tNURS-6630C-9/NURS-6630N-9-
ApproachesttotTreatment2020tSpri
ngt
TesttWeekt11tFinaltExam
StatustCompleted
Attempt 73touttoft75tpoints
tScore
• Questiont2
0 outtoft1tpoints
Parentstoftat12-year-
oldtboytwantttotconsidertattentiontdeficitthyperactivitytdisor
dert(ADHD)tmedicationtforttheirtson.tWhichtmedicationtwoul
dtthetPMHNPtstart?
Selected
d.
tAnswer:
Alltoftthesetcouldtpotentiallyttreatttheirtson’stsympt
oms.
• Questiont3
1touttoft1tpoints
Atpatienttwiththypersexualtdisordertistbeingtassessedtfo
rtpossibletpharmacologicttreatment.tWhytdoestthetPMH
NPtprescribetantantiandrogentfortthistpatient?
Selected d.
tAnswer:
Ittwilltblockt
testosterone.
• Questiont4
, 1touttoft1tpoints
tSandratcomplainstoftconstipationtaftertbeingtontquetiapinet(SER
OQUEL)tfortseveraltweeks.tConstipationtistlikelytcaused
bytthetbindingtoftquetiapinet(SEROQUEL)ttotwhichtreceptor?
Selectedta.
Answer:tMt1
• Questiont5
1touttoft1tpoints
ThetPMHNPtunderstandstthattvareniclinet(CHANTIX)tistantef
fectivetwayttotassisttpatientstwithtsmokingtcessation.tWhyt
istthistmedicationteffectivetfortthesetpatients?
Selected a.
tAnswer
:
Vareniclinetistatselectivetnicotinictacetylcholinetrece
ptortpartialtagonist
• Questiont6
1touttoft1tpoints
Ant80-year-
oldtladytpatienttdiagnosedtwithtStagetIItAlzheimer’sthastath
istorytoftirritabletboweltsyndrome.tWhichtcholinergictdrugt
maytbetthetbesttchoicetforttreatmenttgiventthetpatient’stg
astrointestinaltproblems?
Selected
b.tDonepe
tAnswer:
zilt(Arice
pt)
• Questiont7
1touttoft1tpoints
Mollytistat52-year-
oldtfemaletthatthastatdiagnosistoftfibromyalgia.tSh
etcomplainstoftfatiguetandtcognitive
difficulties.tWhichtmedicationtistthetPMHNPtmosttlikelyttotpre
scribe?
Selected
b.tMilnacipr
tAnswer:
ant(SAVELL
A)
, • Questiont8
1touttoft1tpoints
At71-year-
oldtmantpatienttcomesttotantappointmenttwiththist65-year-
oldtwife.tTheytaretboththavingtconcernstrelatedttothertme
morytandtabilityttotrecognizetfaces.tThetPMNHPtistconsideri
ngt prescribingt memantinet (Namenda)t basedt ont thetfollowi
ngtsymptoms:
Selected a.
tAnswer:
Amnesia,tapraxia,t
agnosia
• Questiont9
1touttoft1tpoints
AtPMHNPtsupervisortistdiscussingtwithtatnursingtstudenttho
wtstimulantstandtnoradrenergictagentstassisttwithtADHDtsy
mptoms.tWhattistthetappropriatetresponse?
Selected
c.
tAnswer:
Alltoftthesetar
etcorrect
• Questiont10
1touttoft1tpoints
ThetPMHNPtistattemptingttottreattatpatient’stchron
ic
insomniatandtwishesttotstarttwithtantinitialtprescriptiontth
atthastathalf-lifetoftapproximatelyt1–
2thours.tWhattistthetmosttappropriatetprescriptiontfortthe
tPMHNPttotmake?
Selected
c.tTriazola
tAnswer:
mt(Halcio
n)
• Questiont11
1touttoft1tpoints
Thetnoveltneurotransmittertadenosinetistresponsibletfortthet
sleep-
waketcycletbytincreasingtthroughouttthetdaytandtdiminishing
tduringtnight.tWhichtoftthetfollowtistantantagonisttoftadeno
sine?
