NUR 635 GCU Adv Pharm Final Sarhan & Tyler Review
WITH QUESTIONS AND ANSWERS 2026
Main medication class used in tx of depression - Correct Answer SSRIs
Prescribing concerns with SSRI - Correct Answer serotonin syndrome caused by drug-drug
interactions
what is phenytoin prescribed for - Correct Answer Seizures
prescribing concerns for phenytoin - Correct Answer delayed onset of hypersensitivity rxn
carbamazepine prescribed for - Correct Answer seizures
what causes carbamazepine levels to drop despite no other change - Correct Answer
autometabolizes- med digests itself, need to increase dose
Black box warning carbamazepine - Correct Answer SJS, TEN(toxic epidermal necrolysis)
Long-term carbamazepine use requires monitoring of - Correct Answer CBC minimum 4 times a
year due to risk of hematological effects
Lamotrigine(Lamictal) for tx of seizures prescribing concerns - Correct Answer SJS, TEN
Pts taking oral contraceptives: estrogen can lower lamotrigine levels, may need to adjust dosing
,Prescribing SSRI: Educate - When should pts notice a difference - Correct Answer Check back in
four weeks. May take some time.
Carbamazepine black box warning - Correct Answer Asians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - Correct Answer Buspar
Buspar class - Correct Answer SNRI
cluster headache, first choice tx - Correct Answer 100% oxygen 15-30min
classic migraine, first choice tx - Correct Answer triptans
classic migraine, tx after triptans are not working, first choice prophylactic - Correct Answer
propranolol (beta blocker)
Chantix (varenicline) SE teaching - Correct Answer depression, mania, psychosis, hallucinations,
paranoia, delusions, homicidal ideation, aggression, hostility, anxiety, and panic, as well as
suicidal ideation, suicide attempt, and completed suicide in patients attempting to quit smoking
while taking CHANTIX
1st rx choice for c/o nerve pain - Correct Answer gabapentin
why is it important for NPs to have full prescriptive authority - Correct Answer increase access
to healthcare
, considerations for rx with narrow therapeutic index - Correct Answer monitor plasma levels
closely
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? - Correct
Answer Medication formulations (fillers and other additives) can effect pharmacodynamics
what medications need in order to be effective in an individual - Correct Answer Albumin for
binding. Toxicity can occur if drug-drug interactions result in competition for albumin
"Sig" on a prescription - Correct Answer how you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - Correct Answer QD
medication that can discolor teeth - Correct Answer tetracycline antibiotic
giving a pt antiseizure drugs for a couple of weeks, pt is still having the same amount of
seizures, what to check? - Correct Answer Check serum drug levels
considerations for phenytoin and contraception - Correct Answer phenytoin (Dilantin) is a
serious teratogen, oral contraception is not the most effective way to prevent pregnancy
pts taking teratogen rx and thinking about getting pregnant, when to dc - Correct Answer Now.
Before getting pregnant. Most defects occur in first trimester
Pt taking daily aspirin becomes pregnant. Development concern? - Correct Answer Can see
premature closure of PDA (patent ductus art)
WITH QUESTIONS AND ANSWERS 2026
Main medication class used in tx of depression - Correct Answer SSRIs
Prescribing concerns with SSRI - Correct Answer serotonin syndrome caused by drug-drug
interactions
what is phenytoin prescribed for - Correct Answer Seizures
prescribing concerns for phenytoin - Correct Answer delayed onset of hypersensitivity rxn
carbamazepine prescribed for - Correct Answer seizures
what causes carbamazepine levels to drop despite no other change - Correct Answer
autometabolizes- med digests itself, need to increase dose
Black box warning carbamazepine - Correct Answer SJS, TEN(toxic epidermal necrolysis)
Long-term carbamazepine use requires monitoring of - Correct Answer CBC minimum 4 times a
year due to risk of hematological effects
Lamotrigine(Lamictal) for tx of seizures prescribing concerns - Correct Answer SJS, TEN
Pts taking oral contraceptives: estrogen can lower lamotrigine levels, may need to adjust dosing
,Prescribing SSRI: Educate - When should pts notice a difference - Correct Answer Check back in
four weeks. May take some time.
Carbamazepine black box warning - Correct Answer Asians are at higher risk for SJS and TEN
Moderate generalized anxiety disorder: good first medication - Correct Answer Buspar
Buspar class - Correct Answer SNRI
cluster headache, first choice tx - Correct Answer 100% oxygen 15-30min
classic migraine, first choice tx - Correct Answer triptans
classic migraine, tx after triptans are not working, first choice prophylactic - Correct Answer
propranolol (beta blocker)
Chantix (varenicline) SE teaching - Correct Answer depression, mania, psychosis, hallucinations,
paranoia, delusions, homicidal ideation, aggression, hostility, anxiety, and panic, as well as
suicidal ideation, suicide attempt, and completed suicide in patients attempting to quit smoking
while taking CHANTIX
1st rx choice for c/o nerve pain - Correct Answer gabapentin
why is it important for NPs to have full prescriptive authority - Correct Answer increase access
to healthcare
, considerations for rx with narrow therapeutic index - Correct Answer monitor plasma levels
closely
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? - Correct
Answer Medication formulations (fillers and other additives) can effect pharmacodynamics
what medications need in order to be effective in an individual - Correct Answer Albumin for
binding. Toxicity can occur if drug-drug interactions result in competition for albumin
"Sig" on a prescription - Correct Answer how you take the medication, Latin for directions.
Directions to pharmacist
Abbreviation not used in rx - Correct Answer QD
medication that can discolor teeth - Correct Answer tetracycline antibiotic
giving a pt antiseizure drugs for a couple of weeks, pt is still having the same amount of
seizures, what to check? - Correct Answer Check serum drug levels
considerations for phenytoin and contraception - Correct Answer phenytoin (Dilantin) is a
serious teratogen, oral contraception is not the most effective way to prevent pregnancy
pts taking teratogen rx and thinking about getting pregnant, when to dc - Correct Answer Now.
Before getting pregnant. Most defects occur in first trimester
Pt taking daily aspirin becomes pregnant. Development concern? - Correct Answer Can see
premature closure of PDA (patent ductus art)
