NR 546 Final Practice Exam Psychopharmacology
NR 546 FINAL PRACTICE EXAM PSYCHOPHARMACOLOGY
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Which medication should the PMHNP prescribe for a patient diagnosed with
major depressive disorder but takes multiple medications for other chronic
conditions?
A. Sertraline
B. Escitalopram
C. Buspirone
D. Clonazepam
B. Escitalopram
The patient reports suffering from insomnia and anxiety. Which SSRI should be
prescribed?
A. Paroxetine
B. Duloxetine
C. Fluoxetine
D. Venlafaxine
A. Paroxetine
Tricyclic antidepressants (TCA) act as antagonists on which of the following
neurotransmitters?
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, NR 546 Final Practice Exam Psychopharmacology
A. Acetylcholine and Dopamine
B. Histamine and Acetylcholine
C. Dopamine and Histamine
D. Serotonin and Norepinephrine
B. Histamine and Acetylcholine
Which foods should the PMHNP educate their patient to avoid while they are
taking Selegiline?
A. Nuts, milk and wheat
B. Aged wine, cheeses, and meats
C. Green leafy vegetables and tomatoes
D. Grapefruit and grapefruit juice
B. Aged wine, cheeses, and meats
Which neurotransmitter is associated with reward and addiction?
A. Norepinephrine
B. GABA
C. Dopamine
D. Histamine
C. Dopamine
Emily, a 22 year old female, reports she is 4 weeks pregnant and wants to get
clean from heroin. Which medication is most appropriate for Emily?
A. Buprenorphine/ Naloxone
B. Naltrexone
C. Buprenorphine
D. Methadone
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, NR 546 Final Practice Exam Psychopharmacology
D. Methadone
Which of the following is the most appropriate response made by the PMHNP to a
breastfeeding patient inquiring about a prescription for buprenorphine?
A. "You can breastfeed 6 hours after you take the buprenorphine".
B. "You can only breastfeed before you take buprenorphine"
C. "2 hours after taking buprenorphine, pump your breastmilk and discard it. You
can resume breastfeeding afterwards".
D. "You will need to transition to bottle feeding while taking buprenorphine".
D. "You will need to transition to bottle feeding while taking buprenorphine".
Keaton presents to the ED and reports daily drinking of 18 beers for nearly 20
years. Keaton reports a history of withdrawal seizures when he stops drinking.
Which medication should the PMHNP order?
A. disulfiram
B. topiramate
C. lorazepam
D. naltrexone
C. lorazepam
A patient reports wanting to abstain from alcohol use. They report a history of
abusing opioids in the past, but they have not used any in the last several months.
They are concerned that they are at risk of abusing opioids again. Which of the
following is the best pharmaceutical option for this patient?
A. diazepam
B. naltrexone
C. chlordiazepoxide
D. acamprosate
3|Page
NR 546 FINAL PRACTICE EXAM PSYCHOPHARMACOLOGY
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Which medication should the PMHNP prescribe for a patient diagnosed with
major depressive disorder but takes multiple medications for other chronic
conditions?
A. Sertraline
B. Escitalopram
C. Buspirone
D. Clonazepam
B. Escitalopram
The patient reports suffering from insomnia and anxiety. Which SSRI should be
prescribed?
A. Paroxetine
B. Duloxetine
C. Fluoxetine
D. Venlafaxine
A. Paroxetine
Tricyclic antidepressants (TCA) act as antagonists on which of the following
neurotransmitters?
1|Page
, NR 546 Final Practice Exam Psychopharmacology
A. Acetylcholine and Dopamine
B. Histamine and Acetylcholine
C. Dopamine and Histamine
D. Serotonin and Norepinephrine
B. Histamine and Acetylcholine
Which foods should the PMHNP educate their patient to avoid while they are
taking Selegiline?
A. Nuts, milk and wheat
B. Aged wine, cheeses, and meats
C. Green leafy vegetables and tomatoes
D. Grapefruit and grapefruit juice
B. Aged wine, cheeses, and meats
Which neurotransmitter is associated with reward and addiction?
A. Norepinephrine
B. GABA
C. Dopamine
D. Histamine
C. Dopamine
Emily, a 22 year old female, reports she is 4 weeks pregnant and wants to get
clean from heroin. Which medication is most appropriate for Emily?
A. Buprenorphine/ Naloxone
B. Naltrexone
C. Buprenorphine
D. Methadone
2|Page
, NR 546 Final Practice Exam Psychopharmacology
D. Methadone
Which of the following is the most appropriate response made by the PMHNP to a
breastfeeding patient inquiring about a prescription for buprenorphine?
A. "You can breastfeed 6 hours after you take the buprenorphine".
B. "You can only breastfeed before you take buprenorphine"
C. "2 hours after taking buprenorphine, pump your breastmilk and discard it. You
can resume breastfeeding afterwards".
D. "You will need to transition to bottle feeding while taking buprenorphine".
D. "You will need to transition to bottle feeding while taking buprenorphine".
Keaton presents to the ED and reports daily drinking of 18 beers for nearly 20
years. Keaton reports a history of withdrawal seizures when he stops drinking.
Which medication should the PMHNP order?
A. disulfiram
B. topiramate
C. lorazepam
D. naltrexone
C. lorazepam
A patient reports wanting to abstain from alcohol use. They report a history of
abusing opioids in the past, but they have not used any in the last several months.
They are concerned that they are at risk of abusing opioids again. Which of the
following is the best pharmaceutical option for this patient?
A. diazepam
B. naltrexone
C. chlordiazepoxide
D. acamprosate
3|Page
