NURS615 x
Exam 2 2026 | Practice Questions, Answers & Detailed
x x x x x x x x
Rationales | Advanced Pharmacology Exam Prep
x x x x x x
Resource Features x
➢ NURS 615 Exam 2 practice questions
x x x x x
➢ Detailed answers x
➢ Comprehensive rationales x
➢ Pharmacology scenarios x
➢ Prescribing case studies x x
,NURS 615 Exam 2 2026 | Practice Questions, Answers &
x x x x x x x x x
x Detailed Rationales | Advanced Pharmacology Exam Prep
x x x x x x
1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range
x x x x x x x
x due to what? x x
• A) Poor patient compliance
x x x
• B) Carbamazepine auto-induces metabolism, leading to lower levels
x x x x x x x
despite good compliance
x x x
• C) The drug is excreted too quickly
x x x x x x
• D) The drug is not absorbed properly
x x x x x x
Answer: B) Carbamazepine auto-induces metabolism, leading to lower
x x x x x x x
x levels despite good compliance
x x x
Rationale: Carbamazepine induces its own metabolism (auto-induction) by
x x x x x x x
stimulating hepatic cytochrome P450 enzymes. This leads to increased
x x x x x x x x x
clearance and lower serum levels over time, even when the patient is taking
x x x x x x x x x x x x x
the medication consistently. Dose adjustments may be needed after several
x x x x x x x x x x
weeks of therapy.
x x x
2. What are the black box warnings for Carbamazepine?
x x x x x x x x
• A) Liver toxicity
x x
• B) Dermatologic reactions: Stevens-Johnson Syndrome and Toxic
x x x x x x
Epidermal Necrolysis
x x
,• C) Cardiac arrhythmias
x x
• D) Nephrotoxicity
x
Answer: B) Dermatologic reactions: Stevens-Johnson Syndrome and
x x x x x x
x Toxic Epidermal Necrolysis x x
Rationale: Carbamazepine carries a black box warning for serious and life-
x x x x x x x x x x
threatening dermatologic reactions, including Stevens-Johnson Syndrome (SJS)
x x x x x x
and Toxic Epidermal Necrolysis (TEN). Patients should be educated to report
x x x x x x x x x x x
any rash immediately, especially in the first few months of therapy. Genetic
x x x x x x x x x x x x
screening (HLA-B1502) is recommended in Asian populations at higher risk.*
x x x x x x x x x x
3. What lab test should be ordered for patients on Carbamazepine?
x x x x x x x x x x
• A) Complete Blood Count (CBC) every 3-4 months
x x x x x x x
• B) Liver function tests monthly
x x x x
• C) Renal function tests
x x x
• D) Thyroid function tests
x x x
Answer: A) Complete Blood Count (CBC) every 3-4 months
x x x x x x x x
Rationale: Carbamazepine can cause blood dyscrasias including decreased
x x x x x x x
WBC, decreased platelets, and aplastic anemia. Regular CBC monitoring every
x x x x x x x x x x
3-4 months is recommended to detect hematologic abnormalities early.
x x x x x x x x x
Patients should also be monitored for signs of bone marrow suppression (fever,
x x x x x x x x x x x x
sore throat, bruising).
x x x
, 4. What kind of teaching needs to be done with families of patients who
x x x x x x x x x x x x x
x have seizure disorders?
x x
• A) Prevention is important, patient safety is important, Do NOT
x x x x x x x x x
abruptly stop taking medication
x x x x
• B) Seizures are not dangerous
x x x x
• C) Medication can be stopped when seizures stop
x x x x x x x
• D) Exercise is contraindicated
x x x
Answer: A) Prevention is important, patient safety is important, Do
x x x x x x x x x
x NOT abruptly stop taking medication
x x x x
Rationale: Key teaching points include: seizure triggers should be identified and
x x x x x x x x x x
avoided; safety measures during and between seizures (e.g., safe environment,
x x x x x x x x x x
seizure precautions); and the critical importance of medication adherence.
x x x x x x x x x
Abruptly stopping antiseizure medications can precipitate status epilepticus or
x x x x x x x x x
rebound seizures.
