NUR 635 Final Review Tyler/Sarhan
Study online at https://quizlet.com/_cwej5g
1. A 35-year-old man, recently immigrated from Guatemala, presents with fa-
tigue, lethargy, and mouth sores. The NP suspects scurvy and prepares which
medication?: Ascorbic Acid.
2. First line drug of choice for CAP in a previously healthy adult would include:-
: Azithromycin (a macrolide)
3. 1. One month after starting phenytoin for seizures, a 28-year-old male pre-
sents with complaints of fever, rash, and swollen lymph nodes. The NP suspects
which syndrome?: Phenytoin hypersensitivity reaction
4. A patient with previous compliant levels of carbamazepine levels now pre-
sents with subtherapeutic blood levels. The NP suspects?: Carbamazepine auto induces
metabolism so you go through the drug a lot quicker so it is an expected lab finding.
5. The NP educates the patient regarding the Black Box warning on carba-
mazepine by advising the patient to report signs and symptoms indicative
of:: Skin Reaction (Steven Johnson Syndrome and TEN (Toxic Epidermal necrolysis))
6. Carbamazepine monitoring should include all of the following except:: Monthly
Glucose
7. A patient taking Lamictal presents with fever, cough, and swollen lymph
nodes, what does the NP suspect?: Lamictal hypersensitivity reaction.
8. A young women taking Lamictal for seizures presents to the office requesting
birth control. She has decided she wants daily oral contraceptives. The NP
educates the patient regarding the fact:: Lamictal doses will need to be increased while taking
oral contraceptives.
9. Tricyclic antidepressants should be avoided in?: Heart failure patients.
10. When educating patients regarding antidepressants, the NP should include:-
: It may take 2-3 weeks for medications to take effect.
11. After ordering IM Haldol for the patient, the NP knows to assess for EPS using
which tool?: AIMS (abnormal involuntary movement scale) test
12. Prior to administering albuterol for an acute asthma attack while on digoxin,
the NP understands that:: Digoxin dose will need to be increased.
13. The NP opts NOT to give a beta agonist to which patient?: History of pheochromocy-
toma.
, NUR 635 Final Review Tyler/Sarhan
Study online at https://quizlet.com/_cwej5g
14. The NP educates which patient population regarding salmeterol's Black Box
Warning?: African Americans
15. The NP believes the patient needs additional education regarding long-act-
ing beta agonist's Black Box warning when the patient verbalizes?: "I take this
medication in case of an asthma attack."
16. A 72-year-old presents to the clinic with the cc of "I can't pee". Which history
does the NP suspect may be causing this symptoms?: Taking Benadryl for seasonal allergies.
Benadryl can cause urinary retention.
17. A patient recently diagnosed with pneumonia, is also found to have os-
teoporosis, anemia, and vitamin B12 deficiency. The NP suspects which TX is
causing the patient's issues?: Long Term PPI therapy
18. When determining appropriate antimicrobial tx, the NP utilizes which tool to
assess local resistance patterns?: Antibiogram
19. After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic
complaining of nausea, vomiting, and ABD pain. The NP focuses on which part
of the SOAP note to rule out a disulfiram reaction?: Social history
20. Which pt should receive fluoroquinolone therapy for CAP (community-ac-
quired pneumonia) diagnosis?: A 44-year-old female with DM.
21. Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked
in African American) due to risk of:: hemolytic anemia
22. A 16YO presents to the clinic for tx of her acne. The NP prescribes which
medication?: Combination antibiotic and topical.
23. A teenager comes to the clinic with complaint of headache. The NP suspects
minocycline may be causing the symptoms due to its risk of:: Pseudotumor cerbri
(increased intracranial pressure)
24. Which tx is appropriate for a patient with new onset of cluster headaches?-
: 100% oxygen for 15-30 minutes
25. When should the NP expect to see clinical improvement after starting antibi-
otic therapy for a pneumonia patient?: 2-3 days
26. A 4YO comes in with ear pain and on exam, the TM is erythematous, bulging,
and non-mobile. Vital signs are: BP 112/62, P122, RR16, T is 102.5. The NP
decides to proceed with:: Start the patient on amoxicillin or Augmentin.
