NRNP 6665 Final Exam Latest Study Guide
Questions And Answers [Verified Answers]
Plus Rationales Latest 2026/27 | Qs & Ans
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1. Which diagnosis requires at least one manic episode?
A. Bipolar II disorder
B. Bipolar I disorder
C. Cyclothymia
D. Persistent depressive disorder
Rationale: Bipolar I disorder is defined by the presence of
mania.
2. Which symptom best characterizes mania?
A. Mild sadness only
B. Elevated mood, decreased need for sleep, impulsivity
C. Gradual memory loss only
D. Seasonal worry only
Rationale: Mania includes elevated or irritable mood with
increased energy and impaired judgment.
3. Which disorder includes hypomania and major depression?
A. Bipolar I disorder
B. Bipolar II disorder
, C. Schizophrenia
D. OCD
Rationale: Bipolar II requires hypomanic and major
depressive episodes.
4. Which medication is considered a classic mood stabilizer?
A. Fluoxetine
B. Lithium
C. Hydroxyzine
D. Omeprazole
Rationale: Lithium is widely used for bipolar disorder.
5. Which labs should be monitored with lithium therapy?
A. Vision and hearing only
B. Renal and thyroid function
C. Hair growth only
D. Skin color only
Rationale: Lithium may affect kidneys and thyroid gland.
6. Which symptom may indicate lithium toxicity?
A. Sneezing only
B. Tremor, vomiting, confusion
C. Mild hunger only
D. Dry skin only
,Rationale: Lithium toxicity commonly presents with GI and
neurologic symptoms.
7. Which medication requires slow titration due to rash risk?
A. Sertraline
B. Lamotrigine
C. Lorazepam
D. Buspirone
Rationale: Lamotrigine must be titrated slowly to reduce
serious rash risk.
8. Which lab monitoring is common with valproate?
A. Eye exam only
B. Liver function tests and CBC
C. Hearing only
D. Shoe size only
Rationale: Valproate may affect liver function and platelets.
9. Which diagnosis is most likely with depressed mood and
anhedonia for 1 month?
A. Panic disorder
B. Major depressive disorder
C. Delirium
D. Mania
, Rationale: Depressed mood plus loss of interest for over 2
weeks supports MDD.
10. Which medication class is often first-line for
depression?
A. Antipsychotics only
B. SSRIs
C. Opioids
D. Antacids only
Rationale: SSRIs are common first-line antidepressants.
11. Which side effect may occur early with SSRIs?
A. Broken bone
B. Nausea or headache
C. Cataracts
D. Kidney stones
Rationale: GI upset and headache are common early adverse
effects.
12. Which statement is correct about SSRIs?
A. Work fully in one hour
B. May take several weeks for full benefit
C. Never cause side effects
D. Should be doubled after a missed dose
Questions And Answers [Verified Answers]
Plus Rationales Latest 2026/27 | Qs & Ans
Instant Pdf Download
1. Which diagnosis requires at least one manic episode?
A. Bipolar II disorder
B. Bipolar I disorder
C. Cyclothymia
D. Persistent depressive disorder
Rationale: Bipolar I disorder is defined by the presence of
mania.
2. Which symptom best characterizes mania?
A. Mild sadness only
B. Elevated mood, decreased need for sleep, impulsivity
C. Gradual memory loss only
D. Seasonal worry only
Rationale: Mania includes elevated or irritable mood with
increased energy and impaired judgment.
3. Which disorder includes hypomania and major depression?
A. Bipolar I disorder
B. Bipolar II disorder
, C. Schizophrenia
D. OCD
Rationale: Bipolar II requires hypomanic and major
depressive episodes.
4. Which medication is considered a classic mood stabilizer?
A. Fluoxetine
B. Lithium
C. Hydroxyzine
D. Omeprazole
Rationale: Lithium is widely used for bipolar disorder.
5. Which labs should be monitored with lithium therapy?
A. Vision and hearing only
B. Renal and thyroid function
C. Hair growth only
D. Skin color only
Rationale: Lithium may affect kidneys and thyroid gland.
6. Which symptom may indicate lithium toxicity?
A. Sneezing only
B. Tremor, vomiting, confusion
C. Mild hunger only
D. Dry skin only
,Rationale: Lithium toxicity commonly presents with GI and
neurologic symptoms.
7. Which medication requires slow titration due to rash risk?
A. Sertraline
B. Lamotrigine
C. Lorazepam
D. Buspirone
Rationale: Lamotrigine must be titrated slowly to reduce
serious rash risk.
8. Which lab monitoring is common with valproate?
A. Eye exam only
B. Liver function tests and CBC
C. Hearing only
D. Shoe size only
Rationale: Valproate may affect liver function and platelets.
9. Which diagnosis is most likely with depressed mood and
anhedonia for 1 month?
A. Panic disorder
B. Major depressive disorder
C. Delirium
D. Mania
, Rationale: Depressed mood plus loss of interest for over 2
weeks supports MDD.
10. Which medication class is often first-line for
depression?
A. Antipsychotics only
B. SSRIs
C. Opioids
D. Antacids only
Rationale: SSRIs are common first-line antidepressants.
11. Which side effect may occur early with SSRIs?
A. Broken bone
B. Nausea or headache
C. Cataracts
D. Kidney stones
Rationale: GI upset and headache are common early adverse
effects.
12. Which statement is correct about SSRIs?
A. Work fully in one hour
B. May take several weeks for full benefit
C. Never cause side effects
D. Should be doubled after a missed dose
