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NR547 WEEK 1 Final Exam Practice
Questions (2026 NEWEST) with Questions
and Verified Answers ALREADY GRADED
A+, Exams of Nursing
Basic Laboratory Interpretation: Vitamin D Level - --ANS---affects functions such as
neurotransmission, neuroprotection, & neuroimmunomodulation
-high prevalence of vitamin D deficiency in clients with psychiatric disorders such as
schizophrenia, depression, seasonal affective disorder, and cognitive impairment
-Symptoms of vitamin D deficiency include depression, irritability, anxiety, psychosis, and poor
brain development
25-hydroxy vitamin D blood test: normal 20-50 ng/mL, less than 12 ng/mL indicates a
deficiency
Basic Laboratory Interpretation: Toxicology Screen - --ANS----rule out substance use as a cause
for symptoms
-used before starting therapy involving controlled substances
-used to monitor medication adherence
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-used in the diagnosis of substance use disorder
Basic Laboratory Interpretation: Urinalysis (UA) - --ANS---Urinary tract infections are
associated with a variety of neuropsychiatric symptoms
-acute mental status changes
• UA may be used to rule out a UTI as the cause.
Treat or Refer:
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L. - --ANS---Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is associated with fatigue. A
referral for treatment of hypothyroidism is required. Client can be reevaluated for fatigue if
symptoms persist after hypothyroid treatment has been initiated, TSH levels are within normal
limits.
Treat or Refer:
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15 g/dL and hematocrit is
42%. - --ANS---Begin treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This client's complaint of
fatigue is not due to anemia. Begin treatment based on a complete evaluation.
Treat or Refer:
NR547 WEEK 1 Final Exam Practice
Questions (2026 NEWEST) with Questions
and Verified Answers ALREADY GRADED
A+, Exams of Nursing
Basic Laboratory Interpretation: Vitamin D Level - --ANS---affects functions such as
neurotransmission, neuroprotection, & neuroimmunomodulation
-high prevalence of vitamin D deficiency in clients with psychiatric disorders such as
schizophrenia, depression, seasonal affective disorder, and cognitive impairment
-Symptoms of vitamin D deficiency include depression, irritability, anxiety, psychosis, and poor
brain development
25-hydroxy vitamin D blood test: normal 20-50 ng/mL, less than 12 ng/mL indicates a
deficiency
Basic Laboratory Interpretation: Toxicology Screen - --ANS----rule out substance use as a cause
for symptoms
-used before starting therapy involving controlled substances
-used to monitor medication adherence
, 2|Page
-used in the diagnosis of substance use disorder
Basic Laboratory Interpretation: Urinalysis (UA) - --ANS---Urinary tract infections are
associated with a variety of neuropsychiatric symptoms
-acute mental status changes
• UA may be used to rule out a UTI as the cause.
Treat or Refer:
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L. - --ANS---Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is associated with fatigue. A
referral for treatment of hypothyroidism is required. Client can be reevaluated for fatigue if
symptoms persist after hypothyroid treatment has been initiated, TSH levels are within normal
limits.
Treat or Refer:
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15 g/dL and hematocrit is
42%. - --ANS---Begin treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This client's complaint of
fatigue is not due to anemia. Begin treatment based on a complete evaluation.
Treat or Refer:
