MARYVILLE NURS 615 TESTS COMPILATION
BUNDLE COMPREHENSIVE EXAM PAPER
2026 FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ How often should carbamazepine lab values be monitored? What
labs?
Answer: CBC q 3-4 months
⩥ What anti-seizure med auto induces metabolism?
Answer: Carbamazepine
⩥ What medication decreases the production of RBCs, WBCs, and
platelets?
Answer: Carbamazepine
⩥ What is carbamazepine half-life?
Answer: Single dose: 30 hours
Multiple dose: 15 hours
⩥ What is a great risk of seizure potential while taking anti-seizure
medications?
,Answer: Stopping the medication abruptly.
⩥ What type of medication is topiramate (Topamax)?
Answer: Anti-seizure med
⩥ What does topiramate cause?
Answer: Electrolyte imbalance -- hyperchloremic metabolic acidosis
⩥ What are adverse effects of topiramate?
Answer: Weight loss, high temperature, and inability to sweat
⩥ What medication affects Lamictal?
Answer: OCPs decrease the effects of this drug, so the dose must be
doubled
⩥ Can valproate (Depakote) be used during pregnancy?
Answer: It is a known teratogen. If needed, must be used after 1st
trimester.
⩥ What must be ruled out in patients before starting an anti-depressant?
Answer: hypothyroidism
, ⩥ Anti-depressant that is to be used with caution in cardiac patients due
to behaving like class 1 anti-arrythmics?
Answer: TCAs
⩥ TCA side effects are mainly of what type?
Answer: Anti-cholinergic
⩥ What is a first-line antidepressant in children?
Answer: fluoxetine (Prozac)
⩥ How do you discontinue an SSRI?
Answer: Taper by reducing the dose by 50% for 3-4 days
⩥ When are MAOIs effective?
Answer: In atypical depression or Parkinson's
⩥ Why are MAOIs reserved for last line of treatment?
Answer: Lethal drug interactions and food interactions
⩥ How long before starting a new antidepressant after MAOIs?
Answer: At least 2 weeks to clear it from system
BUNDLE COMPREHENSIVE EXAM PAPER
2026 FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ How often should carbamazepine lab values be monitored? What
labs?
Answer: CBC q 3-4 months
⩥ What anti-seizure med auto induces metabolism?
Answer: Carbamazepine
⩥ What medication decreases the production of RBCs, WBCs, and
platelets?
Answer: Carbamazepine
⩥ What is carbamazepine half-life?
Answer: Single dose: 30 hours
Multiple dose: 15 hours
⩥ What is a great risk of seizure potential while taking anti-seizure
medications?
,Answer: Stopping the medication abruptly.
⩥ What type of medication is topiramate (Topamax)?
Answer: Anti-seizure med
⩥ What does topiramate cause?
Answer: Electrolyte imbalance -- hyperchloremic metabolic acidosis
⩥ What are adverse effects of topiramate?
Answer: Weight loss, high temperature, and inability to sweat
⩥ What medication affects Lamictal?
Answer: OCPs decrease the effects of this drug, so the dose must be
doubled
⩥ Can valproate (Depakote) be used during pregnancy?
Answer: It is a known teratogen. If needed, must be used after 1st
trimester.
⩥ What must be ruled out in patients before starting an anti-depressant?
Answer: hypothyroidism
, ⩥ Anti-depressant that is to be used with caution in cardiac patients due
to behaving like class 1 anti-arrythmics?
Answer: TCAs
⩥ TCA side effects are mainly of what type?
Answer: Anti-cholinergic
⩥ What is a first-line antidepressant in children?
Answer: fluoxetine (Prozac)
⩥ How do you discontinue an SSRI?
Answer: Taper by reducing the dose by 50% for 3-4 days
⩥ When are MAOIs effective?
Answer: In atypical depression or Parkinson's
⩥ Why are MAOIs reserved for last line of treatment?
Answer: Lethal drug interactions and food interactions
⩥ How long before starting a new antidepressant after MAOIs?
Answer: At least 2 weeks to clear it from system
