Download NUR 635 Actual Final Exam 2025/2026 Summer-Fall GCU Complete Question And Answer Graded A and more Exams Nursing in PDF only on Docsity!
Advanced Pharmacology
NUR 635 Actual Final Exam 2025/202 6 Summer- Fall
GCU Complete Question And Answer (Graded A)
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
Advanced Pharmacology Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia) diagnosis? A 44-year-old female with DM. Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African American) due to risk of: hemolytic anemia A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication? Combination antibiotic and topical. A teenager comes to the clinic with complaint of headache. The NP suspects minocycline may be causing the symptoms due to its risk of: Pseudotumor cerbri (increased intracranial pressure) If you have a pt with elevated uric acid level and they are on warfarin and need to get started on allopurinol what do you do? You’ll need to reduce warfarin dosage.
Advanced Pharmacology Do we give magnesium hydroxide in renal failure? NO. They can’t metabolize it. A post op patient taking opioids after an ORIF, what medication would we use to prevent constipation? Colace Chronic alcohol with cirrhosis, what drug will they get and what will you monitor? Lactulose (ammonia levels will be high) Check potassium and chloride. Which of the cholesterol therapies cause flushing? Niacin
Advanced Pharmacology An immigrant is malnourished, multiple bruises, thin, missing teeth, gingivitis and bleeding gums, what vitamin deficiency do you suspect? Vitamin C A pt has severe alcohol use disorder with ataxia and double vision, confusion and they have with nystagmus which vitamin deficiency do you worry about? Thiamine Why is St. Johns Wort bad? Because it can accelerate the metabolism of some drugs. A COPD pt who has bronchitis and has a fever, what do you do? Give and ABX and get a sputum culture. A child with an ear infection and you've treated with amoxicillin but it hasn't gotten any better, what do you treat with next?
Advanced Pharmacology A 6YO is seen next, with the same symptoms as your previous 4 YO pt but with no fever, the NP recommends which tx for this patient? Start the pt on lidocaine drops to help with ear pain. A pt with new diagnosed open-angle glaucoma was recently prescribed timolol. The NP expresses concern about this medication based on which hx reported by the patient? Asthma. First line tx for mild acne include Any of the above (Benzoyl peroxide, topical retinoid, topical combination therapy) 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?
Advanced Pharmacology 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. She has a lower UTI, no predisposing factors and a history of UTA approximately 6 mo. ago. The NP chooses which tx plan for the patient? Short-course therapy or single dose therapy. What short course therapy would you prescribe for a 34YO female who isn't pregnant with a UTI? Trimethoprim/sulfamethoxazole (Bactrim) for 3 days Which aminoglycoside would the NP prescribe for a patient diagnosed with conjunctivitis? Neomycin Reviewing a patient's culture and sensitivity results, the NP determines the patient has a protozoal infection when an obligate, anaerobic bacteria is found. Which medication would the NP prescribe? Metronidazole
Advanced Pharmacology Several days after starting an extended-spectrum PCN, the NP finds the pt to have elevated kidney function lab work. NP’s next step would be to decrease the medication dosage. After watchful waiting, the parent gives the child a course of amoxicillin of OM. A 10 day follow up shows that the infection has not resolved. The NP decides to change the medication to Augmentin. A 65YO male with hx of COPD is now diagnosed with bronchitis. The NP begins tx with? Broad spectrum abx During a drug reconciliation, the NP learns that the patient is also taking OTC St John’s wart. The NP educates the patient to: Inform the other providers about their use of the medication.
Advanced Pharmacology A 25-year-old overweight male presents to the office asking for help with weight loss. He reports over-eating because he "never feels full". The NP decides to prescribe which medication? Topiramate. Produces feelings of satiety (makes things taste bad) Niacin is no longer recommended to help patients lower cholesterol due to: A high side effect profile. Which medication can the NP add with ondansetron to assist a pt experiencing chemo-induced nausea? Dexamethasone Which pt would the NP question the lactulose order for? A patient with an ammonia level of 45.
Advanced Pharmacology What is the thing that causes cross sensitivity of cephalosporins and penicillin's? beta lactam ring Someone on long-term antifungal therapy, like an - azole, you will need to draw what labs? LFTs (hard on the liver) Patient being treated with Clindamycin and having frequent diarrhea, what would you assess her for? CDIFF (pseudomembranous colitis) What should you stay away from if you have G6P dehydrogenase deficiency? Cannot have fava beans, can trigger anemia. Are tetracyclines used in pregnant and renal dysfunction or hepatic patients? NO! We can use them in adolescents who has all their teeth has come in.
Advanced Pharmacology 16 - year-old female taking minocycline for acne and she has developed a headache and you evaluate for a pseudo tumor cerebri, what would you see on eye exam? Papilledema Pt with chlamydia infection and given doxycycline, what would you tell her to do? Use a backup birth control until next menses. Isoniazid for TB, it can cause decrease in vitamin B6, what do we do? prescribe them supplemental B6 (pyridoxine) Valacyclovir for shingles, what do you need to worry about? Their renal function and tell them to drink fluids. Patient has conjunctivitis and acute otitis media, what would you treat with?
Advanced Pharmacology What should you use for moderate-mild anxiety? Buspar for 1st line Someone has depression, and you want to look at what else? Thyroid. (low thyroid can cause depression symptoms) Pts with COPD, when they come to see an NP, what do you do ask about their inhaler? How many times are they using their rescuer inhaler (albuterol- beta 2 agonist) If you have someone with COPD exacerbation, what will you prescribe for them? Steroids (Burst therapy) Estrogen can affect the lower esophageal sphincter, so when you have a patient on hormonal therapy what do you need to be careful of?
Advanced Pharmacology The sphincter can be more relaxed and can cause food to come up the esophagus. How does metoclopramide (Reglan) work? It increases lower esophageal tone; gastric motility. If you're going to use the step-down approach in the treatment of GERD, what drug would you start out with? A PPI. If a pt has H Pylori, what medications are you looking at using to treat with? Amoxicillin, Clarithromycin and a PPI. Treat for 10-14 days.If treatment fails- quadruple therapy (second-line treatment)After treating H-Pylori, continue PPI for 8-12 weeks to promote healing What is the tx for migraines?
Advanced Pharmacology A pt has swimmers ear with an intact tympanic membrane, how would we treat it? Ciprodex (Cipro with hydrocortisone drops) What do we give for a genital herpes outbreak? Valacyclovir Which one is NOT true when evaluating someone with osteoporosis? Calcium and vitamin D is not necessary. Onychomycosis (fungal nail infection) in an elderly person, how do you decide whether or not to treat it? The risk of renal/hepatic injury because you are on treatment for so long. You have a post-menopausal patient with atrophic vaginitis and she is 59 now with a hx of breast cancer from 19 years ago, what would be the most appropriate treatment for her?
Advanced Pharmacology A localized estrogen cream. A pt with shingles and the pt is miserable, what do you treat with? Acyclovir plus NSAIDs and then if they are still having pain after lesions are gone then they have a lidocaine patch. What do you prescribe for neuropathic pain? Gabapentin CAP in an adult with comorbid conditions and Levaquin is not an option, what do you treat them with? Azithromycin plus ceftriaxone What do you treat a community acquired soft tissue MRSA infection with? Bactrim
