NUR 635 FINAL EXAM NEWEST 2025/ 2026 CURRENTLY
TESTING ACTUAL EXAM WITH COMPLETE 130+
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) / NUR 635 ADVANCED
PHARMACOLOGY FINAL EXAM | ALREADY GRADED A+
A patient will begin initial treatment for severe acne. Which regimen will the nurse
expect the provider to order?
a. Clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-A)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
c. Erythromycin (Ery-Tab) and benzoyl peroxide
d. Topical clindamycin and isotretinoin (Accutane)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
ANS: B Oral antibiotics are used for moderate to severe acne and are usually
combined with a topical retinoid. Combination clindamycin/benzoyl peroxide
and tretinoin are used for mild to moderate acne. Erythromycin can be used as
an oral antibiotic but would need to be combined with a topical retinoid.
Isotretinoin is used for severe acne that has not responded to other treatments.
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate
pain. The appropriate first-line medication would be __________.
A. ibuprofen (Advil)
,B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol)
A. ibuprofen (Advil)
Monitoring for patients who are on long-term antifungal therapy with
ketoconazole includes:
1. Platelet count
2. BUN and creatinine
3. White blood cell count
4. AST, ALT, alkaline phosphatase, and bilirubin
4. AST, ALT, alkaline phosphatase, and bilirubin
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit and consider altering therapy if heart rate is less than 60
bpm
4.For vision changes, such as red-green blindness, at least annually
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
,A patient has recently begun taking carbamazepine (Tegretol) as an adjunct
medication to treat refractory seizures. The patient has a serum carbamazepine
level of 18 mcg/mL. What action will the nurse take?
a. Ask the patient about usual dietary preferences.
b. Reassure the patient that this is a therapeutic drug level.
c. Report a subtherapeutic drug dose to the provider.
d. Suspect a drug-drug interaction.
a. Ask the patient about usual dietary preferences.
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5
days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
, Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute
psychosis due to medication noncompliance. He was treated with IM long-acting
haloperidol. Besides monitoring his schizophrenia symptoms, the patient should
be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care for
mentally ill patients
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is
started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol
4. Albuterol
TESTING ACTUAL EXAM WITH COMPLETE 130+
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) / NUR 635 ADVANCED
PHARMACOLOGY FINAL EXAM | ALREADY GRADED A+
A patient will begin initial treatment for severe acne. Which regimen will the nurse
expect the provider to order?
a. Clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-A)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
c. Erythromycin (Ery-Tab) and benzoyl peroxide
d. Topical clindamycin and isotretinoin (Accutane)
b. Doxycycline (Vibramycin) and tretinoin (Retin-A)
ANS: B Oral antibiotics are used for moderate to severe acne and are usually
combined with a topical retinoid. Combination clindamycin/benzoyl peroxide
and tretinoin are used for mild to moderate acne. Erythromycin can be used as
an oral antibiotic but would need to be combined with a topical retinoid.
Isotretinoin is used for severe acne that has not responded to other treatments.
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate
pain. The appropriate first-line medication would be __________.
A. ibuprofen (Advil)
,B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol)
A. ibuprofen (Advil)
Monitoring for patients who are on long-term antifungal therapy with
ketoconazole includes:
1. Platelet count
2. BUN and creatinine
3. White blood cell count
4. AST, ALT, alkaline phosphatase, and bilirubin
4. AST, ALT, alkaline phosphatase, and bilirubin
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit and consider altering therapy if heart rate is less than 60
bpm
4.For vision changes, such as red-green blindness, at least annually
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
,A patient has recently begun taking carbamazepine (Tegretol) as an adjunct
medication to treat refractory seizures. The patient has a serum carbamazepine
level of 18 mcg/mL. What action will the nurse take?
a. Ask the patient about usual dietary preferences.
b. Reassure the patient that this is a therapeutic drug level.
c. Report a subtherapeutic drug dose to the provider.
d. Suspect a drug-drug interaction.
a. Ask the patient about usual dietary preferences.
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5
days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
, Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute
psychosis due to medication noncompliance. He was treated with IM long-acting
haloperidol. Besides monitoring his schizophrenia symptoms, the patient should
be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care for
mentally ill patients
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal
symptoms (EPS)
Digoxin levels need to be monitored closely when the following medication is
started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol
4. Albuterol
