NSC 881 QUIZ 1 WITH 100% CORRECT
ANSWERS
A client presents with depression after a recent CVA in the parietal lobe. Which
symptoms would the PMHNP consider typical?
a. mood changes, atypical social and personality traits
b. hallucinations, blindness, and trouble concentrating
c. persistent talking, aggression, and short term memory loss
d. difficulty in discriminating sensory information and disorientation - Answer- d. difficulty
in discriminating sensory information and disorientation
Which statement about neurotransmitters is not true?
a. the synaptic cleft creates a physical barrier for an electrical signal
b. axons carry signals toward the cell body to the dendritic spines
c. each neuron has a cell structures that secretes chemicals for concentration
d. electrical impulses are converted into chemical messages in the synaptic cleft -
Answer- b. axons carry signals toward the cell body to the dendritic spines
A client has been transferred to the PMHNP from another provider. The client has been
taking a therapeutic dose of valproate (Depakote) for several years was recently started
on a daily dose of lamotrigine (Lamictal). The PMHNP understands that the patient will
be at risk for which of the following?
a. valproate toxicity
b. low valproate levels
c. hypertensive crisis
d. serotonin syndrome - Answer- a. valproate toxicity
The PMHNP is choosing a medication to treat OCD. Which antidepressants are FDA
indicated for treating OCD? (select all that apply)
a. Sertraline (Zoloft)
b. Citalopram (Celexa)
c. Phenelzine (Nardil)
d. Clomipramine (Anafranil)
e. Paroxetine (Paxil) - Answer- a. Sertraline (Zoloft)
d. Clomipramine (Anafranil)
e. Paroxetine (Paxil)
, The PMHNP understands that fluoxetine (Prozac) can do which of the following when
taken with alprazolam (Xanax)? - Answer- Fluoxetine (Prozac) is an inhibitor to other
drugs that are metabolized by 3A4 and can increase levels of alprazolam (Xanax)
A client is seen for medication management follow up and reports disorganized thinking,
tics, and muscle stiffness. Which neurotransmitter is suspected of these symptoms?
a. norepinephrine
b. dopamine
c. serotonin
d. monoamine oxidase - Answer- a. dopamine
Which statement made by the client regarding valproate (Depakote) would indicate
effective medication teaching by the PMHNP?
a. "Great, I don't need any lab work with the medication"
b. "If I stop birth control, I understand you'll have to change my medication"
c. "I am glad I only need to take this medication when I am stressed"
d. "I needed this medication to stop my hair from thinning" - Answer- b. "If I stop birth
control, I understand you'll have to change my medication"
The client presents to the outpatient clinic after having blood work with a lithium level of
1.8mEq/L. Which of the following would the PMHNP suspect is a contributing factor?
a. increased sodium intake
b. over the counter NSAID use
c. increased fluid intake
d. missing routine doses - Answer- b. over the counter NSAID use
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
ANSWERS
A client presents with depression after a recent CVA in the parietal lobe. Which
symptoms would the PMHNP consider typical?
a. mood changes, atypical social and personality traits
b. hallucinations, blindness, and trouble concentrating
c. persistent talking, aggression, and short term memory loss
d. difficulty in discriminating sensory information and disorientation - Answer- d. difficulty
in discriminating sensory information and disorientation
Which statement about neurotransmitters is not true?
a. the synaptic cleft creates a physical barrier for an electrical signal
b. axons carry signals toward the cell body to the dendritic spines
c. each neuron has a cell structures that secretes chemicals for concentration
d. electrical impulses are converted into chemical messages in the synaptic cleft -
Answer- b. axons carry signals toward the cell body to the dendritic spines
A client has been transferred to the PMHNP from another provider. The client has been
taking a therapeutic dose of valproate (Depakote) for several years was recently started
on a daily dose of lamotrigine (Lamictal). The PMHNP understands that the patient will
be at risk for which of the following?
a. valproate toxicity
b. low valproate levels
c. hypertensive crisis
d. serotonin syndrome - Answer- a. valproate toxicity
The PMHNP is choosing a medication to treat OCD. Which antidepressants are FDA
indicated for treating OCD? (select all that apply)
a. Sertraline (Zoloft)
b. Citalopram (Celexa)
c. Phenelzine (Nardil)
d. Clomipramine (Anafranil)
e. Paroxetine (Paxil) - Answer- a. Sertraline (Zoloft)
d. Clomipramine (Anafranil)
e. Paroxetine (Paxil)
, The PMHNP understands that fluoxetine (Prozac) can do which of the following when
taken with alprazolam (Xanax)? - Answer- Fluoxetine (Prozac) is an inhibitor to other
drugs that are metabolized by 3A4 and can increase levels of alprazolam (Xanax)
A client is seen for medication management follow up and reports disorganized thinking,
tics, and muscle stiffness. Which neurotransmitter is suspected of these symptoms?
a. norepinephrine
b. dopamine
c. serotonin
d. monoamine oxidase - Answer- a. dopamine
Which statement made by the client regarding valproate (Depakote) would indicate
effective medication teaching by the PMHNP?
a. "Great, I don't need any lab work with the medication"
b. "If I stop birth control, I understand you'll have to change my medication"
c. "I am glad I only need to take this medication when I am stressed"
d. "I needed this medication to stop my hair from thinning" - Answer- b. "If I stop birth
control, I understand you'll have to change my medication"
The client presents to the outpatient clinic after having blood work with a lithium level of
1.8mEq/L. Which of the following would the PMHNP suspect is a contributing factor?
a. increased sodium intake
b. over the counter NSAID use
c. increased fluid intake
d. missing routine doses - Answer- b. over the counter NSAID use
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
