NUR 635 FINAL EXAM PRACTICE QUESTION
AND ANSWER 2026 SPRING-SUMMER GCU
GRADED A 100 OUT 100
A Patient is taking a narcotic analgesic for pain and is taking more than the prescribed
dosage, the Patient has normal vital signs, has mild pain, and is alert, what do you expect as
the Patient s response?
They have built up a tolerance.
When is the highest risk of teratogenic risk in pregnancy?
1st trimester
A 5-year-old has grey teeth, why?
Tetracycline use.
An older adult is coming in with a routine visit and on a highly protein bound drug, what
should you be concerned about?
Their serum albumin level
A son is here with his dad who had a total hip replacement and is in pain and the son is
adamant that he gets Demerol, what do we tell him?
No, we give him education and morphine.
Pt is wheezing and SOB, RR at 24, HR 88, 124/78 BP, and PCP orders a non-selective beta
agonist medication, what side effect of this is a primary concern?
Tachycardia
What is pilocarpine for?
To lower intra ocular pressure in Patient s with glaucoma.
A provider reviews a pts chart before prescribing bethanechol for post op urinary retention,
which preexisting condition would be contraindicated in using this drug?
,In a Patient with asthma because it can cause bronchoconstriction
What do we give for motion sickness on a cruise?
Scopolamine patch
What are some of the side effects of cyclobenzaprine?
Drowsiness, blurred vision, dry mouth and constipation
You have a Patient who has seizures and you place them on an antiepileptic drug, what do
you do?
Check drug levels.
You have someone who takes phenytoin for seizures and they want an oral contraceptive,
what do you tell them?
It won’t work, so they need to consider a different form of birth control.
Is it ok for pts in 3rd trimester to take aspirin?
No, it closes the ductus arteriosus.
You are going to prescribe prednisone for tendinitis and the Patient tells you they are being
treated for valley fever, will you go ahead and prescribe the prednisone?
No, because it will make them more immunocompromised.
You have an 11-year-old and got all of their immunizations up to this point, and are there for
their 11 year well child visit, which immunizations do they need?
TDAP, MCV4 (meningococcal), and HPV
What is one of the reasons we start methotrexate early in rheumatoid arthritis?
It reduces the damage; delays how bad the joints deteriorate.
A Patient has gout and taking NSAID for several months and having an acute gouty episode,
we would not want to start?
probenecid (not for acute gout, used for chronic)
, If you have a Patient with elevated uric acid level and they are on warfarin and need to get
started on allopurinol what do you do?
You’ll need to reduce warfarin dosage.
A Patient has had 3 gout flare ups in the last year, what medication do you give them?
Allopurinol (urate lowering drug)
Have a Patient with Padgett's disease (bad bone pain), what drug can we use to treat that?
Calcitonin
What do you tell your Patient about taking alendronate (for post-menopausal osteoporosis)?
Sit up right for 30 minutes after and with a full glass of water.
Pt has a cough and is advised to use guaifenesin (expectorant) and they ask why?
It stimulates the flow of secretions so they are easier to cough up.
What is step one management for asthma?
Short acting beta agonist
Do we give magnesium hydroxide in renal failure?
NO. They can’t metabolize it.
A post op Patient taking opioids after an ORIF, what medication would we use to prevent
constipation?
Colace
Chronic alcohol with cirrhosis, what drug will they get and what will you monitor?
Lactulose (ammonia levels will be high) Check potassium and chloride.
Which of the cholesterol therapies cause flushing?
Niacin
An immigrant is malnourished, multiple bruises, thin, missing teeth, gingivitis and bleeding
gums, what vitamin deficiency do you suspect?
AND ANSWER 2026 SPRING-SUMMER GCU
GRADED A 100 OUT 100
A Patient is taking a narcotic analgesic for pain and is taking more than the prescribed
dosage, the Patient has normal vital signs, has mild pain, and is alert, what do you expect as
the Patient s response?
They have built up a tolerance.
When is the highest risk of teratogenic risk in pregnancy?
1st trimester
A 5-year-old has grey teeth, why?
Tetracycline use.
An older adult is coming in with a routine visit and on a highly protein bound drug, what
should you be concerned about?
Their serum albumin level
A son is here with his dad who had a total hip replacement and is in pain and the son is
adamant that he gets Demerol, what do we tell him?
No, we give him education and morphine.
Pt is wheezing and SOB, RR at 24, HR 88, 124/78 BP, and PCP orders a non-selective beta
agonist medication, what side effect of this is a primary concern?
Tachycardia
What is pilocarpine for?
To lower intra ocular pressure in Patient s with glaucoma.
A provider reviews a pts chart before prescribing bethanechol for post op urinary retention,
which preexisting condition would be contraindicated in using this drug?
,In a Patient with asthma because it can cause bronchoconstriction
What do we give for motion sickness on a cruise?
Scopolamine patch
What are some of the side effects of cyclobenzaprine?
Drowsiness, blurred vision, dry mouth and constipation
You have a Patient who has seizures and you place them on an antiepileptic drug, what do
you do?
Check drug levels.
You have someone who takes phenytoin for seizures and they want an oral contraceptive,
what do you tell them?
It won’t work, so they need to consider a different form of birth control.
Is it ok for pts in 3rd trimester to take aspirin?
No, it closes the ductus arteriosus.
You are going to prescribe prednisone for tendinitis and the Patient tells you they are being
treated for valley fever, will you go ahead and prescribe the prednisone?
No, because it will make them more immunocompromised.
You have an 11-year-old and got all of their immunizations up to this point, and are there for
their 11 year well child visit, which immunizations do they need?
TDAP, MCV4 (meningococcal), and HPV
What is one of the reasons we start methotrexate early in rheumatoid arthritis?
It reduces the damage; delays how bad the joints deteriorate.
A Patient has gout and taking NSAID for several months and having an acute gouty episode,
we would not want to start?
probenecid (not for acute gout, used for chronic)
, If you have a Patient with elevated uric acid level and they are on warfarin and need to get
started on allopurinol what do you do?
You’ll need to reduce warfarin dosage.
A Patient has had 3 gout flare ups in the last year, what medication do you give them?
Allopurinol (urate lowering drug)
Have a Patient with Padgett's disease (bad bone pain), what drug can we use to treat that?
Calcitonin
What do you tell your Patient about taking alendronate (for post-menopausal osteoporosis)?
Sit up right for 30 minutes after and with a full glass of water.
Pt has a cough and is advised to use guaifenesin (expectorant) and they ask why?
It stimulates the flow of secretions so they are easier to cough up.
What is step one management for asthma?
Short acting beta agonist
Do we give magnesium hydroxide in renal failure?
NO. They can’t metabolize it.
A post op Patient taking opioids after an ORIF, what medication would we use to prevent
constipation?
Colace
Chronic alcohol with cirrhosis, what drug will they get and what will you monitor?
Lactulose (ammonia levels will be high) Check potassium and chloride.
Which of the cholesterol therapies cause flushing?
Niacin
An immigrant is malnourished, multiple bruises, thin, missing teeth, gingivitis and bleeding
gums, what vitamin deficiency do you suspect?
