NUR 566 MD -TERM EXAM WITH STUDY GUIDE EXAM
LATEST 2025| ACTUAL EXAM WITH 250 ACCURATE
QUESTIONS AND VERIFIED ANSWERS (100% CORRECT
ANSWERS) ALREADY GRADED A+
What does an increase in CD4 T-cell indicate? - ANSWER - Restoration of
some immune function
When do use Foscarnet in HIV+ patients? - ANSWER - treat HIV-infected
patients with suspected or proven acyclovir-resistant HSV/VZV infections
Metronidazole patient teaching - ANSWER - Can cause metallic taste in
mouth, avoid alcohol with the medication d/t risk of Disulfiram reaction
(n/v/HA)
Abacavir adverse effects - ANSWER - Hypersensitivity (Stevens Johnson
syndrome): fever, rash, myalgia, arthralgia, nausea, vomiting, diarrhea,
abdominal pain, pharyngitis, dyspnea, and cough
Monitoring needs for long-term antifungal use - ANSWER - liver function
Antifungals to use in immunocompromised patients - ANSWER - oral
Fluconazole or Ketoconazole
Avoid Amphotericin B
How to treat systemic fungal infections - ANSWER - Amphotericin B or
Azoles (in Immunocompromised)
pg. 1
,Ketoconazole and omeprazole concurrently:
-What does the patient need to know? - ANSWER - ketoconazole will
decrease the effect of omeprazole oral by reducing stomach acidity
Enterobius vermicularis:
-What is it and who would you expect to have it? - ANSWER - Pinworm:
common in children
Risks of Budesonide use in children - ANSWER - Impaired growth of bones
Voriconazole contraindication w/ phenobarbital - ANSWER - Phenobarbital
is a PY450 inducer & can reduce the levels of voriconazole
cerumen impaction cause - ANSWER - packing wax into ear through use of
q-tips and other cleaning devices
cerumen impaction treatment - ANSWER - can be removed by irrigation w/
warm water/saline or OTC Debrox ear drops to soften for removal or
suction
Treatment of Otomycosis (fungal otitis externa) - ANSWER - 2% acetic acid
solution 3-4x/day x 7 days.
If this not work, 1% clotrimazole [Lotrimin] can be applied BID for 7 days.
If the infection fails to respond, oral antifungal therapy may be needed.
Options: itraconazole (Soprano) and fluconazole (Diflucan).
pg. 2
,otitis media (middle ear infection) symptoms: - ANSWER - otalgia, fever,
n/v/d, irritability, sleep disturbance
Otitis media (middle ear infection) treatment - ANSWER - <6mos old:
antibiotics and pain relief
6mos- 2yrs: antibiotics when diagnosis is confirmed
>2yrs: observation x 2-3 days; or if severe symptoms/confirmed diagnosis--
> antibiotics
Antibiotic preferred for otitis media treatment: - ANSWER - Amoxicillin 40-
45 mg/kg bid x 5-10 days
if allergic to PCN (mild: Cephalosporin; severe: Macrolide)
Monoclonal antibody drug treatment option for Allergic Rhinitis - ANSWER -
Omalizumab: biologic therapy
How to treat glaucoma in someone with COPD or asthma - ANSWER -
Betaxolol (B1 selective beta blocker): does not affect the bronchi
latanoprost side effects - ANSWER - Darkens color of iris (browning)
Therapeutic action of glucocorticoids for the eyes - ANSWER - Inhibit the
production of prostaglandins, leukotrienes, and thromboxane for relief of
eye inflammation, redness, irritation
When to prescribe an intranasal glucocorticoid? - ANSWER - (Fluticasone)
seasonal allergic rhinitis
pg. 3
, Which weight loss drug(s) are associated with a suicide risk in children,
adolescents, and young adults? - ANSWER - Naltrexone/Bupropion
(Contrave) & Liraglutide
What would happen if Lorcaserin is given with a CYP2D6 substrate? -
ANSWER - Can increase substrate levels, may need to lower dose of
substrate to prevent toxicity
Which weight loss drugs are DEA scheduled drugs? - ANSWER -
Lorcaserin, Diethyloprione, Phentermine/Topiramate
MOA for antihistamines - ANSWER - block histamine release in the small
blood vessels, capillaries and nerves during allergic reactions to relieve
itching, sneezing and rhinorrhea
MOA of cromolyn - ANSWER - Prevents release of leukotrienes &
histamine; Inhibits activity of leukocytes & eosinophils
MOA of sympathomimetics - ANSWER - activate alpha adrenergic
receptors on nasal blood vessels---> reduction of nasal congestion
Therapeutic action of Guafenesin - ANSWER - Expectorant: thins
secretions to stimulate release of congestion
Patient education of benzoyl peroxide: - ANSWER - Continue to use the
prescription on irritated or sunburned skin, avoid sunlight and UV light
exposure
side effects of Benzoyl Peroxide: - ANSWER - Skin redness, stinging,
dryness, peeling, photosensitivity
