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NUR 635 FINAL EXAM 3 ADVANCED
PHARMACOLOGY GRAND CANYON
UNIVERSITY 2024 REAL EXAM WITH 170+
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES GRADED A+/ NUR 635 ACTUAL
FINAL EXAM 2 GCU 2024-2025 (BRAND NEW!!)
Prior to administering albuterol for an acute asthma attack while on digoxin, the
NP understands that:
Digoxin dose will need to be increased.Which tx is appropriate for a patient with new onset of cluster headaches?100% oxygen for 15-30 minutes A 4YO comes in with ear pain and on exam, the TM is erythematous, bulging, and
non-mobile. Vital signs are: BP 112/62, P122, RR16, T is 102.5. The NP decides
to proceed with:
Start the patient on amoxicillin or Augmentin.The NP opts NOT to give a beta agonist to which patient?History of pheochromocytoma.The NP educates which patient population regarding salmeterol's Black Box Warning?African Americans A 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. Which additional information does the NP need prior to deciding on a tx plan?Is the infection in the upper or lower urinary tract? Does the pt have any history of predisposing factors? Does the pt have a hx of recent UTIs? Is the pt pregnant? How long have symptoms been going on? 1 / 3
pg. 2 The NP believes the patient needs additional education regarding long-acting beta agonist's Black Box warning when the patient verbalizes?“I take this medication in case of an asthma attack.” A 72-year-old presents to the clinic with the cc of "I can't pee". Which history does the NP suspect may be causing this symptoms?Taking Benadryl for seasonal allergies. Benadryl can cause urinary retention.A patient recently diagnosed with pneumonia, is also found to have osteoporosis, anemia, and vitamin B12 deficiency. The NP suspects which TX is causing the patient's issues?Long Term PPI therapy When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local resistance patterns?Antibiogram After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of nausea, vomiting, and ABD pain. The NP focuses on which part of the SOAP note to rule out a disulfiram reaction?Social history Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia) diagnosis?A 44-year-old female with DM.A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, lethargy, and mouth sores. The NP suspects scurvy and prepares which medication?Ascorbic Acid.
First line drug of choice for CAP in a previously healthy adult would include:
Azithromycin (a macrolide)
- One month after starting phenytoin for seizures, a 28-year-old male presents
with complaints of fever, rash, and swollen lymph nodes. The NP suspects which syndrome? 2 / 3
pg. 3 Phenytoin hypersensitivity reaction A patient with previous compliant levels of carbamazepine levels now presents with subtherapeutic blood levels. The NP suspects?Carbamazepine auto induces metabolism so you go through the drug a lot quicker so it is an expected lab finding.The NP educates the patient regarding the Black Box warning on carbamazepine
by advising the patient to report signs and symptoms indicative of:
Skin Reaction (Steven Johnson Syndrome and TEN (Toxic Epidermal necrolysis))
Carbamazepine monitoring should include all of the following except:
Monthly Glucose A patient taking Lamictal presents with fever, cough, and swollen lymph nodes, what does the NP suspect?Lamictal hypersensitivity reaction.A young women taking Lamictal for seizures presents to the office requesting birth control. She has decided she wants daily oral contraceptives. The NP educates the
patient regarding the fact:
Lamictal doses will need to be increased while taking oral contraceptives.Tricyclic antidepressants should be avoided in?Heart failure patients.
When educating patients regarding antidepressants, the NP should include:
It may take 2-3 weeks for medications to take effect.After ordering IM Haldol for the patient, the NP knows to assess for EPS using which tool?AIMS (abnormal involuntary movement scale) test Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in
African American) due to risk of:
hemolytic anemia
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