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WEEK 4 MIDTERM EXAM: NR547 / NR-547 LATEST REAL EXAM
QUESTIONS & VERIFIED ANSWERS (2026) – PASS
GUARANTEED
Screening and Psychiatric Rating Scales
Evidence-based screening tools and psychiatric rating scales
-can help the provider identify symptoms and assess their severity and can assist
with the evaluation of response to treatment
A 52-year-old client presents to the emergency department following a car
accident. The emergency department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a stat PMHNP consult. In
speaking with the PMHNP, the client describes persistent feelings of sadness and
hopelessness. She states that she often wonders if her husband would be happier
if she wasn't around anymore since she's never happy and sometimes thinks
about what it would be like to just take a handful of sleeping pills and go to sleep
forever. The client reports a previous suicide attempt when she was 16 but denies
that she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
Alert the client's primary care physician.
Provide a ST
Provide a brief suicide safety assessment.
, 2
Rationale: While the client's responses do not indicate a need for a stat full safety
and mental health evaluation, the client requires a brief suicide safety assessment
to determine whether a full mental health evaluation in necessary. It is also
important to notify the client's physician or the clinician responsible for the
client's care.
Diagnostic Testing when diagnosing mental health disorders
-Diagnostic tests and labs are most used to rule out physical conditions that may
cause psychiatric symptoms and to evaluate the effects of treatment
Basic Laboratory Interpretation
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
Basic Laboratory Interpretation: Complete Blood Count
-measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
-includes a differential of the WBCs
-In mental health, the CBC is used to rule out medical conditions that may present
with symptoms that can be attributed to both medical and psychiatric diagnoses
• Ex: rule out anemia as a cause for depressive symptoms and fatigue
• Ex: rule out infection as a cause of acute mental status changes
, 3
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Basic Laboratory Interpretation: Comprehensive Metabolic Panel (CMP)
common blood test used to determine general health status
-fluid and electrolyte balance, status of the body's metabolism, liver function, and
kidney function
-used to monitor the effects of medications, such as antipsychotics, on liver
function and glucose levels
-rule out medical conditions that could cause symptoms
• Ex: changes in mood or cognition
Sodium (Na+): 136-145 mEq/L
Postassium (K+): 3.5-5.0 mEq/L
Chloride (Cl-): 95-105 mEq/L
Bicarbonate (HCO3-): 22-28 mEq/L
, 4
Calcium, serum (Ca 2+) 8.4-10.2 mg/dl
Glucose, serum Fasting: 70-110 mg/dl; 2-h postprandial: <120mg/dl
Cholesterol, serum: REC<200 mg/dl
Total Protein 6.0-7.8 g/dl
Albumin 3.5-5.5 g/dl
-Kidney Tests
• Creatinine, serum 0.6-1.2mg/dl
• Urea nitrogen, serum (BUN) 7-18mg/dl
-Liver Tests
• Alanine aminotransferase (ALT), serum: 8-20 U/L
• Aspartate aminotransferase (AST), serum: 8-20 U/L
• Bilirubin, serum (adult) Total//Direct: 0.1-1.0 mg/dl // 0.0-0.3 mg/dl
• Phosphatase (alkaline), serum: 20-70 U/L
Basic Laboratory Interpretation: Thyroid Function Tests (TFTs)
used to rule out thyroid disorders as a cause for symptoms
• symptoms related to thyroid disorders include anxiety, restlessness, depression,
mood swings, sleeping difficulties, difficulties with concentration, short-term
memory lapses, and lack of mental alertness
Normal TFT levels
TSH: 0.4-4.5 mIU/L
T3: 100-200 ng/dL
T4: 5-11 ug/dL
Basic Laboratory Interpretation: Vitamin B12 Level
WEEK 4 MIDTERM EXAM: NR547 / NR-547 LATEST REAL EXAM
QUESTIONS & VERIFIED ANSWERS (2026) – PASS
GUARANTEED
Screening and Psychiatric Rating Scales
Evidence-based screening tools and psychiatric rating scales
-can help the provider identify symptoms and assess their severity and can assist
with the evaluation of response to treatment
A 52-year-old client presents to the emergency department following a car
accident. The emergency department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a stat PMHNP consult. In
speaking with the PMHNP, the client describes persistent feelings of sadness and
hopelessness. She states that she often wonders if her husband would be happier
if she wasn't around anymore since she's never happy and sometimes thinks
about what it would be like to just take a handful of sleeping pills and go to sleep
forever. The client reports a previous suicide attempt when she was 16 but denies
that she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
Alert the client's primary care physician.
Provide a ST
Provide a brief suicide safety assessment.
, 2
Rationale: While the client's responses do not indicate a need for a stat full safety
and mental health evaluation, the client requires a brief suicide safety assessment
to determine whether a full mental health evaluation in necessary. It is also
important to notify the client's physician or the clinician responsible for the
client's care.
Diagnostic Testing when diagnosing mental health disorders
-Diagnostic tests and labs are most used to rule out physical conditions that may
cause psychiatric symptoms and to evaluate the effects of treatment
Basic Laboratory Interpretation
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
Basic Laboratory Interpretation: Complete Blood Count
-measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
-includes a differential of the WBCs
-In mental health, the CBC is used to rule out medical conditions that may present
with symptoms that can be attributed to both medical and psychiatric diagnoses
• Ex: rule out anemia as a cause for depressive symptoms and fatigue
• Ex: rule out infection as a cause of acute mental status changes
, 3
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Basic Laboratory Interpretation: Comprehensive Metabolic Panel (CMP)
common blood test used to determine general health status
-fluid and electrolyte balance, status of the body's metabolism, liver function, and
kidney function
-used to monitor the effects of medications, such as antipsychotics, on liver
function and glucose levels
-rule out medical conditions that could cause symptoms
• Ex: changes in mood or cognition
Sodium (Na+): 136-145 mEq/L
Postassium (K+): 3.5-5.0 mEq/L
Chloride (Cl-): 95-105 mEq/L
Bicarbonate (HCO3-): 22-28 mEq/L
, 4
Calcium, serum (Ca 2+) 8.4-10.2 mg/dl
Glucose, serum Fasting: 70-110 mg/dl; 2-h postprandial: <120mg/dl
Cholesterol, serum: REC<200 mg/dl
Total Protein 6.0-7.8 g/dl
Albumin 3.5-5.5 g/dl
-Kidney Tests
• Creatinine, serum 0.6-1.2mg/dl
• Urea nitrogen, serum (BUN) 7-18mg/dl
-Liver Tests
• Alanine aminotransferase (ALT), serum: 8-20 U/L
• Aspartate aminotransferase (AST), serum: 8-20 U/L
• Bilirubin, serum (adult) Total//Direct: 0.1-1.0 mg/dl // 0.0-0.3 mg/dl
• Phosphatase (alkaline), serum: 20-70 U/L
Basic Laboratory Interpretation: Thyroid Function Tests (TFTs)
used to rule out thyroid disorders as a cause for symptoms
• symptoms related to thyroid disorders include anxiety, restlessness, depression,
mood swings, sleeping difficulties, difficulties with concentration, short-term
memory lapses, and lack of mental alertness
Normal TFT levels
TSH: 0.4-4.5 mIU/L
T3: 100-200 ng/dL
T4: 5-11 ug/dL
Basic Laboratory Interpretation: Vitamin B12 Level