ApproachesttotTreatment2020tSpri
ngt
TesttWeekt11tFinaltExam
StatustCompleted
Attempt 73touttoft75tpoints
tScore
• Questiont2
0 outtoft1tpoints
Parentstoftat12-year-
oldtboytwantttotconsidertattentiontdeficitthyperactivitytdisor
dert(ADHD)tmedicationtforttheirtson.tWhichtmedicationtwoul
dtthetPMHNPtstart?
Selected
d.
tAnswer:
Alltoftthesetcouldtpotentiallyttreatttheirtson’stsympt
oms.
• Questiont3
1touttoft1tpoints
Atpatienttwiththypersexualtdisordertistbeingtassessedtfo
rtpossibletpharmacologicttreatment.tWhytdoestthetPMH
NPtprescribetantantiandrogentfortthistpatient?
Selected d.
tAnswer:
Ittwilltblockt
testosterone.
• Questiont4
, 1touttoft1tpoints
tSandratcomplainstoftconstipationtaftertbeingtontquetiapinet(SER
OQUEL)tfortseveraltweeks.tConstipationtistlikelytcaused
bytthetbindingtoftquetiapinet(SEROQUEL)ttotwhichtreceptor?
Selectedta.
Answer:tMt1
• Questiont5
1touttoft1tpoints
ThetPMHNPtunderstandstthattvareniclinet(CHANTIX)tistantef
fectivetwayttotassisttpatientstwithtsmokingtcessation.tWhyt
istthistmedicationteffectivetfortthesetpatients?
Selected a.
tAnswer
:
Vareniclinetistatselectivetnicotinictacetylcholinetrece
ptortpartialtagonist
• Questiont6
1touttoft1tpoints
Ant80-year-
oldtladytpatienttdiagnosedtwithtStagetIItAlzheimer’sthastath
istorytoftirritabletboweltsyndrome.tWhichtcholinergictdrugt
maytbetthetbesttchoicetforttreatmenttgiventthetpatient’stg
astrointestinaltproblems?
Selected
b.tDonepe
tAnswer:
zilt(Arice
pt)
• Questiont7
1touttoft1tpoints
Mollytistat52-year-
oldtfemaletthatthastatdiagnosistoftfibromyalgia.tSh
etcomplainstoftfatiguetandtcognitive
difficulties.tWhichtmedicationtistthetPMHNPtmosttlikelyttotpre
scribe?
Selected
b.tMilnacipr
tAnswer:
ant(SAVELL
A)
, • Questiont8
1touttoft1tpoints
At71-year-
oldtmantpatienttcomesttotantappointmenttwiththist65-year-
oldtwife.tTheytaretboththavingtconcernstrelatedttothertme
morytandtabilityttotrecognizetfaces.tThetPMNHPtistconsideri
ngt prescribingt memantinet (Namenda)t basedt ont thetfollowi
ngtsymptoms:
Selected a.
tAnswer:
Amnesia,tapraxia,t
agnosia
• Questiont9
1touttoft1tpoints
AtPMHNPtsupervisortistdiscussingtwithtatnursingtstudenttho
wtstimulantstandtnoradrenergictagentstassisttwithtADHDtsy
mptoms.tWhattistthetappropriatetresponse?
Selected
c.
tAnswer:
Alltoftthesetar
etcorrect
• Questiont10
1touttoft1tpoints
ThetPMHNPtistattemptingttottreattatpatient’stchron
ic
insomniatandtwishesttotstarttwithtantinitialtprescriptiontth
atthastathalf-lifetoftapproximatelyt1–
2thours.tWhattistthetmosttappropriatetprescriptiontfortthe
tPMHNPttotmake?
Selected
c.tTriazola
tAnswer:
mt(Halcio
n)
• Questiont11
1touttoft1tpoints
Thetnoveltneurotransmittertadenosinetistresponsibletfortthet
sleep-
waketcycletbytincreasingtthroughouttthetdaytandtdiminishing
tduringtnight.tWhichtoftthetfollowtistantantagonisttoftadeno
sine?
