NUR 635 Final Review with Questions and Answers
updated 2026
First line tmt for a previously healthy person who develops CAP? - Correct Answer Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? - Correct
Answer Serotonin syndrome
Hypersensitivity with Phenytoin? - Correct Answer 3-8 weeks after treatment can occur (overly
sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - Correct Answer YES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this mediation auto-
metabolizing so the levels are lower despite them taking medication with compliance
INCREASE the dose
Carbamazepine black box? - Correct Answer Steven Johnsons Syndrome
,Carbamazepine monitoring - Correct Answer Monitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - Correct Answer This affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need to ask them? -
Correct Answer You need to ask about suicidal ideation
Worried about a patient having a reaction to lamotrigine? - Correct Answer This has a high risk
for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - Correct Answer Reduces the
lamotrigine levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when prescribing them? - Correct
Answer Cardiac disease
How long are we going to tell patients that they are going to see a response with an SSRI? -
Correct Answer 2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you assess for? - Correct
Answer Extrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will not help monitor for
EPS.
, Will the beta agonist overpower the digoxin? - Correct Answer A beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you at risk
for HTN)? - Correct Answer NO because it will cause a Hypertensive crisis on the adrenal glands
You have moderate persistent asthma, which medication has a black box warning against using
it as a singular agent to treat this? - Correct Answer You do not treat asthma patients or should
cautiously as there is an increased risk with asthma patients when using LABA (salmeterol and
formoterol)
Black box warning is that reports for severe asthma exacerbations occur thus causing death
Spiriva - Correct Answer inhales anticholinergics used for the tmt of COPD
If you prescribe someone with beclomethasone how should they use it? - Correct Answer
Inhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - Correct Answer Aggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - Correct Answer Causes
urinary retention
updated 2026
First line tmt for a previously healthy person who develops CAP? - Correct Answer Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? - Correct
Answer Serotonin syndrome
Hypersensitivity with Phenytoin? - Correct Answer 3-8 weeks after treatment can occur (overly
sensitive to this medication and have adverse reactions)
This would look like a characteristic rash, fever, leukocytosis
Carbamazepine can auto-metabolize? - Correct Answer YES.
This can auto-metabolize so you will end up with lower levels
If a patient has been in range, and nothing has changed, it is due to this mediation auto-
metabolizing so the levels are lower despite them taking medication with compliance
INCREASE the dose
Carbamazepine black box? - Correct Answer Steven Johnsons Syndrome
,Carbamazepine monitoring - Correct Answer Monitor a CBC, every 3-4 months to watch for
agranulocytosis
Gabapentin - Correct Answer This affects GABA, and is used to treat neurontin pain
When you drink alcohol there are more GABA production
A patient is on gabapentin and having strange thoughts, what do you need to ask them? -
Correct Answer You need to ask about suicidal ideation
Worried about a patient having a reaction to lamotrigine? - Correct Answer This has a high risk
for hypersensitivity
How do Lamotrigine and oral contraceptives interact? - Correct Answer Reduces the
lamotrigine levels thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when prescribing them? - Correct
Answer Cardiac disease
How long are we going to tell patients that they are going to see a response with an SSRI? -
Correct Answer 2-6 weeks
If you have a schizophrenic patient and you give them haldol what do you assess for? - Correct
Answer Extrapyramidal symptoms (EPS)
Do not need peak and trough. Should have continuous EKG but EKG will not help monitor for
EPS.
, Will the beta agonist overpower the digoxin? - Correct Answer A beta agonist anything with
dysrhythmia will speed up the HR
Digoxin is dysrhythmic and slows down the HR.
Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you at risk
for HTN)? - Correct Answer NO because it will cause a Hypertensive crisis on the adrenal glands
You have moderate persistent asthma, which medication has a black box warning against using
it as a singular agent to treat this? - Correct Answer You do not treat asthma patients or should
cautiously as there is an increased risk with asthma patients when using LABA (salmeterol and
formoterol)
Black box warning is that reports for severe asthma exacerbations occur thus causing death
Spiriva - Correct Answer inhales anticholinergics used for the tmt of COPD
If you prescribe someone with beclomethasone how should they use it? - Correct Answer
Inhaled corticosteroid
Rinse and spit after, spacers are good
USE EVERYDAY, this is not a PRN inhaler
Montelukast(singular) side effects? - Correct Answer Aggression, anxiety, depression and
suicidal ideation are mental health issues when taking this medication
How are we going to get an elderly old man to not take benadryl? - Correct Answer Causes
urinary retention
