NUR-635 pharmacology, nurse practitioner exam, NP study guide, pharmacology questions, nursing school, advanced pharmacology, med surg drugs, psychopharmacology, nursing test prep, NP boards, medication review, nursing student, NCLEX review, healthcare ex

1 | Page



NUR-635 PHARM QUESTIONS AND ANSWERS
2025

While rational drug selection is based on the individual patient the
- - - - - - - - - - -


aspect of rational drug selection addressing diseasespecific
- - - - - - -


information by a national medical or nursing organization is
- - - - - - - - -


-



A. a guideline.
- -



B. cost. -



C. availability. -



D. patient hepatic and renal function. - correct answer- A. a
- - - - - - - - - -


guideline -


-

-



Drugs that alter synaptic transmission are much more selective
- - - - - - - - -


than those that alter axonal conduction, why is this? - correct
- - - - - - - - - - -


answer- a drug that affects the axonal conduction - nonselective
- - - - - - - - - -


effect. --



Drugs that alter synaptic transmission - very selective because of
- - - - - - - - - -


the differences in synapses and their specific neurotransmitters
- - - - - - - -


-

-



What is phenytoin used for? - correct answer- Seizures
- - - - - - - - -


--


What should you monitor for with phenytoin? - correct answer-
- - - - - - - - - -


Delayed hypersensitivity - even 1 month later
- - - - - - -


-

-



What is carbamazepine used for? - correct answer- Seizures
- - - - - - - - -

,2 | Page


-

-



What may cause carbamazepine levels to drop despite no
- - - - - - - - -


other change? What to do? - correct answer- Autometabolization
- - - - - - - - -


of drug. Increase dose.
- - - -


-

-



What is the black box warning for carbamazepine? - correct
- - - - - - - - - -


answer- Steven-Johnson Syndrome & TENS
- - - - -


-

-



Monitoring for carbamazepine, and how often? - correct answer-
- - - - - - - - -


CBC, 3-4 times a year
- - - - -


-

-



What population is most at risk for Steven-Johnson syndrome &
- - - - - - - - - -


TENS when taking carbamazepine? - correct answer- Asian
- - - - - - - -


patients -


-

-



Main class of medication for depression? - correct answer-
- - - - - - - - -


Selective serotonin reuptake inhibitors (SSRIs)
- - - - -


-

-



What to watch for with SSRIs? - correct answer- Other
- - - - - - - - - -


medications that can cause serotonin syndrome - - - - - -


-

-



What is lamictal used for? - correct answer- Seizures
- - - - - - - - -


-

-

, 3 | Page



Patient on lamictal has fever, rash, swollen lymph nodes. What are
- - - - - - - - - - -


we concerned for? - correct answer- Hypersensitivity in lamictal
- - - - - - - - -


can lead to MODS
- - - -


-

-



Patient on lamictal wants birth control. What do we need to
- - - - - - - - - - -


change? - correct answer- Increase lamictal dose.
- - - - - - -


-

-



When will pt notice improvement after starting an SSRI? - correct
- - - - - - - - - - -


answer- 4 weeks later - - - -


-

-



1st line medication for moderate generalized anxiety - correct
- - - - - - - - -


answer- Buspar (SNRI) - - -


-

-



1st line med for classic migraines - correct answer- Triptans 2nd
- - - - - - - - - - -


line treatment for classic migraines - correct answer- Prophylactic -
- - - - - - - - -


-propranolol -


-

-



Why is important that NPs have the authority to prescribe? -
- - - - - - - - - - -


correct answer- Increase access to healthcare
- - - - - -


-

-



What must be done if a drug has a narrow therapeutic index? -
- - - - - - - - - - - - -


correct answer- Frequent serum level monitoring
- - - - - -


-

-



Why would 10mg percocet or 10mg oxy work better than the
- - - - - - - - - - -


other? - correct answer- Differences in pill filler composition
- - - - - - - - -