x x
5. Ethosuximide (Zarontin), an anti-seizure medication can cause what?
x x x x x x x x
• A) Weight gain
x x
• B) Blood dyscrasias
x x
• C) Cardiac arrhythmias
x x
• D) Hepatotoxicity
x
Answer: B) Blood dyscrasias x x x
Exam 2 2026 | Practice Questions, Answers & Detailed
x x x x x x x x
Rationales | Advanced Pharmacology Exam Prep
x x x x x x
Resource Features x
➢ NURS 615 Exam 2 practice questions
x x x x x
➢ Detailed answers x
➢ Comprehensive rationales x
➢ Pharmacology scenarios x
➢ Prescribing case studies x x
,NURS 615 Exam 2 2026 | Practice Questions, Answers &
x x x x x x x x x
x Detailed Rationales | Advanced Pharmacology Exam Prep
x x x x x x
1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range
x x x x x x x
x due to what? x x
• A) Poor patient compliance
x x x
• B) Carbamazepine auto-induces metabolism, leading to lower levels
x x x x x x x
despite good compliance
x x x
• C) The drug is excreted too quickly
x x x x x x
• D) The drug is not absorbed properly
x x x x x x
Answer: B) Carbamazepine auto-induces metabolism, leading to lower
x x x x x x x
x levels despite good compliance
x x x
Rationale: Carbamazepine induces its own metabolism (auto-induction) by
x x x x x x x
stimulating hepatic cytochrome P450 enzymes. This leads to increased
x x x x x x x x x
clearance and lower serum levels over time, even when the patient is taking
x x x x x x x x x x x x x
the medication consistently. Dose adjustments may be needed after several
x x x x x x x x x x
weeks of therapy.
x x x
2. What are the black box warnings for Carbamazepine?
x x x x x x x x
• A) Liver toxicity
x x
• B) Dermatologic reactions: Stevens-Johnson Syndrome and Toxic
x x x x x x
Epidermal Necrolysis
x x
,• C) Cardiac arrhythmias
x x
• D) Nephrotoxicity
x
Answer: B) Dermatologic reactions: Stevens-Johnson Syndrome and
x x x x x x
x Toxic Epidermal Necrolysis x x
Rationale: Carbamazepine carries a black box warning for serious and life-
x x x x x x x x x x
threatening dermatologic reactions, including Stevens-Johnson Syndrome (SJS)
x x x x x x
and Toxic Epidermal Necrolysis (TEN). Patients should be educated to report
x x x x x x x x x x x
any rash immediately, especially in the first few months of therapy. Genetic
x x x x x x x x x x x x
screening (HLA-B1502) is recommended in Asian populations at higher risk.*
x x x x x x x x x x
3. What lab test should be ordered for patients on Carbamazepine?
x x x x x x x x x x
• A) Complete Blood Count (CBC) every 3-4 months
x x x x x x x
• B) Liver function tests monthly
x x x x
• C) Renal function tests
x x x
• D) Thyroid function tests
x x x
Answer: A) Complete Blood Count (CBC) every 3-4 months
x x x x x x x x
Rationale: Carbamazepine can cause blood dyscrasias including decreased
x x x x x x x
WBC, decreased platelets, and aplastic anemia. Regular CBC monitoring every
x x x x x x x x x x
3-4 months is recommended to detect hematologic abnormalities early.
x x x x x x x x x
Patients should also be monitored for signs of bone marrow suppression (fever,
x x x x x x x x x x x x
sore throat, bruising).
x x x
, 4. What kind of teaching needs to be done with families of patients who
x x x x x x x x x x x x x
x have seizure disorders?
x x
• A) Prevention is important, patient safety is important, Do NOT
x x x x x x x x x
abruptly stop taking medication
x x x x
• B) Seizures are not dangerous
x x x x
• C) Medication can be stopped when seizures stop
x x x x x x x
• D) Exercise is contraindicated
x x x
Answer: A) Prevention is important, patient safety is important, Do
x x x x x x x x x
x NOT abruptly stop taking medication
x x x x
Rationale: Key teaching points include: seizure triggers should be identified and
x x x x x x x x x x
avoided; safety measures during and between seizures (e.g., safe environment,
x x x x x x x x x x
seizure precautions); and the critical importance of medication adherence.
x x x x x x x x x
Abruptly stopping antiseizure medications can precipitate status epilepticus or
x x x x x x x x x
rebound seizures.
x x
5. Ethosuximide (Zarontin), an anti-seizure medication can cause what?
x x x x x x x x
• A) Weight gain
x x
• B) Blood dyscrasias
x x
• C) Cardiac arrhythmias
x x
• D) Hepatotoxicity
x
Answer: B) Blood dyscrasias x x x
