneumonia how long before leukocytosis should be resolved - correct answer ✔✔4
days
Pt taking digoxin. What medication should we be concerned about r/t drug-drug interaction? -
correct answer ✔✔Albuterol. Albuterol can decrease plamsma levels of digoxin
moderate persistent asthma, in a 42 yo African American. What med am i going to be really
cautious with or avoid? - correct answer ✔✔LABA monotherapy is to be avoided. LABA must
always be combined with a glucocorticoid in the tx of asthma
Spiriva Handihaler (tiotropium bromide) indication for use: - correct answer ✔✔bronchospasm
in COPD (bronchodilator)
Beclamethasone (Qvar), tx of exercise induced asthma and pt education - correct answer
✔✔inhaled corticosteroid for asthma, not for exercise induced or acute exacerbation of asthma,
it is for prevention of asthma attacks. Maintenance med
Older male w/seasonal allergies, what should he take - correct answer ✔✔avoid systemic
allergy meds like OTC Benadryl(diphenhydramine), adverse rxns include urinary retention and
CNS effects (sedation)
2nd gen allergy meds preferred like Zyrtec(cetirizine)
Betexalol opthalmic drops. What should be monitored? - correct answer ✔✔-topical betaxolol-
monitor their intraocular pressure.
-betaxolol can cause decreases in blood pressure and heart rate.
-monitor the patient for the potential systemic adverse effects seen with betaxolol and other
beta-blockers for patients on both topical and oral forms.
ANSWERS & ADVANCED PHARMACOLOGY EXAM PREP
Prescribing concerns with SSRI - correct answer ✔✔serotonin syndrome caused by drug-drug
interactions
what causes carbamazepine levels to drop despite no other change - correct answer ✔✔auto
metabolizes- med digests itself, need to increase dose
Long-term carbamazepine use requires monitoring of - correct answer ✔✔CBC minimum 4
times a year due to risk of hematological effects
Prescribing SSRI: Educate - When should pts notice a difference - correct answer ✔✔Check back
in four weeks. May take some time.
Carbamazepine black box warning - correct answer ✔✔Asians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - correct answer ✔✔Buspar
Buspar class - correct answer ✔✔SNRI
classic migraine, first choice tx - correct answer ✔✔triptans
classic migraine, tx after triptans are not working, first choice prophylactic - correct answer
✔✔propranolol (beta blocker)
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? - correct
answer ✔✔Medication formulations (fillers and other additives) can effect pharmacodynamics
,"Sig" on a prescription - correct answer ✔✔how you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - correct answer ✔✔QD
pts taking teratogen rx and thinking about getting pregnant, when to dc - correct answer
✔✔Now. Before getting pregnant. Most defects occur in first trimester
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - correct answer ✔✔current AB not
targeting the right pathogen
Adults w/no risk factors with CAP tx: - correct answer ✔✔macrolide such as azithromycin,
clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
Adults with pneumonia and comorbidities i.e. heart/lung/liver disease; dm; etoh; ca; asplenia;
immunosuppressed; or use of ab w/in 3 mos; or other risk for DRSP inf. Tx: - correct answer
✔✔respiratory fluoroquinolone: levofloxacin(Levaquin) or beta-lactam PLUS macrolide such as
amoxicillin or amoxicillin-clavulanate (Augmentin)
adults older than 60, comorbid w/CAP. Outpt tx: - correct answer ✔✔ceftriaxone (Rocephin)
IM/IV IM
or
levofloxacin IV daily
switch to oral once pt can tolerate
CAP in preg women tx: - correct answer ✔✔w/o comorbidities: erythromycin, azithromycin,
clarithromycin
, comorbid: azithromycin PLUS pcn
when tx pneumonia how long before leukocytosis should be resolved - correct answer ✔✔4
days
Pt taking digoxin. What medication should we be concerned about r/t drug-drug interaction? -
correct answer ✔✔Albuterol. Albuterol can decrease plamsma levels of digoxin
moderate persistent asthma, in a 42 yo African American. What med am i going to be really
cautious with or avoid? - correct answer ✔✔LABA monotherapy is to be avoided. LABA must
always be combined with a glucocorticoid in the tx of asthma
Spiriva Handihaler (tiotropium bromide) indication for use: - correct answer ✔✔bronchospasm
in COPD (bronchodilator)
Beclamethasone (Qvar), tx of exercise induced asthma and pt education - correct answer
✔✔inhaled corticosteroid for asthma, not for exercise induced or acute exacerbation of asthma,
it is for prevention of asthma attacks. Maintenance med
Older male w/seasonal allergies, what should he take - correct answer ✔✔avoid systemic
allergy meds like OTC Benadryl(diphenhydramine), adverse rxns include urinary retention and
CNS effects (sedation)
2nd gen allergy meds preferred like Zyrtec(cetirizine)
Betexalol opthalmic drops. What should be monitored? - correct answer ✔✔-topical betaxolol-
monitor their intraocular pressure.
-betaxolol can cause decreases in blood pressure and heart rate.
-monitor the patient for the potential systemic adverse effects seen with betaxolol and other
beta-blockers for patients on both topical and oral forms.
