Maryville NURS 615 Pharm Exam 2 Practice
Questions and Answers 100% Pass
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
ANSWER✔✔-Carbamazepine auto-induces metabolism, leading to lower levels despite
good compliance
What are the black box warnings for Carbamazepine? - ANSWER✔✔-Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - 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? - ANSWER✔✔-Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ANSWER✔✔-
Blood dyscrasias
Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/11
, Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
ANSWER✔✔-Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ANSWER✔✔-Normal
side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - 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)? -
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? -
ANSWER✔✔-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
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? - ANSWER✔✔-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - ANSWER✔✔-Anticholinergic
type effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/11
Questions and Answers 100% Pass
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
ANSWER✔✔-Carbamazepine auto-induces metabolism, leading to lower levels despite
good compliance
What are the black box warnings for Carbamazepine? - ANSWER✔✔-Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - 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? - ANSWER✔✔-Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ANSWER✔✔-
Blood dyscrasias
Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/11
, Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
ANSWER✔✔-Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ANSWER✔✔-Normal
side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - 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)? -
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? -
ANSWER✔✔-Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
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? - ANSWER✔✔-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - ANSWER✔✔-Anticholinergic
type effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/11
