[Type here]
NURS 6630C – NURS 6630N FINAL EXAM
Question 1
1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and
aggressive behavior. The PMHNP determines which of the following to be the best
treatment option?
Selected Answer: c.
Citalopram (Celexa) or Escitalopram (Lexapro)
Question 2
0 out of 1 points
All drugs that lead to addiction increase in the ventral striatum,
which is also called the .
Selected Answer: d.
Dopamine / substantia nigra
Question 3
1 out of 1 points
The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the
open channel conformation of VSCCs to block those channels with a “use-dependent” form
of inhibition. Which agent will the PMHNP most likely select?
Selected Answer: b.
1
,[Type here]
NURS 6630C – NURS 6630N FINAL EXAM
Pregabalin (Lyrica)
Question 4
1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP prescribe for this patient?
Selected Answer: c.
Clonidine (CATAPRES)
Question 5
1 out of 1 points
A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter
(OTC) medication before one that needs to be prescribed to help the patient sleep. Which
is the best response by the PMHNP?
Selected Answer: c.
“You can get melatonin over the counter, which will help with
sleep onset.”
Question 6
0 out of 1 points
Antipsychotics are doses at a level that blocks % of D2 receptors.
Selected Answer: c.
20-40
Question 7
1 out of 1 points
2
, [Type here]
NURS 6630C – NURS 6630N FINAL EXAM
A 26-year-old female patient with nicotine dependence and a history of anxiety presents
with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the
assessment, what does the PMHNP consider?
Selected a.
Answer:
ADHD is often not the focus of treatment in adults with
comorbid conditions.
Question 8
0 out of 1 points
Sandra complains of constipation after being on quetiapine (SEROQUEL) for several
weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which
receptor?
Selected Answer: d.
5HT2A
Question 9
1 out of 1 points
Karen completes the Epworth sleepiness scale and scores abnormally high. She is
diagnosed with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak
dopamine transporter antagonist. Which medication did the PMHNP prescribe?
Selected Answer: a.
Modafanil (PROVIGIL)
Question 10
1 out of 1 points
The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and
impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood
stabilizer will the PMHNP select?
Selected Answer: d.
Lithium (Lithane)
3
NURS 6630C – NURS 6630N FINAL EXAM
Question 1
1 out of 1 points
A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and
aggressive behavior. The PMHNP determines which of the following to be the best
treatment option?
Selected Answer: c.
Citalopram (Celexa) or Escitalopram (Lexapro)
Question 2
0 out of 1 points
All drugs that lead to addiction increase in the ventral striatum,
which is also called the .
Selected Answer: d.
Dopamine / substantia nigra
Question 3
1 out of 1 points
The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the
open channel conformation of VSCCs to block those channels with a “use-dependent” form
of inhibition. Which agent will the PMHNP most likely select?
Selected Answer: b.
1
,[Type here]
NURS 6630C – NURS 6630N FINAL EXAM
Pregabalin (Lyrica)
Question 4
1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP prescribe for this patient?
Selected Answer: c.
Clonidine (CATAPRES)
Question 5
1 out of 1 points
A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter
(OTC) medication before one that needs to be prescribed to help the patient sleep. Which
is the best response by the PMHNP?
Selected Answer: c.
“You can get melatonin over the counter, which will help with
sleep onset.”
Question 6
0 out of 1 points
Antipsychotics are doses at a level that blocks % of D2 receptors.
Selected Answer: c.
20-40
Question 7
1 out of 1 points
2
, [Type here]
NURS 6630C – NURS 6630N FINAL EXAM
A 26-year-old female patient with nicotine dependence and a history of anxiety presents
with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the
assessment, what does the PMHNP consider?
Selected a.
Answer:
ADHD is often not the focus of treatment in adults with
comorbid conditions.
Question 8
0 out of 1 points
Sandra complains of constipation after being on quetiapine (SEROQUEL) for several
weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which
receptor?
Selected Answer: d.
5HT2A
Question 9
1 out of 1 points
Karen completes the Epworth sleepiness scale and scores abnormally high. She is
diagnosed with narcolepsy. The PMHNP prescribes a wake-promoting agent that is a weak
dopamine transporter antagonist. Which medication did the PMHNP prescribe?
Selected Answer: a.
Modafanil (PROVIGIL)
Question 10
1 out of 1 points
The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive and
impulsive symptoms by decreasing dopaminergic neurotransmission. Which mood
stabilizer will the PMHNP select?
Selected Answer: d.
Lithium (Lithane)
3
