PMHNP EXAM vc
Exam Solution
vc
NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus
vc vc vc vc vc vc vc vc
boards) 2026 A+ GRADE ASSURED COMPLETE SOLUTIO vc vc vc vc vc vc
NS AND VERIFIED ANSWERS (9278F)
vc vc vc vc
QUESTION 1 vc
The 1/2 life of lithium is about?
vc vc vc vc vc vc
ANSWER
24 hours
vc
QUESTION 2 vc
Fluoxetine is the SSRI with the ______ WD risk? vc vc vc vc vc vc vc vc
ANSWER
lowest due to long half life
vc vc vc vc vc
QUESTION 3 vc
What antipsychotics are good for pts who miss doses of their meds?
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Antipsychotics with long half-lives: 1. Cariprazine(Vrylar): (2-4 days-
vc vc vc vc vc vc vc
active metabolites up to 3 weeks) 2. Abilify (3 days) 3. Brexipiprazole (4 days) 4. Pimozide (4-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
5 days) 5. Pimavanserin (2 days, active metabolites 8 days)
vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
Disulfiram's alcohol interactions persist for up to how long after the medication is stopp
vc vc vc vc vc vc vc vc vc vc vc vc vc
ed?
ANSWER
LONG Half life--2-3 days persist up to 2 weeks following stopping
vc vc vc vc vc vc vc vc vc vc
,QUESTION 5 vc
What is the only TCA with a long half life?
vc vc vc vc vc vc vc vc vc
ANSWER
Protriptyline (Vivactil) vc
QUESTION 6 vc
Most psychotropics have a medium range 1/2 life of approx?
vc vc vc vc vc vc vc vc vc
ANSWER
24 hours vc
QUESTION 7 vc
what does "steady state" mean in relation to 1/2 life?
vc vc vc vc vc vc vc vc vc
ANSWER
steady state means that you are eliminating the drug at the same overall rate that you are ingesting it
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Lithium reaches its 'steady state' when? vc vc vc vc vc
ANSWER
5 half lives example: Day 1: Start pt on Lithium 600 mg daily Day 2: (24 hours later) the amount left in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
his body is 300 mg (day 2 min) because 24 hours has passed--one 1/2 life--
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
therefore the pt has excreted 1/2 of the initial amount. THEN the pt takes his 2nd dose of 600 mg on D
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
AY 2- vc
resulting in a max dose of 900 (300 mg left in body + 600 mg of 2nd dose). DAY 3: starts off with 450 m
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
g (1/2 of the 900 mg in pt's system) and after taking the day 3 600 mg dose, the pt now has a total of 1
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
050 mg. vc
QUESTION 9 vc
Due to the steady state of Lithium, when do we draw a blood level?
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
5 half lives if you check any earlier, the trough level will underestimate the actual level the pt is on after
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
achieving steady state
vc vc vc
, QUESTION 10 vc
Fluoxetine has a half life of about? vc vc vc vc vc vc
ANSWER
2 weeks 1/2 life take 2.5 months to achieve steady state
vc vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
Most psychotropic medications operate in this fashion:
vc vc vc vc vc vc
ANSWER
"when you double the dose, the serum dose doubles." *minus three SRIs and three anticonvulsants (Fluo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
xetine, fluvoxamine, paxil, gabapentin, valproate and carbamazepine)
vc vc vc vc vc vc
QUESTION 12 vc
_________induces it's own metabolism, hastening excretion and shortening it's half life
vc vc vc vc vc vc vc vc vc vc
ANSWER
A. Carbamazepine (Tegretol) *this effect begins to "rev up" after 2-4 weeks--
vc vc vc vc vc vc vc vc vc vc vc
which is why a carbamazepine level is so important on obtaining 1-2 months after starting Tegretol.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
Carbamazepine (Tegretol) level should be checked how soon after starting to take this m
vc vc vc vc vc vc vc vc vc vc vc vc vc
ed?
