NUR 635 EXAM | NUR 635 ADVANCED PHARMACOLOGY FINAL
EXAM 3 ACTUAL 150+ REVIEW QUESTIONS AND CORRECT
ANSWERS LATEST 2025/2026, SELF ASSESSMENT DOC -GRAND
CANYON UNIVERSITY
1. A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, 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. One month after starting phenytoin for seizures, a 28-year-old male presents 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 presents 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 carbamazepine 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.
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,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 pheochromocytoma.
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-acting beta agonist's
Black Box warning when the patient verbalizes?:
"I take this medication in case of an asthma attack."
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, 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 osteoporosis, 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-acquired 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.
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EXAM 3 ACTUAL 150+ REVIEW QUESTIONS AND CORRECT
ANSWERS LATEST 2025/2026, SELF ASSESSMENT DOC -GRAND
CANYON UNIVERSITY
1. A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, 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. One month after starting phenytoin for seizures, a 28-year-old male presents 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 presents 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 carbamazepine 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.
Page 1 of 22
,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 pheochromocytoma.
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-acting beta agonist's
Black Box warning when the patient verbalizes?:
"I take this medication in case of an asthma attack."
Page 2 of 22
, 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 osteoporosis, 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-acquired 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.
Page 3 of 22
