NSC 881 QUIZ 1 QUESTIONS WITH COMPLETE
ANSWERS
Which of the following would the PMHNP expect to be present in a client with a history of
closed head injury with frontal lobe damage?
a. problems with processing temperature, taste, and touch
b. trouble with face recognition and understanding language
c. mood changes, atypical social and personality traits
d. hallucinations, blindness, and trouble concentrating - ANSWER c. mood changes,
atypical social and personality traits
A client presents to the ED with disorientation, agitation, and shaking. The client's vital
signs include a HR of 115, BP of 172/101, and RR of 26. The client is currently taking
Cymbalta 120mg daily, Lithium 100mg nightly, and recently started trazodone 100mg
nightly for sleep. Which of the following would the PMHNP suspect?
a. Lithium toxicity
b. medication non-adherence
c. serotonin syndrome
d. hypertensive crisis - ANSWER c. serotonin syndrome
A client is being prescribed clozapine (Clozaril) and tells the PMHNP that they smoke a
pack of cigarettes a day. What does the PMHNP need to remember when prescribing
medications for someone that smokes? - ANSWER smoking is an inducer of CYP450 1A2
When the PMHNP is considering prescribing medication, which of the following would
be important to consider? Select all that apply
a. risk/benefit of taking meds
b. cultural/religious beliefs about medication
c. current use of OTC meds
d. other prescribed meds
, e. compliance with psychotherapy - ANSWER A, B, C, D
When a client starts a medication and immediately feels better after the first dose, the
PMHNP is aware that the reaction is most likely due to which of the following?
a. side effect
b. placebo effect
c. drug action
d. therapeutic effect - ANSWER b. placebo effect
A client is reporting vague suicidal thoughts in an initial assessment. Which
antidepressant would the PMHNP typically avoid prescribing?
a. Duloxetine (Cymbalta)
b. Amitriptyline (Elavil)
c. Paroxetine (Paxil)
d. Sertraline (Zoloft) - ANSWER b. Amitriptyline (Elavil)
(TCAs)
Duloxetine (Cymbalta) has a half-life of 12 hours. How long until the PMHNP would
expect steady state?
a. 7 days
b. 4 days
c. 2 days
d. 14 days - ANSWER c. 2 days
Which medication can increase risk of seizures in patients that are taking
antidepressants?
a. Tramadol (Ultram)
b. Aspirin
c. Cimetidine (Tagamet)
ANSWERS
Which of the following would the PMHNP expect to be present in a client with a history of
closed head injury with frontal lobe damage?
a. problems with processing temperature, taste, and touch
b. trouble with face recognition and understanding language
c. mood changes, atypical social and personality traits
d. hallucinations, blindness, and trouble concentrating - ANSWER c. mood changes,
atypical social and personality traits
A client presents to the ED with disorientation, agitation, and shaking. The client's vital
signs include a HR of 115, BP of 172/101, and RR of 26. The client is currently taking
Cymbalta 120mg daily, Lithium 100mg nightly, and recently started trazodone 100mg
nightly for sleep. Which of the following would the PMHNP suspect?
a. Lithium toxicity
b. medication non-adherence
c. serotonin syndrome
d. hypertensive crisis - ANSWER c. serotonin syndrome
A client is being prescribed clozapine (Clozaril) and tells the PMHNP that they smoke a
pack of cigarettes a day. What does the PMHNP need to remember when prescribing
medications for someone that smokes? - ANSWER smoking is an inducer of CYP450 1A2
When the PMHNP is considering prescribing medication, which of the following would
be important to consider? Select all that apply
a. risk/benefit of taking meds
b. cultural/religious beliefs about medication
c. current use of OTC meds
d. other prescribed meds
, e. compliance with psychotherapy - ANSWER A, B, C, D
When a client starts a medication and immediately feels better after the first dose, the
PMHNP is aware that the reaction is most likely due to which of the following?
a. side effect
b. placebo effect
c. drug action
d. therapeutic effect - ANSWER b. placebo effect
A client is reporting vague suicidal thoughts in an initial assessment. Which
antidepressant would the PMHNP typically avoid prescribing?
a. Duloxetine (Cymbalta)
b. Amitriptyline (Elavil)
c. Paroxetine (Paxil)
d. Sertraline (Zoloft) - ANSWER b. Amitriptyline (Elavil)
(TCAs)
Duloxetine (Cymbalta) has a half-life of 12 hours. How long until the PMHNP would
expect steady state?
a. 7 days
b. 4 days
c. 2 days
d. 14 days - ANSWER c. 2 days
Which medication can increase risk of seizures in patients that are taking
antidepressants?
a. Tramadol (Ultram)
b. Aspirin
c. Cimetidine (Tagamet)
