NUR 635 FINAL EXAM
PRACTICE QUESTIONS WITH CORRECT
ANSWERS 2026/2027 LATEST UPDATE
A patient is taking Phenytoin for seizures and has a rash a month later
what has happened? -
CORRECT ANSWER-hypersensitivity can happen a month later
A young healthy female has frequency and burning what do we
prescribe? - CORRECT
ANSWER-tx with Macrobid
What is the 1st line drug choice for a previously healthy adult pt dx
with community acquired
pneumonia? - CORRECT ANSWER-Azithromycin
How do you treat community acquired pneumonia with
comorbidities? - CORRECT
ANSWER-Tx
with Rocephin and Azithromycin (a Macrolide) do NOT tx with
LEVAQUIN.
Why do we not treat onychomycosis (a fungal infection of the nails) ?
- CORRECT
ANSWER-
1
,Treatment can lead to liver/hepatotoxicity
How do we titrate pancreatic enzymes? - CORRECT ANSWER-Look
at poop color. Who needs pancreatic enzymes? CF pts & Gastric
bypass pts need pancreatic enzymes statarea (color of poop)How do
we prescribe for pancreatic enzymes? - CORRECT ANSWER-
Prescribe units of lipase for
pancreatic enzymes based on your poop color
Why can NPs prescribe? - CORRECT ANSWER-Increase access to
healthcare
How do you titrate medications? - CORRECT ANSWER-Monitor
plasma levels closely
Sam is a 90 y/o pt who requires a new RX. what changes in drug
distribution with aging would
influence rxing for Sadie - CORRECT ANSWER-Decreased plasma
proteins
10 mg Percocet vs 10mg oxy one works better because of..? -
CORRECT ANSWER-The filler metabolismchanges of the
medication
Medications need albumin to bind to and they are toxic (therapeutic
index), is something competing for
the albumin? - CORRECT ANSWER-Check other drugs
2
, When writing a prescription what is not allowed? - CORRECT
ANSWER-Abbreviations that are not allowed Qd
What medication causes gray teeth? - CORRECT ANSWER
Tetracycline
A patient on seizure medication is still having seizures after a few
weeks what do you want to do? -
CORRECT ANSWER-Check serum drug levels because of narrow
therapeutic index A patient is on phenytoin cannot be started on oral
contraceptives they need a barrier method? -
CORRECT ANSWER-Anything other than oral contraceptives
When do you stop tetragons? - CORRECT ANSWER-Stop before the
patient becomes pregnant
A pregnant women is taking aspirin why is that bad? - CORRECT
ANSWER-Causes PDA premature closure of __
A patients daughter said she took Demerol/Meperidine for her surgery
and wants it for her dads hip
replacement: - CORRECT ANSWER-We do not give Demerol
anymore it is DIRTY! A Lot of side
effects.The pt has returned to the floor from surgery after a hip
arthroplasty. For the first 48 hrs postoperatively, meperidine
(Demerol) is order for pain control. During the time the pt is taking
meperidine, frequent monitoring of what is required?A) blood
pressureB) pulseC) temperatureD) urine
3
PRACTICE QUESTIONS WITH CORRECT
ANSWERS 2026/2027 LATEST UPDATE
A patient is taking Phenytoin for seizures and has a rash a month later
what has happened? -
CORRECT ANSWER-hypersensitivity can happen a month later
A young healthy female has frequency and burning what do we
prescribe? - CORRECT
ANSWER-tx with Macrobid
What is the 1st line drug choice for a previously healthy adult pt dx
with community acquired
pneumonia? - CORRECT ANSWER-Azithromycin
How do you treat community acquired pneumonia with
comorbidities? - CORRECT
ANSWER-Tx
with Rocephin and Azithromycin (a Macrolide) do NOT tx with
LEVAQUIN.
Why do we not treat onychomycosis (a fungal infection of the nails) ?
- CORRECT
ANSWER-
1
,Treatment can lead to liver/hepatotoxicity
How do we titrate pancreatic enzymes? - CORRECT ANSWER-Look
at poop color. Who needs pancreatic enzymes? CF pts & Gastric
bypass pts need pancreatic enzymes statarea (color of poop)How do
we prescribe for pancreatic enzymes? - CORRECT ANSWER-
Prescribe units of lipase for
pancreatic enzymes based on your poop color
Why can NPs prescribe? - CORRECT ANSWER-Increase access to
healthcare
How do you titrate medications? - CORRECT ANSWER-Monitor
plasma levels closely
Sam is a 90 y/o pt who requires a new RX. what changes in drug
distribution with aging would
influence rxing for Sadie - CORRECT ANSWER-Decreased plasma
proteins
10 mg Percocet vs 10mg oxy one works better because of..? -
CORRECT ANSWER-The filler metabolismchanges of the
medication
Medications need albumin to bind to and they are toxic (therapeutic
index), is something competing for
the albumin? - CORRECT ANSWER-Check other drugs
2
, When writing a prescription what is not allowed? - CORRECT
ANSWER-Abbreviations that are not allowed Qd
What medication causes gray teeth? - CORRECT ANSWER
Tetracycline
A patient on seizure medication is still having seizures after a few
weeks what do you want to do? -
CORRECT ANSWER-Check serum drug levels because of narrow
therapeutic index A patient is on phenytoin cannot be started on oral
contraceptives they need a barrier method? -
CORRECT ANSWER-Anything other than oral contraceptives
When do you stop tetragons? - CORRECT ANSWER-Stop before the
patient becomes pregnant
A pregnant women is taking aspirin why is that bad? - CORRECT
ANSWER-Causes PDA premature closure of __
A patients daughter said she took Demerol/Meperidine for her surgery
and wants it for her dads hip
replacement: - CORRECT ANSWER-We do not give Demerol
anymore it is DIRTY! A Lot of side
effects.The pt has returned to the floor from surgery after a hip
arthroplasty. For the first 48 hrs postoperatively, meperidine
(Demerol) is order for pain control. During the time the pt is taking
meperidine, frequent monitoring of what is required?A) blood
pressureB) pulseC) temperatureD) urine
3
