MARYVILLE NURS 615 PHARM EXAM 2 TEST
PAPER QUESTIONS AND SOLUTIONS 2026
100% CORRECT.
⫸ What are the black box warnings for Carbamazepine? Answer:
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
⫸ What lab test should be ordered for patients on Carbamazepine?
Answer: CBC every 3-4 months because it can cause decreased
WBC, decreased platelets, and trouble with RBC
⫸ What kind of teaching needs to be done with families of patients
who have seizure disorders? Answer: Prevention is important, patient
safety is important, Do NOT abruptly stop taking medication.
⫸ Ethosuximide (Zarontin), an anti-seizure medication can cause
what? Answer: Blood dyscrasias
⫸ Patients taking Topiramate need to be monitored for what
electrolyte imbalance? Answer: Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
, ⫸ Topiramate treats seizures and what is one common side effect?
Answer: Normal side effect is weight loss, especially in higher dose
patients
⫸ A child on Topiramate that wants to play sports should monitor
what? Answer: Don't get overheated. Topiramate may affect his
ability to sweat in the heat.
⫸ What should a pregnant patient be told about taking Valproate
(Depakote)? Answer: It is a known teratogen and category X
medication. It should not be used in the first trimester, it may be
restarted in second trimester.
⫸ What patient population should tricyclic antidepressants be used
cautiously in? Answer: Heart Disease patients
⫸ Phenelzine (Nardil) is a MAOI. What teaching needs to be done
with this medication? Answer: He should not use serotonergic drugs
like Imitrex. Also, this class of medication interacts with yogurt, sour
cream, soy sauce, etc.
⫸ Phenelzine (Nardil) may cause what if there is an interaction with
known contraindicated foods? Answer: Hypertensive crisis
PAPER QUESTIONS AND SOLUTIONS 2026
100% CORRECT.
⫸ What are the black box warnings for Carbamazepine? Answer:
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
⫸ What lab test should be ordered for patients on Carbamazepine?
Answer: CBC every 3-4 months because it can cause decreased
WBC, decreased platelets, and trouble with RBC
⫸ What kind of teaching needs to be done with families of patients
who have seizure disorders? Answer: Prevention is important, patient
safety is important, Do NOT abruptly stop taking medication.
⫸ Ethosuximide (Zarontin), an anti-seizure medication can cause
what? Answer: Blood dyscrasias
⫸ Patients taking Topiramate need to be monitored for what
electrolyte imbalance? Answer: Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
, ⫸ Topiramate treats seizures and what is one common side effect?
Answer: Normal side effect is weight loss, especially in higher dose
patients
⫸ A child on Topiramate that wants to play sports should monitor
what? Answer: Don't get overheated. Topiramate may affect his
ability to sweat in the heat.
⫸ What should a pregnant patient be told about taking Valproate
(Depakote)? Answer: It is a known teratogen and category X
medication. It should not be used in the first trimester, it may be
restarted in second trimester.
⫸ What patient population should tricyclic antidepressants be used
cautiously in? Answer: Heart Disease patients
⫸ Phenelzine (Nardil) is a MAOI. What teaching needs to be done
with this medication? Answer: He should not use serotonergic drugs
like Imitrex. Also, this class of medication interacts with yogurt, sour
cream, soy sauce, etc.
⫸ Phenelzine (Nardil) may cause what if there is an interaction with
known contraindicated foods? Answer: Hypertensive crisis