ANSWER
1-
2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening it's half life.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 14 vc
_____ has trouble getting a "serum" level because it binds to proteins that render it therap
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
eutically inactive? vc
ANSWER
A. Valproate Acid (Depakote) -
vc vc vc vc
this is particularly true at the lower levels (eg. <50 mcg/mL), so you can expect dose changes to make a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
more dramatic difference when the pt's depakote level is in the higher range
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 15 vc
Exam Solution
vc
NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus
vc vc vc vc vc vc vc vc
boards) 2026 A+ GRADE ASSURED COMPLETE SOLUTIO vc vc vc vc vc vc
NS AND VERIFIED ANSWERS (9278F)
vc vc vc vc
QUESTION 1 vc
The 1/2 life of lithium is about?
vc vc vc vc vc vc
ANSWER
24 hours
vc
QUESTION 2 vc
Fluoxetine is the SSRI with the ______ WD risk? vc vc vc vc vc vc vc vc
ANSWER
lowest due to long half life
vc vc vc vc vc
QUESTION 3 vc
What antipsychotics are good for pts who miss doses of their meds?
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Antipsychotics with long half-lives: 1. Cariprazine(Vrylar): (2-4 days-
vc vc vc vc vc vc vc
active metabolites up to 3 weeks) 2. Abilify (3 days) 3. Brexipiprazole (4 days) 4. Pimozide (4-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
5 days) 5. Pimavanserin (2 days, active metabolites 8 days)
vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
Disulfiram's alcohol interactions persist for up to how long after the medication is stopp
vc vc vc vc vc vc vc vc vc vc vc vc vc
ed?
ANSWER
LONG Half life--2-3 days persist up to 2 weeks following stopping
vc vc vc vc vc vc vc vc vc vc
,QUESTION 5 vc
What is the only TCA with a long half life?
vc vc vc vc vc vc vc vc vc
ANSWER
Protriptyline (Vivactil) vc
QUESTION 6 vc
Most psychotropics have a medium range 1/2 life of approx?
vc vc vc vc vc vc vc vc vc
ANSWER
24 hours vc
QUESTION 7 vc
what does "steady state" mean in relation to 1/2 life?
vc vc vc vc vc vc vc vc vc
ANSWER
steady state means that you are eliminating the drug at the same overall rate that you are ingesting it
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
Lithium reaches its 'steady state' when? vc vc vc vc vc
ANSWER
5 half lives example: Day 1: Start pt on Lithium 600 mg daily Day 2: (24 hours later) the amount left in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
his body is 300 mg (day 2 min) because 24 hours has passed--one 1/2 life--
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
therefore the pt has excreted 1/2 of the initial amount. THEN the pt takes his 2nd dose of 600 mg on D
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
AY 2- vc
resulting in a max dose of 900 (300 mg left in body + 600 mg of 2nd dose). DAY 3: starts off with 450 m
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
g (1/2 of the 900 mg in pt's system) and after taking the day 3 600 mg dose, the pt now has a total of 1
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
050 mg. vc
QUESTION 9 vc
Due to the steady state of Lithium, when do we draw a blood level?
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
5 half lives if you check any earlier, the trough level will underestimate the actual level the pt is on after
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
achieving steady state
vc vc vc
, QUESTION 10 vc
Fluoxetine has a half life of about? vc vc vc vc vc vc
ANSWER
2 weeks 1/2 life take 2.5 months to achieve steady state
vc vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
Most psychotropic medications operate in this fashion:
vc vc vc vc vc vc
ANSWER
"when you double the dose, the serum dose doubles." *minus three SRIs and three anticonvulsants (Fluo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
xetine, fluvoxamine, paxil, gabapentin, valproate and carbamazepine)
vc vc vc vc vc vc
QUESTION 12 vc
_________induces it's own metabolism, hastening excretion and shortening it's half life
vc vc vc vc vc vc vc vc vc vc
ANSWER
A. Carbamazepine (Tegretol) *this effect begins to "rev up" after 2-4 weeks--
vc vc vc vc vc vc vc vc vc vc vc
which is why a carbamazepine level is so important on obtaining 1-2 months after starting Tegretol.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
Carbamazepine (Tegretol) level should be checked how soon after starting to take this m
vc vc vc vc vc vc vc vc vc vc vc vc vc
ed?
ANSWER
1-
2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening it's half life.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 14 vc
_____ has trouble getting a "serum" level because it binds to proteins that render it therap
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
eutically inactive? vc
ANSWER
A. Valproate Acid (Depakote) -
vc vc vc vc
this is particularly true at the lower levels (eg. <50 mcg/mL), so you can expect dose changes to make a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
more dramatic difference when the pt's depakote level is in the higher range
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 15 vc
