NUR 635 ADVANCED PHARMACOLOGY FINAL MOST
RECENT UPDATED 2025-2026 QUESTIONS AND
REVIEWED CORRECT ANSWERS
NSAID (Ibuprofen) - answer ✔✔-What would be the first line med for mild-moderate pain, sprained
ankle?
Monitor for phenytoin syndrome, 3-5 weeks after starting therapy - answer ✔✔-A patient being
prescribed phenytoin for seizures, what does monitoring include?
Auto-metabolism, need to switch to a new agent. - answer ✔✔-Patient recently started on
carbamazepine for seizures, he comes in and his levels are sub-therapeutic?
Stevens Johnsons syndrome and toxic epidermal necrolysis - answer ✔✔-What does the carbamazepine
black box warning refer to?
Complete blood counts every 3-4 months. - answer ✔✔-Long term monitoring of patients taking
carbamazepine includes:
Assess for suicidal ideation - answer ✔✔-Patient prescribed gabapentin for neuropathic pain, pt
complains of depression and suicidal thoughts?
Reduced lamotrigine levels requiring double the dose of lamotrigine. - answer ✔✔-Pt. taking Lamictal
for seizures, she requests a prescription for a combined oral contraceptive that reacts with Lamictal,
what would happen?
Beta 2 agonists. - answer ✔✔-Patients with pheochromocytoma should avoid which class of drugs that
could cause HTN crisis?
Opioid induced constipation - answer ✔✔-Methylnaltrexone or relistor is used to treat constipation in
patients with:
Increased risk for Stevens Johnson's syndrome - answer ✔✔-Carbamazepine has a black box warning
recommending testing for the HLAB1502 allele with Asian ancestry prior to starting therapy due to?
sulfonamides - answer ✔✔-Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic
class should we avoid in this patient?
Oxygen 100% for 15-30 minutes - answer ✔✔-Pt. diagnosed with cluster headaches, what would the
appropriate acute therapy be?
triptans- (ABORTIVE MEDS FOR MIGRAINES) - answer ✔✔-18 y.o. patient diagnosed with frequent
migraines, what Is abortive therapy for migraines?
, Propranolol aka inderal - answer ✔✔-What is an appropriate drug for the treatment of migraine
headaches in an 18-year-old?
If exercise is incorporated into regular activity vitamin d and calcium are not needed (vitamin d and
calcium supplements are still needed) - answer ✔✔-Is the key to prevention of osteoporosis, which is
false?
Gabapentin - answer ✔✔-Which of the following meds is most appropriate for pt. with neuropathic
pain?
Glucocorticoids - answer ✔✔-Prophylactic use of bisphosphonates is recommended with patients with
early osteopenia due to long term use of which drugs?
Monitor patients plasma drug levels at regular intervals. - answer ✔✔-When prescribing drugs with a
narrow therapeutic range:
inactive ingredients used in the composition may cause different rates of dissolution which can alter the
onset of action of the drug. - answer ✔✔-A patient report that brand x tablets work faster than brand y
tablets:
assess whether the patient is taking a medication that binds to serum albumin. (Gentamicin binds
weakly to plasma proteins, so another drug could cause it to not be able to bind.) - answer ✔✔-IV
gentamicin, has a toxic drug level, which possible cause of this situation will the provider explore?
Daily - answer ✔✔-When writing out a prescription do you write daily or Qday?
First - answer ✔✔-A provider speaking to a class or group of patients, which trimester has most
teratogenic effects?
Tetracyclines - answer ✔✔-A five-year-old has gray teeth, provider asks about which meds?
Low serum albumin - answer ✔✔-A provider is reviewing elderly patient's chart, which is of greatest
concern in renewing prescription for highly bound protein drugs?
Prescribe morphine and discuss rationale with pt's son - answer ✔✔-An older patient is entering the
immediate postoperative period after total hip replacement, son asks for Demerol, what action will the
provider take to address pain?
Tachycardia - answer ✔✔-A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist,
beside eval for pt's resp distress which side effect watch out for?
Asthma - answer ✔✔-A provider review's pt's chart before prescribing bethanechol which pre-existing
condition is of caution?
Blurred vision, dry mouth, constipation - answer ✔✔-A young patient with low back injury has muscle
spasms, cyclobenzaprine, which teaching?
Write an order for serum drug levels - answer ✔✔-A pt taking anti-epileptic drug reports no change in
seizure activity?
