NUR-635 PHARM QUESTIONS AND ANSWERS 2025
While rational drug selection is based on the individual patient the aspect of rational drug selection
addressing disease-specific information by a national medical or nursing organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - (ANSWER)A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter axonal conduction,
why is this? - (ANSWER)a drug that affects the axonal conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses and their
specific neurotransmitters
What is phenytoin used for? - (ANSWER)Seizures
What should you monitor for with phenytoin? - (ANSWER)Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - (ANSWER)Seizures
What may cause carbamazepine levels to drop despite no other change? What to do? -
(ANSWER)Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - (ANSWER)Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - (ANSWER)CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking carbamazepine? -
(ANSWER)Asian patients
, NUR-635 PHARM QUESTIONS AND ANSWERS 2025
Main class of medication for depression? - (ANSWER)Selective serotonin reuptake inhibitors (SSRIs)
What to watch for with SSRIs? - (ANSWER)Other medications that can cause serotonin syndrome
What is lamictal used for? - (ANSWER)Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
(ANSWER)Hypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - (ANSWER)Increase lamictal dose.
When will pt notice improvement after starting an SSRI? - (ANSWER)4 weeks later
1st line medication for moderate generalized anxiety - (ANSWER)Buspar (SNRI)
1st line med for classic migraines - (ANSWER)Triptans
2nd line treatment for classic migraines - (ANSWER)Prophylactic - propranolol
Why is important that NPs have the authority to prescribe? - (ANSWER)Increase access to healthcare
What must be done if a drug has a narrow therapeutic index? - (ANSWER)Frequent serum level
monitoring
Why would 10mg percocet or 10mg oxy work better than the other? - (ANSWER)Differences in pill filler
composition
What do medications need in order to be effective: - (ANSWER)Albumin (binding to)
While rational drug selection is based on the individual patient the aspect of rational drug selection
addressing disease-specific information by a national medical or nursing organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - (ANSWER)A. a guideline
Drugs that alter synaptic transmission are much more selective than those that alter axonal conduction,
why is this? - (ANSWER)a drug that affects the axonal conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses and their
specific neurotransmitters
What is phenytoin used for? - (ANSWER)Seizures
What should you monitor for with phenytoin? - (ANSWER)Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - (ANSWER)Seizures
What may cause carbamazepine levels to drop despite no other change? What to do? -
(ANSWER)Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - (ANSWER)Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - (ANSWER)CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome & TENS when taking carbamazepine? -
(ANSWER)Asian patients
, NUR-635 PHARM QUESTIONS AND ANSWERS 2025
Main class of medication for depression? - (ANSWER)Selective serotonin reuptake inhibitors (SSRIs)
What to watch for with SSRIs? - (ANSWER)Other medications that can cause serotonin syndrome
What is lamictal used for? - (ANSWER)Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are we concerned for? -
(ANSWER)Hypersensitivity in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to change? - (ANSWER)Increase lamictal dose.
When will pt notice improvement after starting an SSRI? - (ANSWER)4 weeks later
1st line medication for moderate generalized anxiety - (ANSWER)Buspar (SNRI)
1st line med for classic migraines - (ANSWER)Triptans
2nd line treatment for classic migraines - (ANSWER)Prophylactic - propranolol
Why is important that NPs have the authority to prescribe? - (ANSWER)Increase access to healthcare
What must be done if a drug has a narrow therapeutic index? - (ANSWER)Frequent serum level
monitoring
Why would 10mg percocet or 10mg oxy work better than the other? - (ANSWER)Differences in pill filler
composition
What do medications need in order to be effective: - (ANSWER)Albumin (binding to)
