Complete Questions & 100% Verified
Ace your NUR 635 final exam with this comprehensive, student-tested study guide.
This document contains verified questions and accurate answers directly aligned
with the Tyler and Sarhan course materials.
What is Included
• Complete Exam Coverage: High-yield questions and verified answers
covering all major final exam topics from Tyler and Sarhan's curriculum.
• Verified Accuracy: Answers are double-checked for correctness to ensure
you study the right material.
• Clear Formatting: Easy-to-read Q&A format designed for quick review and
active recall.
• Instant Access: Download the file immediately after purchase and start
studying right away.
Why You Need This
• Save Time: Skip hours of digging through textbooks and lecture slides.
Everything you need is condensed into one organized document.
• Reduce Stress: Feel confident and prepared walking into your final exam.
• Boost Your Grade: Focus your study time on the exact concepts and
questions tested by your professors.
Format: PDF / Digital Download
Subject: Nursing (NUR 635)
1. A 35-year-old man, recently immigrated from Guatemala, presents
with fatigue, lethargy, and mouth sores. The NP suspects scurvy and
prepares which medication?
• Answer: Ascorbic Vitamin C (Ascorbic Acid).
• Rationale: Scurvy is caused by a severe, prolonged deficiency of Vitamin C, which is
essential for collagen synthesis. Scurvy is often seen in individuals with limited
access to fresh fruits and vegetables, such as recent immigrants or those experiencing
food insecurity.
1
, 2. First line drug of choice for CAP (Community-Acquired
Pneumonia) in a previously healthy adult would include:
• Answer: Azithromycin (a macrolide).
• Rationale: In a previously healthy adult with no risk factors for drug-resistant
Streptococcus pneumoniae, macrolides like azithromycin or doxycycline are
traditionally preferred first-line options due to their coverage of atypical pathogens
like Mycoplasma pneumoniae.
3. One month after starting phenytoin for seizures, a 28-year-old male
presents with complaints of fever, rash, and swollen lymph nodes. The
NP suspects which syndrome?
• Answer: Phenytoin hypersensitivity reaction.
• Rationale: Phenytoin hypersensitivity syndrome (also known as DRESS—Drug
Reaction with Eosinophilia and Systemic Symptoms) typically manifests 2 to 8 weeks
after starting the drug, presenting with the classic triad of fever, rash, and
lymphadenopathy.
4. A patient with previous compliant levels of carbamazepine levels
now presents with subtherapeutic blood levels. The NP suspects?
• Answer: Carbamazepine auto-induces its own metabolism, so the body processes the
drug much quicker. This is an expected lab finding over time.
• Rationale: Carbamazepine is a potent inducer of hepatic CYP3A4 enzymes. It
accelerates its own metabolism (auto-induction), a process that typically peaks within
2 to 4 weeks of starting therapy, necessitating a dosage adjustment.
5. The NP educates the patient regarding the Black Box warning on
carbamazepine by advising the patient to report signs and symptoms
indicative of:
• Answer: Severe Skin Reactions (Stevens-Johnson Syndrome [SJS] and Toxic
Epidermal Necrolysis [TEN]).
• Rationale: Carbamazepine carries a Black Box warning for dangerous skin reactions,
particularly in patients of Asian descent carrying the HLA-B*1502 allele. Patients
must immediately report unexplained rashes, blisters, or mucosal sores.
2
Ace your NUR 635 final exam with this comprehensive, student-tested study guide.
This document contains verified questions and accurate answers directly aligned
with the Tyler and Sarhan course materials.
What is Included
• Complete Exam Coverage: High-yield questions and verified answers
covering all major final exam topics from Tyler and Sarhan's curriculum.
• Verified Accuracy: Answers are double-checked for correctness to ensure
you study the right material.
• Clear Formatting: Easy-to-read Q&A format designed for quick review and
active recall.
• Instant Access: Download the file immediately after purchase and start
studying right away.
Why You Need This
• Save Time: Skip hours of digging through textbooks and lecture slides.
Everything you need is condensed into one organized document.
• Reduce Stress: Feel confident and prepared walking into your final exam.
• Boost Your Grade: Focus your study time on the exact concepts and
questions tested by your professors.
Format: PDF / Digital Download
Subject: Nursing (NUR 635)
1. A 35-year-old man, recently immigrated from Guatemala, presents
with fatigue, lethargy, and mouth sores. The NP suspects scurvy and
prepares which medication?
• Answer: Ascorbic Vitamin C (Ascorbic Acid).
• Rationale: Scurvy is caused by a severe, prolonged deficiency of Vitamin C, which is
essential for collagen synthesis. Scurvy is often seen in individuals with limited
access to fresh fruits and vegetables, such as recent immigrants or those experiencing
food insecurity.
1
, 2. First line drug of choice for CAP (Community-Acquired
Pneumonia) in a previously healthy adult would include:
• Answer: Azithromycin (a macrolide).
• Rationale: In a previously healthy adult with no risk factors for drug-resistant
Streptococcus pneumoniae, macrolides like azithromycin or doxycycline are
traditionally preferred first-line options due to their coverage of atypical pathogens
like Mycoplasma pneumoniae.
3. One month after starting phenytoin for seizures, a 28-year-old male
presents with complaints of fever, rash, and swollen lymph nodes. The
NP suspects which syndrome?
• Answer: Phenytoin hypersensitivity reaction.
• Rationale: Phenytoin hypersensitivity syndrome (also known as DRESS—Drug
Reaction with Eosinophilia and Systemic Symptoms) typically manifests 2 to 8 weeks
after starting the drug, presenting with the classic triad of fever, rash, and
lymphadenopathy.
4. A patient with previous compliant levels of carbamazepine levels
now presents with subtherapeutic blood levels. The NP suspects?
• Answer: Carbamazepine auto-induces its own metabolism, so the body processes the
drug much quicker. This is an expected lab finding over time.
• Rationale: Carbamazepine is a potent inducer of hepatic CYP3A4 enzymes. It
accelerates its own metabolism (auto-induction), a process that typically peaks within
2 to 4 weeks of starting therapy, necessitating a dosage adjustment.
5. The NP educates the patient regarding the Black Box warning on
carbamazepine by advising the patient to report signs and symptoms
indicative of:
• Answer: Severe Skin Reactions (Stevens-Johnson Syndrome [SJS] and Toxic
Epidermal Necrolysis [TEN]).
• Rationale: Carbamazepine carries a Black Box warning for dangerous skin reactions,
particularly in patients of Asian descent carrying the HLA-B*1502 allele. Patients
must immediately report unexplained rashes, blisters, or mucosal sores.
2