RECENT UPDATED 2025-2026 QUESTIONS AND
REVIEWED CORRECT ANSWERS
NSAID (Ibuprofen) - answer ✔✔-What would be the first line med for mild-moderate pain, sprained
ankle?
Monitor for phenytoin syndrome, 3-5 weeks after starting therapy - answer ✔✔-A patient being
prescribed phenytoin for seizures, what does monitoring include?
Auto-metabolism, need to switch to a new agent. - answer ✔✔-Patient recently started on
carbamazepine for seizures, he comes in and his levels are sub-therapeutic?
Stevens Johnsons syndrome and toxic epidermal necrolysis - answer ✔✔-What does the carbamazepine
black box warning refer to?
Complete blood counts every 3-4 months. - answer ✔✔-Long term monitoring of patients taking
carbamazepine includes:
Assess for suicidal ideation - answer ✔✔-Patient prescribed gabapentin for neuropathic pain, pt
complains of depression and suicidal thoughts?
Reduced lamotrigine levels requiring double the dose of lamotrigine. - answer ✔✔-Pt. taking Lamictal
for seizures, she requests a prescription for a combined oral contraceptive that reacts with Lamictal,
what would happen?
Beta 2 agonists. - answer ✔✔-Patients with pheochromocytoma should avoid which class of drugs that
could cause HTN crisis?
Opioid induced constipation - answer ✔✔-Methylnaltrexone or relistor is used to treat constipation in
patients with:
Increased risk for Stevens Johnson's syndrome - answer ✔✔-Carbamazepine has a black box warning
recommending testing for the HLAB1502 allele with Asian ancestry prior to starting therapy due to?
sulfonamides - answer ✔✔-Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic
class should we avoid in this patient?
Oxygen 100% for 15-30 minutes - answer ✔✔-Pt. diagnosed with cluster headaches, what would the
appropriate acute therapy be?
triptans- (ABORTIVE MEDS FOR MIGRAINES) - answer ✔✔-18 y.o. patient diagnosed with frequent
migraines, what Is abortive therapy for migraines?
, Propranolol aka inderal - answer ✔✔-What is an appropriate drug for the treatment of migraine
headaches in an 18-year-old?
If exercise is incorporated into regular activity vitamin d and calcium are not needed (vitamin d and
calcium supplements are still needed) - answer ✔✔-Is the key to prevention of osteoporosis, which is
false?
Gabapentin - answer ✔✔-Which of the following meds is most appropriate for pt. with neuropathic
pain?
Glucocorticoids - answer ✔✔-Prophylactic use of bisphosphonates is recommended with patients with
early osteopenia due to long term use of which drugs?
Monitor patients plasma drug levels at regular intervals. - answer ✔✔-When prescribing drugs with a
narrow therapeutic range:
inactive ingredients used in the composition may cause different rates of dissolution which can alter the
onset of action of the drug. - answer ✔✔-A patient report that brand x tablets work faster than brand y
tablets:
assess whether the patient is taking a medication that binds to serum albumin. (Gentamicin binds
weakly to plasma proteins, so another drug could cause it to not be able to bind.) - answer ✔✔-IV
gentamicin, has a toxic drug level, which possible cause of this situation will the provider explore?
Daily - answer ✔✔-When writing out a prescription do you write daily or Qday?
First - answer ✔✔-A provider speaking to a class or group of patients, which trimester has most
teratogenic effects?
Tetracyclines - answer ✔✔-A five-year-old has gray teeth, provider asks about which meds?
Low serum albumin - answer ✔✔-A provider is reviewing elderly patient's chart, which is of greatest
concern in renewing prescription for highly bound protein drugs?
Prescribe morphine and discuss rationale with pt's son - answer ✔✔-An older patient is entering the
immediate postoperative period after total hip replacement, son asks for Demerol, what action will the
provider take to address pain?
Tachycardia - answer ✔✔-A pt is wheezing and SOB HR 88, BP 124/78, non-selective beta agonist,
beside eval for pt's resp distress which side effect watch out for?
Asthma - answer ✔✔-A provider review's pt's chart before prescribing bethanechol which pre-existing
condition is of caution?
Blurred vision, dry mouth, constipation - answer ✔✔-A young patient with low back injury has muscle
spasms, cyclobenzaprine, which teaching?
Write an order for serum drug levels - answer ✔✔-A pt taking anti-epileptic drug reports no change in
seizure activity?
