NUR 635 Final Exam Review: Questions & Answers
16-year-old female taking minocycline for acne and she has developed a
headache and you evaluate for a pseudo tumor cerebri, what would you
see on eye exam?
(Ans- Papilledema
Pt with chlamydia infection and given doxycycline, what would you tell
her to do?
(Ans- Use a backup birth control until next menses.
Isoniazid for TB, it can cause decrease in vitamin B6, what do we do?
(Ans- prescribe them supplemental B6 (pyridoxine)
Valacyclovir for shingles, what do you need to worry about?
(Ans- Their renal function and tell them to drink fluids.
Patient has conjunctivitis and acute otitis media, what would you treat
with?
(Ans- Amoxicillin first, and then switch to Augmentin if it still hasn't
gone away after a month.
If you have copious green discharge from the eye and it is gonococcal
conjunctivitis, what do you treat with?
,(Ans- IM ceftriaxone
IF you were going to give someone a ophthalmic beta blocker and they
are on an oral beta blocker, what do you need to worry about?
(Ans- Bradycardia.
Allergic conjunctivitis, you won't give ABX but what can you give?
(Ans- Cromolyn and the patient cannot wear their soft contact lenses
while taking it.
If you have a pt with a perforated tympanic membrane, what drops
should you not use?
(Ans- Ciprofloxacin oto drops.
What should you use for moderate-mild anxiety?
(Ans- Buspar for 1st line
Someone has depression, and you want to look at what else?
(Ans- Thyroid. (low thyroid can cause depression symptoms)
, Pts with COPD, when they come to see an NP, what do you do ask about
their inhaler?
(Ans- How many times are they using their rescuer inhaler (albuterol-
beta 2 agonist)
If you have someone with COPD exacerbation, what will you prescribe
for them?
(Ans- Steroids (Burst therapy)
Estrogen can affect the lower esophageal sphincter, so when you have a
patient on hormonal therapy what do you need to be careful of?
(Ans- The sphincter can be more relaxed and can cause food to come
up the esophagus.
How does metoclopramide (Reglan) work?
(Ans- It increases lower esophageal tone; gastric motility.
If you're going to use the step-down approach in the treatment of
GERD, what drug would you start out with?
(Ans- A PPI.
16-year-old female taking minocycline for acne and she has developed a
headache and you evaluate for a pseudo tumor cerebri, what would you
see on eye exam?
(Ans- Papilledema
Pt with chlamydia infection and given doxycycline, what would you tell
her to do?
(Ans- Use a backup birth control until next menses.
Isoniazid for TB, it can cause decrease in vitamin B6, what do we do?
(Ans- prescribe them supplemental B6 (pyridoxine)
Valacyclovir for shingles, what do you need to worry about?
(Ans- Their renal function and tell them to drink fluids.
Patient has conjunctivitis and acute otitis media, what would you treat
with?
(Ans- Amoxicillin first, and then switch to Augmentin if it still hasn't
gone away after a month.
If you have copious green discharge from the eye and it is gonococcal
conjunctivitis, what do you treat with?
,(Ans- IM ceftriaxone
IF you were going to give someone a ophthalmic beta blocker and they
are on an oral beta blocker, what do you need to worry about?
(Ans- Bradycardia.
Allergic conjunctivitis, you won't give ABX but what can you give?
(Ans- Cromolyn and the patient cannot wear their soft contact lenses
while taking it.
If you have a pt with a perforated tympanic membrane, what drops
should you not use?
(Ans- Ciprofloxacin oto drops.
What should you use for moderate-mild anxiety?
(Ans- Buspar for 1st line
Someone has depression, and you want to look at what else?
(Ans- Thyroid. (low thyroid can cause depression symptoms)
, Pts with COPD, when they come to see an NP, what do you do ask about
their inhaler?
(Ans- How many times are they using their rescuer inhaler (albuterol-
beta 2 agonist)
If you have someone with COPD exacerbation, what will you prescribe
for them?
(Ans- Steroids (Burst therapy)
Estrogen can affect the lower esophageal sphincter, so when you have a
patient on hormonal therapy what do you need to be careful of?
(Ans- The sphincter can be more relaxed and can cause food to come
up the esophagus.
How does metoclopramide (Reglan) work?
(Ans- It increases lower esophageal tone; gastric motility.
If you're going to use the step-down approach in the treatment of
GERD, what drug would you start out with?
(Ans- A PPI.
