NURS 635 EXAM MANUAL 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔Depression with anxiety, what med? - ✔✔Lexapro
✔✔What to check before starting pt on acyclovir? - ✔✔Renal function
✔✔How long til improvement on Celexa? - ✔✔1-2 weeks
✔✔Step down approach for GERD, what do they start on? - ✔✔PPIs
✔✔Known G63D deficiency, what antibiotic can you not prescribe? - ✔✔Sulfas
✔✔Chantix - pt education? - ✔✔Psych side effects, dreams, suicide ideation
✔✔Why should older patients take 2nd gen antihistamines rather than 1st? - ✔✔CNS
effects & urinary retention
✔✔Genital herpes outbreak, what med? - ✔✔Acyclovir
✔✔UTI, med, how long? - ✔✔Bactrim, 3 days
✔✔MRSA skin infection. What med? - ✔✔Bactrim
✔✔Patient has pheochromocytoma. What med to avoid? - ✔✔Albuterol - hypertensive
crisis
✔✔How to taper medication? - ✔✔Decrease by 50% every 3-4 days
✔✔What is methylnaltrexone? - ✔✔Treats opioid associated constipation
✔✔SSRI, wants something for weight loss. Why not phentermine? - ✔✔Serotonin
syndrome
✔✔Sprained ankle with soft tissue swelling, what med? - ✔✔NSAID
✔✔Neuropathic pain, med? - ✔✔Gabapentin
✔✔Adverse drug reaction of haldol? - ✔✔Extrapyramidal symptoms.
✔✔When to take dimenhydrinate? - ✔✔15 min prior to trip
✔✔Antifungal therapy long term puts you at risk for? - ✔✔liver toxicity
, ✔✔Giving pt eye drops, education? - ✔✔don't wear contacts, wash hands in between
handling
✔✔Who should avoid ophthalmic beta blockers? - ✔✔Pts on beta blockers
✔✔What bronchodilator is safe on beta blocker? - ✔✔Ipratropium
✔✔How to antacids work? - ✔✔increases our pH
✔✔Lithium education? - ✔✔sodium can influence your lithium levels. So intake should
be consistent.
✔✔PPIs long term, monitor for? - ✔✔Osteoporosis, check calcium. Anemia.
✔✔Antibiotic education? - ✔✔Finish course of therapy. Drink lots of water.
✔✔How quickly should you see improvement in pneumonia with antibiotics? - ✔✔48-72
hours
✔✔Long term lactulose for constipation, what do you monitor? - ✔✔Potassium and
chloride
✔✔Patient started on ICS. Education? - ✔✔rinse mouth after every use
✔✔Patient with PUD has Hpylori. 1st treatment? - ✔✔PPI + amoxicillin + clarithromycin
✔✔What medication can aggravate GERD by affecting esophageal tone? - ✔✔Estrogen
✔✔Why do long acting beta agonists have blackbox warning? - ✔✔Can be accidently
taken instead of albuterol for acute asthma attack
✔✔Allergy to PCN. What else can they not receive? Why? - ✔✔Cephalosporins, both
vulnerable to beta lactamase producing organisms
✔✔Gonorrhea in a 20yo female with oral contraceptives. Education? - ✔✔Need back up
until next menses
✔✔How to treat eye gonorrhea? - ✔✔Ceftriaxone, eye drops
✔✔Who is most at risk for a fatal asthma attack? - ✔✔Previous hx of intubation
✔✔What can help with peripheral neuropathy? - ✔✔B6
ANSWERS GRADED A+
✔✔Depression with anxiety, what med? - ✔✔Lexapro
✔✔What to check before starting pt on acyclovir? - ✔✔Renal function
✔✔How long til improvement on Celexa? - ✔✔1-2 weeks
✔✔Step down approach for GERD, what do they start on? - ✔✔PPIs
✔✔Known G63D deficiency, what antibiotic can you not prescribe? - ✔✔Sulfas
✔✔Chantix - pt education? - ✔✔Psych side effects, dreams, suicide ideation
✔✔Why should older patients take 2nd gen antihistamines rather than 1st? - ✔✔CNS
effects & urinary retention
✔✔Genital herpes outbreak, what med? - ✔✔Acyclovir
✔✔UTI, med, how long? - ✔✔Bactrim, 3 days
✔✔MRSA skin infection. What med? - ✔✔Bactrim
✔✔Patient has pheochromocytoma. What med to avoid? - ✔✔Albuterol - hypertensive
crisis
✔✔How to taper medication? - ✔✔Decrease by 50% every 3-4 days
✔✔What is methylnaltrexone? - ✔✔Treats opioid associated constipation
✔✔SSRI, wants something for weight loss. Why not phentermine? - ✔✔Serotonin
syndrome
✔✔Sprained ankle with soft tissue swelling, what med? - ✔✔NSAID
✔✔Neuropathic pain, med? - ✔✔Gabapentin
✔✔Adverse drug reaction of haldol? - ✔✔Extrapyramidal symptoms.
✔✔When to take dimenhydrinate? - ✔✔15 min prior to trip
✔✔Antifungal therapy long term puts you at risk for? - ✔✔liver toxicity
, ✔✔Giving pt eye drops, education? - ✔✔don't wear contacts, wash hands in between
handling
✔✔Who should avoid ophthalmic beta blockers? - ✔✔Pts on beta blockers
✔✔What bronchodilator is safe on beta blocker? - ✔✔Ipratropium
✔✔How to antacids work? - ✔✔increases our pH
✔✔Lithium education? - ✔✔sodium can influence your lithium levels. So intake should
be consistent.
✔✔PPIs long term, monitor for? - ✔✔Osteoporosis, check calcium. Anemia.
✔✔Antibiotic education? - ✔✔Finish course of therapy. Drink lots of water.
✔✔How quickly should you see improvement in pneumonia with antibiotics? - ✔✔48-72
hours
✔✔Long term lactulose for constipation, what do you monitor? - ✔✔Potassium and
chloride
✔✔Patient started on ICS. Education? - ✔✔rinse mouth after every use
✔✔Patient with PUD has Hpylori. 1st treatment? - ✔✔PPI + amoxicillin + clarithromycin
✔✔What medication can aggravate GERD by affecting esophageal tone? - ✔✔Estrogen
✔✔Why do long acting beta agonists have blackbox warning? - ✔✔Can be accidently
taken instead of albuterol for acute asthma attack
✔✔Allergy to PCN. What else can they not receive? Why? - ✔✔Cephalosporins, both
vulnerable to beta lactamase producing organisms
✔✔Gonorrhea in a 20yo female with oral contraceptives. Education? - ✔✔Need back up
until next menses
✔✔How to treat eye gonorrhea? - ✔✔Ceftriaxone, eye drops
✔✔Who is most at risk for a fatal asthma attack? - ✔✔Previous hx of intubation
✔✔What can help with peripheral neuropathy? - ✔✔B6
