CORRECT = 100
100
INCORRECT=0
STUDY MATERIALS.......DESIGNED TO HELP YOU SUCCEED
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, SPOTLIGHT 1
ANSWERS|LATEST UPDATE!!!!!!2026|GUARANTEED
The health care provider is considering topiramate therapy for a patient reporting chronic
daily headaches that have failed to be successfully managed on valproic acid and divalproex.
What assessment data require caution when prescribing the drug to this patient?
a. The patient has been diagnosed with fatty liver disease.
b. The patient has a history of eczema.
c. The patient has a history of congestive heart failure.
d. The patient is being treated for atrial fibrillation. - ANSWER a. The patient has been
diagnosed with fatty liver disease.
When prescribing for a new patient with anxiety and depression, the most important
consideration is:
a. Advanced Practice Nurses should always refer patients with these disorders to a mental
health provider.
b. Always take depressive drugs at bedtime.
c. Always assess your patient for history of hypomania and mania.
d. SSRI's are not a drug of choice for mixed anxiety and depression disorders. -
ANSWER c. Always assess your patient for history of hypomania and mania.
Prior to starting antidepressants, patients should have laboratory testing to rule out:
a. Diabetes Mellitus.
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,b. Anemia.
c. Low estrogen levels.
d. Hypothyroidism. - ANSWER d. Hypothyroidism.
An advanced practice nurse is considering second-line therapy for a patient who is
diagnosed with generalized anxiety disorder (GAD). What is the recommended treatment
option?
a. Cognitive-behavioral therapy (CBT).
b. Selective serotonin reuptake inhibitors (SSRIs).
c. Serotonin norepinephrine reuptake inhibitors (SNRIs).
d. Azapirones (Buspirone). - ANSWER d. Azapirones (Buspirone).
Which prescription is most appropriate for a 10-year-old child being treated for depression?
a. Fluoxetine.
b. Venlafaxine.
c. Paroxetine.
d. Escitalopram. - ANSWER a. Fluoxetine.
A patient with severe depression has been hospitalized and the advance practice nurse has
ordered amitriptyline. What common adverse effect will the advanced practice nurse
monitor and assess the patient for? (Select all that apply).
a. Stroke.
b. Fever.
c. Myocardial infarction.
d. Gynecomastia.
e. Dry mouth. - ANSWER a. Stroke.
c. Myocardial infarction.
e. Dry mouth.
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, A practitioner is explaining to a patient has his antidepressant acts to alleviate his symptoms
of depression. Antidepressants act by:
a. Turning off associated receptors.
b. Increasing MAO enzymes.
c. Decreasing norepinephrine in the system.
d. Inhibiting the reuptake of the neurotransmitter. - ANSWER d. Inhibiting the reuptake
of the neurotransmitter.
Why is it important to rule out bipolar disorder in a patient prescribed duloxetine?
a. Treating both conditions with drug therapy at the same time is likely to result in life-
threatening drug interactions.
b. Depression is more severe in bipolar disorder, ever when treating with antidepressants.
c. Bipolar disorder is usually mild in patients with depression, and it is not important to rule
it out.
d. Antidepressant therapy without a mood stabilizer can lead to a manic switch and worsen
bipolar symptoms. - ANSWER d. Antidepressant therapy without a mood stabilizer can
lead to a manic switch and worsen bipolar symptoms.
A patient has been diagnosed with restless leg syndrome (RLS) and is being considered for
medication therapy. What medication should the healthcare provider consider as a first-line
therapy for this patient?
a. Fluoxetine.
b. Pramipexole.
c. Ferrous iron.
d. Carbidopa-levodopa. - ANSWER b. Pramipexole.
Which is the recommended order of treatment in antidepressant therapy?
a. Atypical antidepressant or TCA, SSRI, atypical antidepressant, or TCA.
b. SSRI, atypical antidepressant then TCA.
c. TCA, SSRI, atypical antidepressant, or TCA.
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