NUR 635 ADVANCED PHARMACOLOGY FINAL EXAM STUDY GUIDE 2026/2027 | PRACTICE
QUESTIONS, VERIFIED ANSWERS & COMPREHENSIVE APRN REVIEW
What would be the first line med for mild-moderate pain, sprained ankle? - ANS ✔✔NSAID
(Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? - ANS
✔✔Monitor for phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are sub-
therapeutic? - ANS ✔✔Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - ANS ✔✔Stevens Johnsons
syndrome and toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - ANS ✔✔Complete blood
counts every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and suicidal
thoughts? - ANS ✔✔Assess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral contraceptive
that reacts with Lamictal, what would happen? - ANS ✔✔Reduced lamotrigine levels requiring
double the dose of lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause HTN crisis?
- ANS ✔✔Beta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - ANS ✔✔Opioid
induced constipation
, Carbamazepine has a black box warning recommending testing for the HLAB1502 allele with
Asian ancestry prior to starting therapy due to? - ANS ✔✔Increased risk for Stevens Johnson's
syndrome
Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class should we
avoid in this patient? - ANS ✔✔sulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? - ANS
✔✔Oxygen 100% for 15-30 minutes
18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for migraines? - ANS
✔✔triptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old? - ANS
✔✔Propranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - ANS ✔✔If exercise is incorporated into
regular activity vitamin d and calcium are not needed (vitamin d and calcium supplements are
still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? - ANS
✔✔Gabapentin
Prophylactic use of bisphosphonates is recommended with patients with early osteopenia due
to long term use of which drugs? - ANS ✔✔Glucocorticoids
When prescribing drugs with a narrow therapeutic range: - ANS ✔✔Monitor patients plasma
drug levels at regular intervals.
QUESTIONS, VERIFIED ANSWERS & COMPREHENSIVE APRN REVIEW
What would be the first line med for mild-moderate pain, sprained ankle? - ANS ✔✔NSAID
(Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? - ANS
✔✔Monitor for phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are sub-
therapeutic? - ANS ✔✔Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - ANS ✔✔Stevens Johnsons
syndrome and toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - ANS ✔✔Complete blood
counts every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and suicidal
thoughts? - ANS ✔✔Assess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral contraceptive
that reacts with Lamictal, what would happen? - ANS ✔✔Reduced lamotrigine levels requiring
double the dose of lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause HTN crisis?
- ANS ✔✔Beta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - ANS ✔✔Opioid
induced constipation
, Carbamazepine has a black box warning recommending testing for the HLAB1502 allele with
Asian ancestry prior to starting therapy due to? - ANS ✔✔Increased risk for Stevens Johnson's
syndrome
Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class should we
avoid in this patient? - ANS ✔✔sulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? - ANS
✔✔Oxygen 100% for 15-30 minutes
18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for migraines? - ANS
✔✔triptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old? - ANS
✔✔Propranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - ANS ✔✔If exercise is incorporated into
regular activity vitamin d and calcium are not needed (vitamin d and calcium supplements are
still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? - ANS
✔✔Gabapentin
Prophylactic use of bisphosphonates is recommended with patients with early osteopenia due
to long term use of which drugs? - ANS ✔✔Glucocorticoids
When prescribing drugs with a narrow therapeutic range: - ANS ✔✔Monitor patients plasma
drug levels at regular intervals.
