Maryville NURS 615 Pharm Exam 2
2026/2027 | Latest Study Guide | Practice
Questions, Answers & Detailed Rationales
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to
what? - correct answer-Carbamazepine auto-induces metabolism, leading to
lower levels despite good compliance
What are the black box warnings for Carbamazepine? - correct answer-
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - correct
answer-CBC every 3-4 months because it can cause decreased WBC, decreased
platelets, and trouble with RBC
What kind of teaching needs to be done with families of patients who have
seizure disorders? - correct answer-Prevention is important, patient safety is
important, Do NOT abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - correct
answer-Blood dyscrasias
, Patients taking Topiramate need to be monitored for what electrolyte imbalance?
- correct answer-Decreased sodium bicarb leading to hyperchloremic metabolic
acidosis
Topiramate treats seizures and what is one common side effect? - correct
answer-Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - correct
answer-Don't get overheated. Topiramate may affect his ability to sweat in the
heat.
What should a pregnant patient be told about taking Valproate (Depakote)? -
correct answer-It is a known teratogen and category X medication. It should not
be used in the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
correct answer-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this
medication? - correct answer-He should not use serotonergic drugs like Imitrex.
Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with known
contraindicated foods? - correct answer-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - correct answer-
Anticholinergic type effects like dry mouth, sedation, constipation, increased
appetite, blurred vision, tinnitus, euphoria, mania
2026/2027 | Latest Study Guide | Practice
Questions, Answers & Detailed Rationales
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to
what? - correct answer-Carbamazepine auto-induces metabolism, leading to
lower levels despite good compliance
What are the black box warnings for Carbamazepine? - correct answer-
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - correct
answer-CBC every 3-4 months because it can cause decreased WBC, decreased
platelets, and trouble with RBC
What kind of teaching needs to be done with families of patients who have
seizure disorders? - correct answer-Prevention is important, patient safety is
important, Do NOT abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - correct
answer-Blood dyscrasias
, Patients taking Topiramate need to be monitored for what electrolyte imbalance?
- correct answer-Decreased sodium bicarb leading to hyperchloremic metabolic
acidosis
Topiramate treats seizures and what is one common side effect? - correct
answer-Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - correct
answer-Don't get overheated. Topiramate may affect his ability to sweat in the
heat.
What should a pregnant patient be told about taking Valproate (Depakote)? -
correct answer-It is a known teratogen and category X medication. It should not
be used in the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
correct answer-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this
medication? - correct answer-He should not use serotonergic drugs like Imitrex.
Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with known
contraindicated foods? - correct answer-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - correct answer-
Anticholinergic type effects like dry mouth, sedation, constipation, increased
appetite, blurred vision, tinnitus, euphoria, mania
