NURS 615 PHARM EXAM 2 LATEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS COMPLETE EXAM
GRADED A+
1. What category is
valproate? Category X
2. The tricyclic antidepressants should be prescribed cautiously in
clients with: Heart disease
3. A 64-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The NP managing his primary
health care needs to understand the following regarding phenelzine and
other monoamine oxidase inhibitors (MAOIs):
He should not be prescribed any serotonergic drug such as sumatriptan
(Imitrex), MAOIs interact with many common foods, including yogurt, sour
cream, and soy sauce, and symptoms of hypertensive crisis (headache,
tachycardia, sweating) require immediate treatment
4. What are the precautions and contraindications for tricyclic
antidepressants? Side effects are similar to anticholinergic
activity such as dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, and
mania. Caution in clients with cardiac disease (terminate ventricular
fibrillation, decrease cardiac contractility, increase collateral blood
, circulation to ischemic heart muscles).
5. Marla is started on paroxetine (Paxil), a selective serotonin reuptake
inhibitor (SSRI), for depression. Education regarding her antidepressant
, includes:
SSRIs may take 2 to 6 weeks before she will have maximum drug effects.
6. What “onset of action” symptoms should be reviewed with clients
who have been newly prescribed a selective serotonin reuptake
inhibitor?
They can feel a bit of nausea, but this resolves in a week.
7. Which of the following should not be taken with a selective
serotonin reuptake inhibitor?
Alcohol
8. Why is the consistency of taking paroxetine (Paxil) and never running
out of medication more important than with most other selective
serotonin reuptake inhibitors (SSRIs)?
It has a shorter half-life and withdrawal syndrome has a faster onset
without taper
9. Janet presents with depression associated with complaints of fatigue,
sleeping all the time, and lack of motivation. An appropriate initial
antidepressant for her would be: Duloxetine (Cymbalta)
10. A client with anxiety and depression may
respond to: Buspirone (Buspar) and an SSRI
combined
11. When is buspirone (Buspar) and an SSRI combined?
Buspar is helpful in augmenting the SSRI and in treating clients with
QUESTIONS AND CORRECT ANSWERS COMPLETE EXAM
GRADED A+
1. What category is
valproate? Category X
2. The tricyclic antidepressants should be prescribed cautiously in
clients with: Heart disease
3. A 64-year-old male was prescribed phenelzine (Nardil) while in an acute
psychiatric unit for recalcitrant depression. The NP managing his primary
health care needs to understand the following regarding phenelzine and
other monoamine oxidase inhibitors (MAOIs):
He should not be prescribed any serotonergic drug such as sumatriptan
(Imitrex), MAOIs interact with many common foods, including yogurt, sour
cream, and soy sauce, and symptoms of hypertensive crisis (headache,
tachycardia, sweating) require immediate treatment
4. What are the precautions and contraindications for tricyclic
antidepressants? Side effects are similar to anticholinergic
activity such as dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, and
mania. Caution in clients with cardiac disease (terminate ventricular
fibrillation, decrease cardiac contractility, increase collateral blood
, circulation to ischemic heart muscles).
5. Marla is started on paroxetine (Paxil), a selective serotonin reuptake
inhibitor (SSRI), for depression. Education regarding her antidepressant
, includes:
SSRIs may take 2 to 6 weeks before she will have maximum drug effects.
6. What “onset of action” symptoms should be reviewed with clients
who have been newly prescribed a selective serotonin reuptake
inhibitor?
They can feel a bit of nausea, but this resolves in a week.
7. Which of the following should not be taken with a selective
serotonin reuptake inhibitor?
Alcohol
8. Why is the consistency of taking paroxetine (Paxil) and never running
out of medication more important than with most other selective
serotonin reuptake inhibitors (SSRIs)?
It has a shorter half-life and withdrawal syndrome has a faster onset
without taper
9. Janet presents with depression associated with complaints of fatigue,
sleeping all the time, and lack of motivation. An appropriate initial
antidepressant for her would be: Duloxetine (Cymbalta)
10. A client with anxiety and depression may
respond to: Buspirone (Buspar) and an SSRI
combined
11. When is buspirone (Buspar) and an SSRI combined?
Buspar is helpful in augmenting the SSRI and in treating clients with
