EXAM QUESTIONS AND ANSWERS 2026
CERTIFICATION STUDY PACK
◉ what to avoid with bupropion. Answer: eating disorders
addictive behaviors
abuse potential
◉ what can bupropion be combined with and why. Answer: SSRIs to
reduce sexual side effects
◉ mirtazapine. Answer: antidepressant that works fast, no sexual
side effects but has huge weight gain
◉ trazodone. Answer: poor antidepressant that aids in sleep and has
priaprism as side effect
◉ what are all anticonvulsants. Answer: teratogenic
◉ who to use valproic acid and divalproex sodium for. Answer: rapid
cyclers
,◉ side effects of divalproex soidum and valproic acid. Answer:
hepatoxicity
GI symptoms
thrombocytopenia
decrease effectiveness of BC
◉ side effects of carbamazepine. Answer: blurred vision - nystagmus
leukopenia
agranulocytosis
SJS
◉ what decreases the effectivess of carbamezpine. Answer:
grapefruit juice
◉ side effects of lamotrigine. Answer: SJS
blurred vision
nystagmus
◉ pharmacokinetics of lithium. Answer: absorbed in GI tract
excreted through the kidneys
takes 1-2 weeks to work
,◉ therapeutic index of lithium. Answer: 0.8-1.4
◉ lithium toxicity 2.0-2.5. Answer: required emetic or gastric lavage.
blurry vision
ataxia
twitching
hypotension
polyuria
coarse hand tremor
vomiting
◉ lithium toxicity above 2.5. Answer: hemodialysis
◉ symptoms of lithium toxicity. Answer: Blurred vision, ataxia,
tinnitus, persistent nausea and vomiting, and severe diarrhea
coarse hand tremor
- projectile vomiting
◉ diuretics and lithium. Answer: increase LI
, ◉ NSAIDS andlithium. Answer: increase LI
◉ when causes decrease in NA. Answer: sweating
diarrhea
vomiting
use of diuretics
◉ mild adverse effects of lithium. Answer: fine hand tremors
polyuria
thirst
nausea weight gain
◉ nursing interventions with lithium. Answer: take at the same time
daily with meals
maintain salt intake
monitor sweating, fever
draw lithium level in the morning 8-12 hours after last dose
drink 10-12 glasses water
avoid conception
reduce caffeine