NUR 635 Advanced Pharmacology
Final Exam | Actual Exam with Verified
Q&A | Latest 2026/2027 Latest Update -
Grand Canyon University (GCU)
Q.1 What is the first line treatment for a previously healthy person with
community acquired pneumonia? Correct Answer: Azithromycin (NOT
amoxicillin)
Q.2 What are we worried about if you see an SSRI and St. Johns Wart
together on a med list? Correct Answer: Serotonin Syndrome
Q.3 What is Phenytoin used for? Correct Answer: Seizures and epilepsy
Q.4 When will you see a hypersensitivity with phenytoin? Correct Answer:
people can develop a hypersensitivity 3-8 weeks after starting treatment, so
you will want to have them back in one month to make sure they are not
developing a sensitivity. reactions will present rash, fever, tender
generalized lymphadenopathy, leukocytosis with atypical lymphocytes, and
eosinophilia.
Q.5 What medication can auto induce metabolization? Correct Answer:
Carbamazepine (this medication is used to treat epilepsy and nerve pain in
trigeminal neuralgia, acute manic and mixed episodes of bipolar disorder)
Q.6 Black box warning for carbamazepine? Correct Answer: Stevens
Johnsons Syndrome
,Q.7 How often should we monitor someone who is taking carbamazepine?
Correct Answer: CBC every 3-4 months they could end up with
agranulocytosis (low number of granulocytes (WBC) making them
susceptible to infection. blood dyscrasia (disease or imbalance of the blood).
Q.8 What is gabapentin used to treat? Correct Answer: Neuropathic pain
Q.9 If someone is taking gabapentin and having strange thoughts, what do
you want to ask them? Correct Answer: if they are having suicidal
ideation
Q.10 What is lamotrigine used for? Correct Answer: epilepsy or bipolar
disorder
Q.11 what reactions are we worried about with someone that is taking
lamotrigine/lamictal? Correct Answer: "hypersensitivity reaction that
would lead to MOD"
Q.12 what does lamotrigine/lamictal do to oral contraceptives? Correct
Answer: oral contraceptives reduce the levels of lamotrigine, so
lamotrigine needs to be increased.
Q.13 What co morbidities do we need to consider before administering
tricyclic antidepressants? Correct Answer: cardiac disease they reduce HR
and prolong QT.
Q.14 How long will it take to see improvement or results with after starting
an SSRI? Correct Answer: 2-6 weeks
Q.15 what side effect does haloperidol cause in patients? Correct Answer:
extrapyramidal symptoms (EPS)
, Q.16 Digoxin is a dysrhythmic, so if someone has A-fib and is taking that
concomitantly also taking a beta agonist like albuterol? what is happening?
Correct Answer: The medications are working against one another. beta
agonist increase the HR and digoxin decreases the HR.
Q.17 What happens if we give people with pheochromocytoma a beta 2
agonist? Correct Answer: Puts them at risk for a HTN crisis.
pheochromocytoma is a rare, usually noncancerous benign tumor that
develops in an adrenal gland.
Q.18 Which medication has a black box warning against using it as a
singular agent in persistent asthma? Correct Answer: Salmeterol (beta 2
adrenergic agonist) should be used cautiously or if not at all, there is an
increased risk of asthma related deaths with long acting bronchodilators.
Q.19 What is Spiriva/tiotropium bromide a long acting antimuscarinic
antagonist (LAMA) used in the treatment for? Correct Answer: COPD
Q.20 if you prescribe beclomethasone, how do you teach the patient to use
it? Correct Answer: this medication is used everyday, not PRN.
beclomethasone is a corticosteroid and suppresses the actions of
inflammatory cells for the treatment of asthma.
Q.21 when taking singulair (montelukast), what mental things are we
watching out for? Correct Answer: anxiety/depression, suicidal ideation,
and aggression. singulair montelukast is a leukotriene receptor antagonist
Q.22 what will benedryl do to an older man? and woman for that matter.