pg. 4
LATEST 2025| ACTUAL EXAM WITH 250 ACCURATE
QUESTIONS AND VERIFIED ANSWERS (100% CORRECT
ANSWERS) ALREADY GRADED A+
What does an increase in CD4 T-cell indicate? - ANSWER - Restoration of
some immune function
When do use Foscarnet in HIV+ patients? - ANSWER - treat HIV-infected
patients with suspected or proven acyclovir-resistant HSV/VZV infections
Metronidazole patient teaching - ANSWER - Can cause metallic taste in
mouth, avoid alcohol with the medication d/t risk of Disulfiram reaction
(n/v/HA)
Abacavir adverse effects - ANSWER - Hypersensitivity (Stevens Johnson
syndrome): fever, rash, myalgia, arthralgia, nausea, vomiting, diarrhea,
abdominal pain, pharyngitis, dyspnea, and cough
Monitoring needs for long-term antifungal use - ANSWER - liver function
Antifungals to use in immunocompromised patients - ANSWER - oral
Fluconazole or Ketoconazole
Avoid Amphotericin B
How to treat systemic fungal infections - ANSWER - Amphotericin B or
Azoles (in Immunocompromised)
pg. 1
,Ketoconazole and omeprazole concurrently:
-What does the patient need to know? - ANSWER - ketoconazole will
decrease the effect of omeprazole oral by reducing stomach acidity
Enterobius vermicularis:
-What is it and who would you expect to have it? - ANSWER - Pinworm:
common in children
Risks of Budesonide use in children - ANSWER - Impaired growth of bones
Voriconazole contraindication w/ phenobarbital - ANSWER - Phenobarbital
is a PY450 inducer & can reduce the levels of voriconazole
cerumen impaction cause - ANSWER - packing wax into ear through use of
q-tips and other cleaning devices
cerumen impaction treatment - ANSWER - can be removed by irrigation w/
warm water/saline or OTC Debrox ear drops to soften for removal or
suction
Treatment of Otomycosis (fungal otitis externa) - ANSWER - 2% acetic acid
solution 3-4x/day x 7 days.
If this not work, 1% clotrimazole [Lotrimin] can be applied BID for 7 days.
If the infection fails to respond, oral antifungal therapy may be needed.
Options: itraconazole (Soprano) and fluconazole (Diflucan).
pg. 2
,otitis media (middle ear infection) symptoms: - ANSWER - otalgia, fever,
n/v/d, irritability, sleep disturbance
Otitis media (middle ear infection) treatment - ANSWER - <6mos old:
antibiotics and pain relief
6mos- 2yrs: antibiotics when diagnosis is confirmed
>2yrs: observation x 2-3 days; or if severe symptoms/confirmed diagnosis--
> antibiotics
Antibiotic preferred for otitis media treatment: - ANSWER - Amoxicillin 40-
45 mg/kg bid x 5-10 days
if allergic to PCN (mild: Cephalosporin; severe: Macrolide)
Monoclonal antibody drug treatment option for Allergic Rhinitis - ANSWER -
Omalizumab: biologic therapy
How to treat glaucoma in someone with COPD or asthma - ANSWER -
Betaxolol (B1 selective beta blocker): does not affect the bronchi
latanoprost side effects - ANSWER - Darkens color of iris (browning)
Therapeutic action of glucocorticoids for the eyes - ANSWER - Inhibit the
production of prostaglandins, leukotrienes, and thromboxane for relief of
eye inflammation, redness, irritation
When to prescribe an intranasal glucocorticoid? - ANSWER - (Fluticasone)
seasonal allergic rhinitis
pg. 3
, Which weight loss drug(s) are associated with a suicide risk in children,
adolescents, and young adults? - ANSWER - Naltrexone/Bupropion
(Contrave) & Liraglutide
What would happen if Lorcaserin is given with a CYP2D6 substrate? -
ANSWER - Can increase substrate levels, may need to lower dose of
substrate to prevent toxicity
Which weight loss drugs are DEA scheduled drugs? - ANSWER -
Lorcaserin, Diethyloprione, Phentermine/Topiramate
MOA for antihistamines - ANSWER - block histamine release in the small
blood vessels, capillaries and nerves during allergic reactions to relieve
itching, sneezing and rhinorrhea
MOA of cromolyn - ANSWER - Prevents release of leukotrienes &
histamine; Inhibits activity of leukocytes & eosinophils
MOA of sympathomimetics - ANSWER - activate alpha adrenergic
receptors on nasal blood vessels---> reduction of nasal congestion
Therapeutic action of Guafenesin - ANSWER - Expectorant: thins
secretions to stimulate release of congestion
Patient education of benzoyl peroxide: - ANSWER - Continue to use the
prescription on irritated or sunburned skin, avoid sunlight and UV light
exposure
side effects of Benzoyl Peroxide: - ANSWER - Skin redness, stinging,
dryness, peeling, photosensitivity
pg. 4