Study online at https://quizlet.com/_cwej5g
1. A 35-year-old man, recently immigrated from Guatemala, presents with fa-
tigue, lethargy, and mouth sores. The NP suspects scurvy and prepares which
medication?: Ascorbic Acid.
2. First line drug of choice for CAP in a previously healthy adult would include:-
: Azithromycin (a macrolide)
3. 1. One month after starting phenytoin for seizures, a 28-year-old male pre-
sents with complaints of fever, rash, and swollen lymph nodes. The NP suspects
which syndrome?: Phenytoin hypersensitivity reaction
4. A patient with previous compliant levels of carbamazepine levels now pre-
sents with subtherapeutic blood levels. The NP suspects?: Carbamazepine auto induces
metabolism so you go through the drug a lot quicker so it is an expected lab finding.
5. The NP educates the patient regarding the Black Box warning on carba-
mazepine by advising the patient to report signs and symptoms indicative
of:: Skin Reaction (Steven Johnson Syndrome and TEN (Toxic Epidermal necrolysis))
6. Carbamazepine monitoring should include all of the following except:: Monthly
Glucose
7. A patient taking Lamictal presents with fever, cough, and swollen lymph
nodes, what does the NP suspect?: Lamictal hypersensitivity reaction.
8. A young women taking Lamictal for seizures presents to the office requesting
birth control. She has decided she wants daily oral contraceptives. The NP
educates the patient regarding the fact:: Lamictal doses will need to be increased while taking
oral contraceptives.
9. Tricyclic antidepressants should be avoided in?: Heart failure patients.
10. When educating patients regarding antidepressants, the NP should include:-
: It may take 2-3 weeks for medications to take effect.
11. After ordering IM Haldol for the patient, the NP knows to assess for EPS using
which tool?: AIMS (abnormal involuntary movement scale) test
12. Prior to administering albuterol for an acute asthma attack while on digoxin,
the NP understands that:: Digoxin dose will need to be increased.
13. The NP opts NOT to give a beta agonist to which patient?: History of pheochromocy-
toma.
, NUR 635 Final Review Tyler/Sarhan
Study online at https://quizlet.com/_cwej5g
14. The NP educates which patient population regarding salmeterol's Black Box
Warning?: African Americans
15. The NP believes the patient needs additional education regarding long-act-
ing beta agonist's Black Box warning when the patient verbalizes?: "I take this
medication in case of an asthma attack."
16. A 72-year-old presents to the clinic with the cc of "I can't pee". Which history
does the NP suspect may be causing this symptoms?: Taking Benadryl for seasonal allergies.
Benadryl can cause urinary retention.
17. A patient recently diagnosed with pneumonia, is also found to have os-
teoporosis, anemia, and vitamin B12 deficiency. The NP suspects which TX is
causing the patient's issues?: Long Term PPI therapy
18. When determining appropriate antimicrobial tx, the NP utilizes which tool to
assess local resistance patterns?: Antibiogram
19. After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic
complaining of nausea, vomiting, and ABD pain. The NP focuses on which part
of the SOAP note to rule out a disulfiram reaction?: Social history
20. Which pt should receive fluoroquinolone therapy for CAP (community-ac-
quired pneumonia) diagnosis?: A 44-year-old female with DM.
21. Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked
in African American) due to risk of:: hemolytic anemia
22. A 16YO presents to the clinic for tx of her acne. The NP prescribes which
medication?: Combination antibiotic and topical.
23. A teenager comes to the clinic with complaint of headache. The NP suspects
minocycline may be causing the symptoms due to its risk of:: Pseudotumor cerbri
(increased intracranial pressure)
24. Which tx is appropriate for a patient with new onset of cluster headaches?-
: 100% oxygen for 15-30 minutes
25. When should the NP expect to see clinical improvement after starting antibi-
otic therapy for a pneumonia patient?: 2-3 days
26. A 4YO comes in with ear pain and on exam, the TM is erythematous, bulging,
and non-mobile. Vital signs are: BP 112/62, P122, RR16, T is 102.5. The NP
decides to proceed with:: Start the patient on amoxicillin or Augmentin.
