NURS 615 PHARM EXAM 2 REAL EXAM QUESTIONS AND
CORRECT ANSWERS COMPLETE EXAM|AGRADE(MARYVILLE
UNIVERSITY)
Drugs Affecting the Central Nervous System MULTIPLE CHOICE
1. Monitoring of a patient on gabapentin to treat seizures includes:
A Routine therapeutic drug levels every 3 to 4 months
.
B Assessing for dermatologic reactions, including Steven’s
. Johnson
C Routine serum electrolytes, especially in hot weather
.
D Recording seizure frequency, duration, and severity
.
ANS: D
2. Scott’s seizures are well controlled on topiramate and he wants
to start playing baseball. Education for Scott regarding his
topiramate includes:
A He should not play sports due to the risk of increased seizures
.
,B He should monitor his temperature and ability to sweat in the heat while
. playing
C Reminding him that he may need higher dosages of topiramate when
. exercising
D Encouraging him to use sunscreen due to photosensitivity from
. topiramate
ANS: B
3. Cara is taking levetiracetam (Keppra) to treat seizures. Routine
education for levetiracetam includes reminding her:
A To not abruptly discontinue levetiracetam due to risk for
. withdrawal seizures
B To wear sunscreen due to photosensitivity from levetiracetam
.
C To get an annual eye exam while on levetiracetam
.
D To report weight loss if it occurs
.
ANS: A
4. Levetiracetam has known drug interactions with:
, A Oral
. contraceptives
B Carbamazepin ANS: D
presents . e
15. Zainab is taking lamotrigine (Lamictal) and to the clinic
with fever and lymphadenopathy. Initial evaluation and
C Warfarin treatment includes:
.
she has a viral infection and to call if she isn’t
Reassuring her days
A Few,better if
. inany, 4 or 5
D drugs
.
B Ruling out hypersensitivity
a reaction that may lead to multi-
. organ failure
C Rapid strep test and symptomatic care if strep test is negative
.
D Observation only, with further assessment if she worsens
.
ANS: B
6. Samantha is taking lamotrigine (Lamictal) for her seizures and
requests a prescription for oral contraceptives. Combined oral
contraceptives (OCs) interact with lamotrigine and may cause:
A Eczema
.
B Asthma
.
, C Diabetes
.
D Heart
. disease
A Contraceptive failure
.
B Excessive weight gain
.
C Reduced lamotrigine levels, requiring doubling the dose of lamotrigine
.
D Induction of estrogen metabolism, requiring higher estrogen content OCs be
. prescribed
ANS: C
17. The tricyclic antidepressants should be prescribed cautiously
in patients with:
ANS: D
18. A 66-year-old male was prescribed phenelzine (Nardil) while
in an acute psychiatric unit for recalcitrant depression.
The NP managing his primary health care needs to understand the
following regarding phenelzine and other MAOIs:
CORRECT ANSWERS COMPLETE EXAM|AGRADE(MARYVILLE
UNIVERSITY)
Drugs Affecting the Central Nervous System MULTIPLE CHOICE
1. Monitoring of a patient on gabapentin to treat seizures includes:
A Routine therapeutic drug levels every 3 to 4 months
.
B Assessing for dermatologic reactions, including Steven’s
. Johnson
C Routine serum electrolytes, especially in hot weather
.
D Recording seizure frequency, duration, and severity
.
ANS: D
2. Scott’s seizures are well controlled on topiramate and he wants
to start playing baseball. Education for Scott regarding his
topiramate includes:
A He should not play sports due to the risk of increased seizures
.
,B He should monitor his temperature and ability to sweat in the heat while
. playing
C Reminding him that he may need higher dosages of topiramate when
. exercising
D Encouraging him to use sunscreen due to photosensitivity from
. topiramate
ANS: B
3. Cara is taking levetiracetam (Keppra) to treat seizures. Routine
education for levetiracetam includes reminding her:
A To not abruptly discontinue levetiracetam due to risk for
. withdrawal seizures
B To wear sunscreen due to photosensitivity from levetiracetam
.
C To get an annual eye exam while on levetiracetam
.
D To report weight loss if it occurs
.
ANS: A
4. Levetiracetam has known drug interactions with:
, A Oral
. contraceptives
B Carbamazepin ANS: D
presents . e
15. Zainab is taking lamotrigine (Lamictal) and to the clinic
with fever and lymphadenopathy. Initial evaluation and
C Warfarin treatment includes:
.
she has a viral infection and to call if she isn’t
Reassuring her days
A Few,better if
. inany, 4 or 5
D drugs
.
B Ruling out hypersensitivity
a reaction that may lead to multi-
. organ failure
C Rapid strep test and symptomatic care if strep test is negative
.
D Observation only, with further assessment if she worsens
.
ANS: B
6. Samantha is taking lamotrigine (Lamictal) for her seizures and
requests a prescription for oral contraceptives. Combined oral
contraceptives (OCs) interact with lamotrigine and may cause:
A Eczema
.
B Asthma
.
, C Diabetes
.
D Heart
. disease
A Contraceptive failure
.
B Excessive weight gain
.
C Reduced lamotrigine levels, requiring doubling the dose of lamotrigine
.
D Induction of estrogen metabolism, requiring higher estrogen content OCs be
. prescribed
ANS: C
17. The tricyclic antidepressants should be prescribed cautiously
in patients with:
ANS: D
18. A 66-year-old male was prescribed phenelzine (Nardil) while
in an acute psychiatric unit for recalcitrant depression.
The NP managing his primary health care needs to understand the
following regarding phenelzine and other MAOIs:
