NUR-635 PHARM FINAL REVIEW TEST WITH
UPGRADED CORRECT ANSWERS
A. a guideline - answer ✔✔-While rational drug selection is based on the individual patient the aspect of
rational drug selection addressing disease-specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function.
a drug that affects the axonal conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses and their
specific neurotransmitters - answer ✔✔-Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this?
Seizures - answer ✔✔-What is phenytoin used for?
Delayed hypersensitivity - even 1 month later - answer ✔✔-What should you monitor for with
phenytoin?
Seizures - answer ✔✔-What is carbamazepine used for?
Autometabolization of drug. Increase dose. - answer ✔✔-What may cause carbamazepine levels to drop
despite no other change? What to do?
Steven-Johnson Syndrome & TENS - answer ✔✔-What is the black box warning for carbamazepine?
, CBC, 3-4 times a year - answer ✔✔-Monitoring for carbamazepine, and how often?
Asian patients - answer ✔✔-What population is most at risk for Steven-Johnson syndrome & TENS when
taking carbamazepine?
Selective serotonin reuptake inhibitors (SSRIs) - answer ✔✔-Main class of medication for depression?
Other medications that can cause serotonin syndrome - answer ✔✔-What to watch for with SSRIs?
Seizures - answer ✔✔-What is lamictal used for?
Hypersensitivity in lamictal can lead to MODS - answer ✔✔-Patient on lamictal has fever, rash, swollen
lymph nodes. What are we concerned for?
Increase lamictal dose. - answer ✔✔-Patient on lamictal wants birth control. What do we need to
change?
4 weeks later - answer ✔✔-When will pt notice improvement after starting an SSRI?
Buspar (SNRI) - answer ✔✔-1st line medication for moderate generalized anxiety
Triptans - answer ✔✔-1st line med for classic migraines
Prophylactic - propranolol - answer ✔✔-2nd line treatment for classic migraines
Increase access to healthcare - answer ✔✔-Why is important that NPs have the authority to prescribe?
Frequent serum level monitoring - answer ✔✔-What must be done if a drug has a narrow therapeutic
index?
UPGRADED CORRECT ANSWERS
A. a guideline - answer ✔✔-While rational drug selection is based on the individual patient the aspect of
rational drug selection addressing disease-specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function.
a drug that affects the axonal conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of the differences in synapses and their
specific neurotransmitters - answer ✔✔-Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this?
Seizures - answer ✔✔-What is phenytoin used for?
Delayed hypersensitivity - even 1 month later - answer ✔✔-What should you monitor for with
phenytoin?
Seizures - answer ✔✔-What is carbamazepine used for?
Autometabolization of drug. Increase dose. - answer ✔✔-What may cause carbamazepine levels to drop
despite no other change? What to do?
Steven-Johnson Syndrome & TENS - answer ✔✔-What is the black box warning for carbamazepine?
, CBC, 3-4 times a year - answer ✔✔-Monitoring for carbamazepine, and how often?
Asian patients - answer ✔✔-What population is most at risk for Steven-Johnson syndrome & TENS when
taking carbamazepine?
Selective serotonin reuptake inhibitors (SSRIs) - answer ✔✔-Main class of medication for depression?
Other medications that can cause serotonin syndrome - answer ✔✔-What to watch for with SSRIs?
Seizures - answer ✔✔-What is lamictal used for?
Hypersensitivity in lamictal can lead to MODS - answer ✔✔-Patient on lamictal has fever, rash, swollen
lymph nodes. What are we concerned for?
Increase lamictal dose. - answer ✔✔-Patient on lamictal wants birth control. What do we need to
change?
4 weeks later - answer ✔✔-When will pt notice improvement after starting an SSRI?
Buspar (SNRI) - answer ✔✔-1st line medication for moderate generalized anxiety
Triptans - answer ✔✔-1st line med for classic migraines
Prophylactic - propranolol - answer ✔✔-2nd line treatment for classic migraines
Increase access to healthcare - answer ✔✔-Why is important that NPs have the authority to prescribe?
Frequent serum level monitoring - answer ✔✔-What must be done if a drug has a narrow therapeutic
index?
