NURS 615 PHARM EXAM 2 LATEST 2023 REAL EXAM QUESTIONS AND

NURS 615 PHARM EXAM 2 LATEST 2023 REAL EXAM QUESTIONS AND

CORRECT ANSWERS COMPLETE EXAM |AGRADE(MARYVILLE UNIVERSITY)

Drugs Affecting the Central Nervous System MULTIPLE CHOICE

• Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A

trial of phentermine is prescribed. Prescribing precautions include:

• Understanding that obesity is a contraindication to prescribing phentermine
• Anorexiants may cause tolerance and should only be prescribed for 6 months
• Patients should be monitored for postural hypotension
• Renal function should be monitored closely while on anorexiants

ANS: B PTS: 1

• Before prescribing phentermine to Sarah, a thorough drug history should be taken including

assessing for the use of serotonergic agents such as SSRIs and St John’s Wort due to:

• Additive respiratory depression risk
• Additive effects affecting liver function
• The risk of serotonin syndrome
• The risk of altered cognitive functioning

ANS: C PTS: 1

• Antonia is a 3 year old who has a history of status epilepticus. Along with her routine

antiseizure medication, she should also have a home prescription for to be used for an episode of status epilepticus.

• IV phenobarbital
• Rectal diazepam (Diastat)
• IV phenytoin (Dilantin)
• Oral carbamazepine (Tegretol)

ANS: B

• Rabi is being prescribed phenytoin for seizures. Monitoring includes: 1 / 3

Assessing for phenytoin hypersensitivity syndrome 3 to

• weeks after starting

treatment A

• / 3

B Assessing for pedal edema throughout therapy C Assessing heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm D Assessing for vision changes, such as red- green blindness, at least annually

ANS: A

• Dwayne has recently started on carbamazepine to treat seizures. He

comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the

low carbamazepine levels include:

A .

Dwayne hasn’t been taking his carbamazepine because it causes insomnia

B .

Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance

C .

Dwayne was not originally prescribed the correct amount of carbamazepine

D .

Carbamazepine is probably not the right antiseizure medication for Dwayne

ANS: B

• / 3