NURS-615 Exam 2 Maryville
University Pharmacology /
NURS 615 Exam 2 Reviewed 2026
Pharmacology and Antibiotics
All 370 Questions With Correct
Answers Guaranteed Pass Grade A+
1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to
what? - ANSWER✔️Carbamazepine auto-induces metabolism, leading to
lower levels despite good compliance
2. What are the black box warnings for Carbamazepine? -
ANSWER✔️Dermatologic reactions
3. Steven's Johnson
4. Toxic epidermal necrolysis
5. 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
6. 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.
7. Ethosuximide (Zarontin), an anti-seizure medication can cause what? -
ANSWER✔️Blood dyscrasias
8. Patients taking Topiramate need to be monitored for what electrolyte
imbalance? - ANSWER✔️Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
,9. Topiramate treats seizures and what is one common side effect? -
ANSWER✔️Normal side effect is weight loss, especially in higher dose
patients
10.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.
11.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.
12.What patient population should tricyclic antidepressants be used cautiously
in? - ANSWER✔️Heart Disease patients
13.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.
14.Phenelzine (Nordli) may cause what if there is an interaction with known
contraindicated foods? - ANSWER✔️Hypertensive crisis
15.What are the side effects of tricyclic antidepressants? -
ANSWER✔️Anticholinergic type effects like dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
16.How long does it take for SSRIs to take effect - ANSWER✔️2-6 weeks
17.SSRIs may cause what onset of action symptoms? - ANSWER✔️Nausea,
but this will usually resolve in a week.
18.What is one thing you should not do with SSRIs? - ANSWER✔️Drink
alcohol
19.What should happen when going off an SSRI? - ANSWER✔️Wean slowly,
do not stop abruptly
,20.What medications would a patient with depression and anxiety respond well
to? - ANSWER✔️Buspar and an SSRI combined
21.Celexa (Citalopram)
Lexapro (Escitalopram)
22.Why should you combine an SSRI with Buspar? - ANSWER✔️Buspar
augments the SSRI and is a good combo for anxiety and depression
23.What is a first line drug for mild to moderate generalized anxiety disorder? -
ANSWER✔️Buspirone
24.How fast does Celexa start to demonstrate effects? - ANSWER✔️Improved
appetite and concentration in 1-2 weeks.
25.What is a major drug to treat bipolar disease? - ANSWER✔️Lithium
26.Blood levels need to be monitored with Lithium because why? -
ANSWER✔️Lithium has a narrow therapeutic range so it is important to
recognize toxicity
27.What are symptoms of lithium toxicity? - ANSWER✔️Drowsiness and
Nausea
28.What dietary teaching needs to be done with patients taking lithium? -
ANSWER✔️Salt intake needs to be consistent
29.What are the side effects of SSRIs (selective serotonin reuptake inhibitor)? -
ANSWER✔️N/V, dizziness, light headedness, dry mouth, increased
sweating, weight changes, agitation, sexual side effects.
30.What are the side effects of SNRIs (serotonin norepinephrine reuptake
inhibitor) - ANSWER✔️Headache, somnolence, dizziness, insomnia,
nervousness, dry mouth, constipation, abnormal ejaculation, anorexia/weight
loss, elevated BP
31.What are the side effects of MAOIs? - ANSWER✔️Insomnia, anxiety,
agitation, dizziness, headache, restlessness, hypotension, dry mouth, blurred
vision, constipation
, 32.What Benzo has the greatest likelihood of dependence? -
ANSWER✔️Xanax /alprazolam
33.What receptors do Benzos act on? - ANSWER✔️Enhances the
neurotransmitter GABA (gamma-aminobutyric acid) receptors
34.What result do Benzos have on the body? - ANSWER✔️sedative
hypnotic
anxiolytic
anticonvulsant
muscle relaxer
35.What are long acting Benzos prescribed for? - ANSWER✔️Treatment of
anxiety
36.What are short acting Benzos prescribed for? - ANSWER✔️Treatment of
insomnia
37.What would be a good medication to prescribe for panic disorder? -
ANSWER✔️Diazepam (Valium)
38.What is a anorexiant medication to treat obesity? -
ANSWER✔️Phentermine
39.What is a precaution with Phentermine? - ANSWER✔️Anorexiants may
cause tolerance and should only be used for 6 months
40.What medications or herbals should be avoided with Phentermine? Why? -
ANSWER✔️SSRIs and St. John’s Wort...the combination may cause
serotonin syndrome
41.Phentermine releases what two chemicals? - ANSWER✔️Epinephrine and
norepinephrine
42.Epi and norepi causes what to break down? - ANSWER✔️Fat cells to break
down stored fat
University Pharmacology /
NURS 615 Exam 2 Reviewed 2026
Pharmacology and Antibiotics
All 370 Questions With Correct
Answers Guaranteed Pass Grade A+
1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to
what? - ANSWER✔️Carbamazepine auto-induces metabolism, leading to
lower levels despite good compliance
2. What are the black box warnings for Carbamazepine? -
ANSWER✔️Dermatologic reactions
3. Steven's Johnson
4. Toxic epidermal necrolysis
5. 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
6. 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.
