Nr 546 Midterm Practice Exam Psychopharmacology Exam Prep
NR 546 MIDTERM PRACTICE EXAM PSYCHOPHARMACOLOGY EXAM
PREP CHAMBERLAIN COLLEGE OF NURSING NEWEST 2026/2027
ACTUAL EXAM COMPLETE 60 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A 76-year-old patient who is determined to be a poor 2D6 metabolizer is being
prescribed vortioxetine for his depression. What does the PMHNP need to
remember when prescribing this drug?
A. The dosage of the drug will need to be increased
B. The dosage needs to begin at half then increase over a 2-week period
C. The dosage should not exceed ½ of the usual recommended dose
D. An adjunct medication will need to be prescribed until the dosage can be
reduced
C. The dosage should not exceed ½ of the usual recommended dose
Which of the following mechanisms would you associate with an antagonist drug
action?
A. A drug that binds postsynaptic receptors and mimics the effect of the
neurotransmitter.
B. A drug that binds and blocks normal auto receptor function.
C. A drug that increases the enzymatic synthesis of neurotransmitters.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
1|Page
, Nr 546 Midterm Practice Exam Psychopharmacology Exam Prep
A court order inpatient hospitalization was ordered for a patient who is
considered a danger to themselves and other. Which ethical issue is being
addressed?
A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods
C. Compliance
What is the expected outcome for a patient who is considered a "intermediate
metabolizer"?
A. No need for medication dosage readjustments
B. Increased risk for drug to drug reactions
C. Provider increasing drug dosages
D. Subtherapuetic drug levels
B. Increased risk for drug to drug reactions
Which of the following is true regarding epigenetic changes?
A. Epigenetic changes are reversible.
B. Epigenetic changes, changes the DNA and how the body reacts to the DNA
sequence.
C. Epigenetic changes are not linked to mental health conditions.
D. When combined with genetic risks, epigenetic changes decreased the risk for a
psychiatric disease.
A. Epigenetic changes are reversible.
2|Page
, Nr 546 Midterm Practice Exam Psychopharmacology Exam Prep
Which of the following brain structures is involved in voluntary motor
movements?
A. Basal ganglia
B. Prefrontal cortex
C. Amygdala
D. Limbic system
A. Basal ganglia
Obtaining consent from from a the guardian of a patient who has limited cognitive
capabilities or are incompetent to make decisions represents which ethical
principle?
A. Informed consent
B. Compliance
C. Off label prescribing
D. Confidentiality
B. Compliance
Lack of medication access and the increasing costs of medication is which type of
factor contributing to medication non adherence?
A. Provider
B. Environmental
C. Structural
D. Client
C. Structural
3|Page
NR 546 MIDTERM PRACTICE EXAM PSYCHOPHARMACOLOGY EXAM
PREP CHAMBERLAIN COLLEGE OF NURSING NEWEST 2026/2027
ACTUAL EXAM COMPLETE 60 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A 76-year-old patient who is determined to be a poor 2D6 metabolizer is being
prescribed vortioxetine for his depression. What does the PMHNP need to
remember when prescribing this drug?
A. The dosage of the drug will need to be increased
B. The dosage needs to begin at half then increase over a 2-week period
C. The dosage should not exceed ½ of the usual recommended dose
D. An adjunct medication will need to be prescribed until the dosage can be
reduced
C. The dosage should not exceed ½ of the usual recommended dose
Which of the following mechanisms would you associate with an antagonist drug
action?
A. A drug that binds postsynaptic receptors and mimics the effect of the
neurotransmitter.
B. A drug that binds and blocks normal auto receptor function.
C. A drug that increases the enzymatic synthesis of neurotransmitters.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
1|Page
, Nr 546 Midterm Practice Exam Psychopharmacology Exam Prep
A court order inpatient hospitalization was ordered for a patient who is
considered a danger to themselves and other. Which ethical issue is being
addressed?
A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods
C. Compliance
What is the expected outcome for a patient who is considered a "intermediate
metabolizer"?
A. No need for medication dosage readjustments
B. Increased risk for drug to drug reactions
C. Provider increasing drug dosages
D. Subtherapuetic drug levels
B. Increased risk for drug to drug reactions
Which of the following is true regarding epigenetic changes?
A. Epigenetic changes are reversible.
B. Epigenetic changes, changes the DNA and how the body reacts to the DNA
sequence.
C. Epigenetic changes are not linked to mental health conditions.
D. When combined with genetic risks, epigenetic changes decreased the risk for a
psychiatric disease.
A. Epigenetic changes are reversible.
2|Page
, Nr 546 Midterm Practice Exam Psychopharmacology Exam Prep
Which of the following brain structures is involved in voluntary motor
movements?
A. Basal ganglia
B. Prefrontal cortex
C. Amygdala
D. Limbic system
A. Basal ganglia
Obtaining consent from from a the guardian of a patient who has limited cognitive
capabilities or are incompetent to make decisions represents which ethical
principle?
A. Informed consent
B. Compliance
C. Off label prescribing
D. Confidentiality
B. Compliance
Lack of medication access and the increasing costs of medication is which type of
factor contributing to medication non adherence?
A. Provider
B. Environmental
C. Structural
D. Client
C. Structural
3|Page
