NUR-635
Advanced Pharmacology
NUR 635 Actual Final Exam 2025/2026 Summer- Fall
GCU Complete Question And Answer (Graded A)
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.
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
When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local
resistance patterns?
Antibiogram
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
,NUR-635
Advanced Pharmacology
Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia)
diagnosis?
A 44-year-old female with DM.
Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African
American) due to risk of:
hemolytic anemia
A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication?
Combination antibiotic and topical.
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)
If you have a pt with elevated uric acid level and they are on warfarin and need to get started
on allopurinol what do you do?
You’ll need to reduce warfarin dosage.
,NUR-635
Advanced Pharmacology
A pt has had 3 gout flare ups in the last year, what medication do you give them?
Allopurinol (urate lowering drug)
Have a patient with Padgett's disease (bad bone pain), what drug can we use to treat that?
Calcitonin
What do you tell your pt about taking alendronate (for post-menopausal osteoporosis)?
Sit up right for 30 minutes after and with a full glass of water.
Pt has a cough and is advised to use guaifenesin (expectorant) and they ask why?
It stimulates the flow of secretions so they are easier to cough up.
What is step one management for asthma?
Short acting beta agonist
, NUR-635
Advanced Pharmacology
Do we give magnesium hydroxide in renal failure?
NO. They can’t metabolize it.
A post op patient taking opioids after an ORIF, what medication would we use to prevent
constipation?
Colace
Chronic alcohol with cirrhosis, what drug will they get and what will you monitor?
Lactulose (ammonia levels will be high) Check potassium and chloride.
Which of the cholesterol therapies cause flushing?
Niacin
Advanced Pharmacology
NUR 635 Actual Final Exam 2025/2026 Summer- Fall
GCU Complete Question And Answer (Graded A)
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.
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
When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local
resistance patterns?
Antibiogram
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
,NUR-635
Advanced Pharmacology
Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia)
diagnosis?
A 44-year-old female with DM.
Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African
American) due to risk of:
hemolytic anemia
A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication?
Combination antibiotic and topical.
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)
If you have a pt with elevated uric acid level and they are on warfarin and need to get started
on allopurinol what do you do?
You’ll need to reduce warfarin dosage.
,NUR-635
Advanced Pharmacology
A pt has had 3 gout flare ups in the last year, what medication do you give them?
Allopurinol (urate lowering drug)
Have a patient with Padgett's disease (bad bone pain), what drug can we use to treat that?
Calcitonin
What do you tell your pt about taking alendronate (for post-menopausal osteoporosis)?
Sit up right for 30 minutes after and with a full glass of water.
Pt has a cough and is advised to use guaifenesin (expectorant) and they ask why?
It stimulates the flow of secretions so they are easier to cough up.
What is step one management for asthma?
Short acting beta agonist
, NUR-635
Advanced Pharmacology
Do we give magnesium hydroxide in renal failure?
NO. They can’t metabolize it.
A post op patient taking opioids after an ORIF, what medication would we use to prevent
constipation?
Colace
Chronic alcohol with cirrhosis, what drug will they get and what will you monitor?
Lactulose (ammonia levels will be high) Check potassium and chloride.
Which of the cholesterol therapies cause flushing?
Niacin