7. Ethosuximide (Zarontin), an anti-seizure medication can cause what? -
ANSWER✔️Blood dyscrasias
8. Patients taking Topiramate need to be monitored for what electrolyte
imbalance? - ANSWER✔️Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
,9. Topiramate treats seizures and what is one common side effect? -
ANSWER✔️Normal side effect is weight loss, especially in higher dose
patients
10.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.
11.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.
12.What patient population should tricyclic antidepressants be used cautiously
in? - ANSWER✔️Heart Disease patients
13.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.
14.Phenelzine (Nordli) may cause what if there is an interaction with known
contraindicated foods? - ANSWER✔️Hypertensive crisis
15.What are the side effects of tricyclic antidepressants? -
ANSWER✔️Anticholinergic type effects like dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
16.How long does it take for SSRIs to take effect - ANSWER✔️2-6 weeks
17.SSRIs may cause what onset of action symptoms? - ANSWER✔️Nausea,
but this will usually resolve in a week.
18.What is one thing you should not do with SSRIs? - ANSWER✔️Drink
alcohol
19.What should happen when going off an SSRI? - ANSWER✔️Wean slowly,
do not stop abruptly
,20.What medications would a patient with depression and anxiety respond well
to? - ANSWER✔️Buspar and an SSRI combined
21.Celexa (Citalopram)
Lexapro (Escitalopram)
22.Why should you combine an SSRI with Buspar? - ANSWER✔️Buspar
augments the SSRI and is a good combo for anxiety and depression
23.What is a first line drug for mild to moderate generalized anxiety disorder? -
ANSWER✔️Buspirone
24.How fast does Celexa start to demonstrate effects? - ANSWER✔️Improved
appetite and concentration in 1-2 weeks.
25.What is a major drug to treat bipolar disease? - ANSWER✔️Lithium
26.Blood levels need to be monitored with Lithium because why? -
ANSWER✔️Lithium has a narrow therapeutic range so it is important to
recognize toxicity
27.What are symptoms of lithium toxicity? - ANSWER✔️Drowsiness and
Nausea
28.What dietary teaching needs to be done with patients taking lithium? -
ANSWER✔️Salt intake needs to be consistent
29.What are the side effects of SSRIs (selective serotonin reuptake inhibitor)? -
ANSWER✔️N/V, dizziness, light headedness, dry mouth, increased
sweating, weight changes, agitation, sexual side effects.
30.What are the side effects of SNRIs (serotonin norepinephrine reuptake
inhibitor) - ANSWER✔️Headache, somnolence, dizziness, insomnia,
nervousness, dry mouth, constipation, abnormal ejaculation, anorexia/weight
loss, elevated BP
31.What are the side effects of MAOIs? - ANSWER✔️Insomnia, anxiety,
agitation, dizziness, headache, restlessness, hypotension, dry mouth, blurred
vision, constipation
, 32.What Benzo has the greatest likelihood of dependence? -
ANSWER✔️Xanax /alprazolam
33.What receptors do Benzos act on? - ANSWER✔️Enhances the
neurotransmitter GABA (gamma-aminobutyric acid) receptors
34.What result do Benzos have on the body? - ANSWER✔️sedative
hypnotic
anxiolytic
anticonvulsant
muscle relaxer
35.What are long acting Benzos prescribed for? - ANSWER✔️Treatment of
anxiety
36.What are short acting Benzos prescribed for? - ANSWER✔️Treatment of
insomnia
37.What would be a good medication to prescribe for panic disorder? -
ANSWER✔️Diazepam (Valium)
38.What is a anorexiant medication to treat obesity? -
ANSWER✔️Phentermine
39.What is a precaution with Phentermine? - ANSWER✔️Anorexiants may
cause tolerance and should only be used for 6 months
40.What medications or herbals should be avoided with Phentermine? Why? -
ANSWER✔️SSRIs and St. John’s Wort...the combination may cause
serotonin syndrome
41.Phentermine releases what two chemicals? - ANSWER✔️Epinephrine and
norepinephrine
42.Epi and norepi causes what to break down? - ANSWER✔️Fat cells to break
down stored fat
