1 | Page
NUR-635 PHARM QUESTIONS AND
ANSWERS 2025
While rational drug selection is based on the individual patient
the aspect of rational drug selection addressing disease-
specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - correct answer- A. a
guideline
Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this? - correct
answer- a drug that affects the axonal conduction - non-
selective effect.
Drugs that alter synaptic transmission - very selective because
of the differences in synapses and their specific
neurotransmitters
What is phenytoin used for? - correct answer- Seizures
,2 | Page
What should you monitor for with phenytoin? - correct answer-
Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - correct answer- Seizures
What may cause carbamazepine levels to drop despite no
other change? What to do? - correct answer-
Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - correct
answer- Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - correct
answer- CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome &
TENS when taking carbamazepine? - correct answer- Asian
patients
Main class of medication for depression? - correct answer-
Selective serotonin reuptake inhibitors (SSRIs)
, 3 | Page
What to watch for with SSRIs? - correct answer- Other
medications that can cause serotonin syndrome
What is lamictal used for? - correct answer- Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What
are we concerned for? - correct answer- Hypersensitivity in
lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to
change? - correct answer- Increase lamictal dose.
When will pt notice improvement after starting an SSRI? -
correct answer- 4 weeks later
1st line medication for moderate generalized anxiety - correct
answer- Buspar (SNRI)
1st line med for classic migraines - correct answer- Triptans
NUR-635 PHARM QUESTIONS AND
ANSWERS 2025
While rational drug selection is based on the individual patient
the aspect of rational drug selection addressing disease-
specific information by a national medical or nursing
organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - correct answer- A. a
guideline
Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this? - correct
answer- a drug that affects the axonal conduction - non-
selective effect.
Drugs that alter synaptic transmission - very selective because
of the differences in synapses and their specific
neurotransmitters
What is phenytoin used for? - correct answer- Seizures
,2 | Page
What should you monitor for with phenytoin? - correct answer-
Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - correct answer- Seizures
What may cause carbamazepine levels to drop despite no
other change? What to do? - correct answer-
Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - correct
answer- Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - correct
answer- CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome &
TENS when taking carbamazepine? - correct answer- Asian
patients
Main class of medication for depression? - correct answer-
Selective serotonin reuptake inhibitors (SSRIs)
, 3 | Page
What to watch for with SSRIs? - correct answer- Other
medications that can cause serotonin syndrome
What is lamictal used for? - correct answer- Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What
are we concerned for? - correct answer- Hypersensitivity in
lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to
change? - correct answer- Increase lamictal dose.
When will pt notice improvement after starting an SSRI? -
correct answer- 4 weeks later
1st line medication for moderate generalized anxiety - correct
answer- Buspar (SNRI)
1st line med for classic migraines - correct answer- Triptans