Correct Answer: cause urinary retention
Final Exam | Actual Exam with Verified
Q&A | Latest 2026/2027 Latest Update -
Grand Canyon University (GCU)
Q.1 What is the first line treatment for a previously healthy person with
community acquired pneumonia? Correct Answer: Azithromycin (NOT
amoxicillin)
Q.2 What are we worried about if you see an SSRI and St. Johns Wart
together on a med list? Correct Answer: Serotonin Syndrome
Q.3 What is Phenytoin used for? Correct Answer: Seizures and epilepsy
Q.4 When will you see a hypersensitivity with phenytoin? Correct Answer:
people can develop a hypersensitivity 3-8 weeks after starting treatment, so
you will want to have them back in one month to make sure they are not
developing a sensitivity. reactions will present rash, fever, tender
generalized lymphadenopathy, leukocytosis with atypical lymphocytes, and
eosinophilia.
Q.5 What medication can auto induce metabolization? Correct Answer:
Carbamazepine (this medication is used to treat epilepsy and nerve pain in
trigeminal neuralgia, acute manic and mixed episodes of bipolar disorder)
Q.6 Black box warning for carbamazepine? Correct Answer: Stevens
Johnsons Syndrome
,Q.7 How often should we monitor someone who is taking carbamazepine?
Correct Answer: CBC every 3-4 months they could end up with
agranulocytosis (low number of granulocytes (WBC) making them
susceptible to infection. blood dyscrasia (disease or imbalance of the blood).
Q.8 What is gabapentin used to treat? Correct Answer: Neuropathic pain
Q.9 If someone is taking gabapentin and having strange thoughts, what do
you want to ask them? Correct Answer: if they are having suicidal
ideation
Q.10 What is lamotrigine used for? Correct Answer: epilepsy or bipolar
disorder
Q.11 what reactions are we worried about with someone that is taking
lamotrigine/lamictal? Correct Answer: "hypersensitivity reaction that
would lead to MOD"
Q.12 what does lamotrigine/lamictal do to oral contraceptives? Correct
Answer: oral contraceptives reduce the levels of lamotrigine, so
lamotrigine needs to be increased.
Q.13 What co morbidities do we need to consider before administering
tricyclic antidepressants? Correct Answer: cardiac disease they reduce HR
and prolong QT.
Q.14 How long will it take to see improvement or results with after starting
an SSRI? Correct Answer: 2-6 weeks
Q.15 what side effect does haloperidol cause in patients? Correct Answer:
extrapyramidal symptoms (EPS)
, Q.16 Digoxin is a dysrhythmic, so if someone has A-fib and is taking that
concomitantly also taking a beta agonist like albuterol? what is happening?
Correct Answer: The medications are working against one another. beta
agonist increase the HR and digoxin decreases the HR.
Q.17 What happens if we give people with pheochromocytoma a beta 2
agonist? Correct Answer: Puts them at risk for a HTN crisis.
pheochromocytoma is a rare, usually noncancerous benign tumor that
develops in an adrenal gland.
Q.18 Which medication has a black box warning against using it as a
singular agent in persistent asthma? Correct Answer: Salmeterol (beta 2
adrenergic agonist) should be used cautiously or if not at all, there is an
increased risk of asthma related deaths with long acting bronchodilators.
Q.19 What is Spiriva/tiotropium bromide a long acting antimuscarinic
antagonist (LAMA) used in the treatment for? Correct Answer: COPD
Q.20 if you prescribe beclomethasone, how do you teach the patient to use
it? Correct Answer: this medication is used everyday, not PRN.
beclomethasone is a corticosteroid and suppresses the actions of
inflammatory cells for the treatment of asthma.
Q.21 when taking singulair (montelukast), what mental things are we
watching out for? Correct Answer: anxiety/depression, suicidal ideation,
and aggression. singulair montelukast is a leukotriene receptor antagonist
Q.22 what will benedryl do to an older man? and woman for that matter.
Correct Answer: cause urinary retention
