MARYVILLE NUR 615 EXAM 2
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
What lab values should be monitored with Carbamazepine (Tegretol)? - ANS CBC every 3-4
months
What can Carbamazepine (Tegretol) cause in labs findings? - ANS Leukopenia,
thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression
What are the pharamacodynamics of Carbamazepine (Tegretol)? - ANS Thought to effect
sodium channels, slowing the influx of sodium in the cortical neurons and slowing the spread of
abnormal activity. It exerts its effects by depression transmission in the nuclus ventralis anterior
to the thalamus. causes autoinduced metabolism.
What is the peak and half life of Carbamazepine (Tegretol)? - ANS Peak: 6 hours
Half Life: 65 hours initially, 12-17 hours with continued administration
What should families be taught regarding the monitoring of seizure activity? - ANS Safety
and prevention. Do not stop medications abruptly.
What electrolyte imbalance is found with Topiramate (Topimax)? - ANS Decrease in
bicarbonate
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, What are the pregnancy precautions for Valproate (Depakote)? - ANS Should only be used
when a womans life would be endangered without it.
What can Valproate (Depakote) cause in the first trimester? - ANS Neural tube defects
including spina bifida
What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled by Valproate (Depakote)? - ANS This medication can not be taken during
the first trimester or during lactation. Switch to another medication such as keppra.
What are the precautions and contraindications for tricyclic antidepressants? - ANS Patients
with cardiovascular disorders. Can act as antiarrythmics. May be used with caution in glaucoma,
prostatic hypertrophy, or urinary incontinence
Should not be prescribed in combination with MAOI's or with demonstrated hypersensitivity to
this drug class. Can cause dry mouth, sedation, euphoria, and constipation, and tinnitus.
What is Phenalzine (Nardil)? - ANS MAOI
What are the cautions and contraindications of Phenelzine (Nardil)? - ANS Contraindications
include liver disease, kidney disease, hypersensitivity, CHF, atherosclerotic disease, and >60
years of age
Should be avoided in patients who are impulsive, cognitively impaired, or cannot follow dietary
restrictions. These medications inhibit the MAO. Treat a-typical depression. Often used as a last
line of treatment. Patients should avoid tyrmaine rich foods.
What are symptoms of a hypertensive crisis? - ANS Headache, heart palpitations, stiff/sore
neck, chest tightness, tachycardia, sweating, and dilated pupils
How long does it take for selective serotonin reuptake inhibitors to produce an effect in
patients with depression? - ANS 2-6 weeks
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
What lab values should be monitored with Carbamazepine (Tegretol)? - ANS CBC every 3-4
months
What can Carbamazepine (Tegretol) cause in labs findings? - ANS Leukopenia,
thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression
What are the pharamacodynamics of Carbamazepine (Tegretol)? - ANS Thought to effect
sodium channels, slowing the influx of sodium in the cortical neurons and slowing the spread of
abnormal activity. It exerts its effects by depression transmission in the nuclus ventralis anterior
to the thalamus. causes autoinduced metabolism.
What is the peak and half life of Carbamazepine (Tegretol)? - ANS Peak: 6 hours
Half Life: 65 hours initially, 12-17 hours with continued administration
What should families be taught regarding the monitoring of seizure activity? - ANS Safety
and prevention. Do not stop medications abruptly.
What electrolyte imbalance is found with Topiramate (Topimax)? - ANS Decrease in
bicarbonate
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, What are the pregnancy precautions for Valproate (Depakote)? - ANS Should only be used
when a womans life would be endangered without it.
What can Valproate (Depakote) cause in the first trimester? - ANS Neural tube defects
including spina bifida
What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled by Valproate (Depakote)? - ANS This medication can not be taken during
the first trimester or during lactation. Switch to another medication such as keppra.
What are the precautions and contraindications for tricyclic antidepressants? - ANS Patients
with cardiovascular disorders. Can act as antiarrythmics. May be used with caution in glaucoma,
prostatic hypertrophy, or urinary incontinence
Should not be prescribed in combination with MAOI's or with demonstrated hypersensitivity to
this drug class. Can cause dry mouth, sedation, euphoria, and constipation, and tinnitus.
What is Phenalzine (Nardil)? - ANS MAOI
What are the cautions and contraindications of Phenelzine (Nardil)? - ANS Contraindications
include liver disease, kidney disease, hypersensitivity, CHF, atherosclerotic disease, and >60
years of age
Should be avoided in patients who are impulsive, cognitively impaired, or cannot follow dietary
restrictions. These medications inhibit the MAO. Treat a-typical depression. Often used as a last
line of treatment. Patients should avoid tyrmaine rich foods.
What are symptoms of a hypertensive crisis? - ANS Headache, heart palpitations, stiff/sore
neck, chest tightness, tachycardia, sweating, and dilated pupils
How long does it take for selective serotonin reuptake inhibitors to produce an effect in
patients with depression? - ANS 2-6 weeks
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
