NURS 6630 FINAL EXAM 5 LATEST VERSIONS (VERSION
V1,V2,V3,V4,&V5) ACTUAL EXAM EACH EXAM CONTAINS 75
QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|ALREADY
GRADED A+||WALDEN UNIVERSITY
What is the strongest established risk factor for bipolar disorder? - ANSWER: Family
history
which of the following medications are known as selective serotonin re-uptake
inibitors (SSRIs)? - ANSWER: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use
violence, and victimization as well as worse overall quality of life? - ANSWER:
Schizophrenia
Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based on
his comorbid conditions, what antidepressant would you recommend as first-line? -
ANSWER: not TCA due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - ANSWER: SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of
bipolar disorder and why - ANSWER: antidepressants might contribute to an increase
in mood episode freq1uency
An 8-year-old patient presents with severe hyperactivity, described as "ants in his
pants." Based on self-report from the patient, his parents, and his teacher; attention
deficit hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP
most likely to prescribe? - ANSWER: ANS: b.
Methylphenidate (Ritalin, Concerta)
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the
parents regarding his treatment options? - ANSWER: ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming
dependent after a single use? - ANSWER: ANS: c.
Nicotine
,The nursing staff asks the PMHNP for additional education regarding the treatment
of agitation in dementia patients. Which of the following is correct? - ANSWER: ANS:
c.
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP
is consulted to treat underlying depression. Under which circumstance should the
PMHNP order naloxone (NARCAN)? - ANSWER: ANS: c.
The patient is somnolent and has 7 respirations per minute.
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? - ANSWER: ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment
but states, "I don't want to feel sedated or drowsy from the medicine." Which
decision made by the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options? - ANSWER: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - ANSWER: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka
daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the
PMHNP to: - ANSWER: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a
BMI of 33, Mr. Peterson is obese and needs to modify his food intake. "Sometimes I
think I'm addicted to food the way some people are addicted to drugs," he says.
Which statement best describes the neurobiological parallels between food and drug
addiction? - ANSWER: ANS: d.
There is decreased activation of the prefrontal cortex.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands
that this medication is effective in treating which condition(s) in this patient?` -
ANSWER: ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with some
abnormal lab work. Hematology/oncology was consulted and diagnoses the patient
,with aplastic anemia and agranulocytosis. Which medication was likely the culprit? -
ANSWER: ANS: d.
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. - ANSWER: ANS: a.
50-70
The PMHNP is teaching a patient with a sleep disorder about taking
diphenhydramine (Benadryl). The patient is concerned about the side effects of the
drug. What can the PMHNP teach the patient about this treatment approach? -
ANSWER: ANS: b
"It can cause blurred vision
A 9-year-old female patient presents with symptoms of both attention deficit
hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her
symptoms, the PMHNP determines that which of the following medications may be
beneficial in augmenting stimulant medication? - ANSWER: ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine (Adipex
P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will
require further evaluation before this medication can be prescribed? - ANSWER:
ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate transmission in
an Alzheimer's patient. Which medication should the PMHNP prescribe? - ANSWER:
ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for symptoms
of pain. Which is the PMHNP most likely to prescribe for this patient? - ANSWER:
ANS: d.
Duloxetine (Cymbalta)
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient? -
ANSWER: ANS: c.
The medication can affect your blood pressure.
Which medication is an irreversible inhibitor of aldehyde dehydrogenase that creates
a negative and aversive response following ingestion of alcohol? - ANSWER: ANS: c.
Disulfiram (ANTABUSE)
An 80-year-old female patient diagnosed with Stage II Alzheimer's has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for
treatment given the patient's gastrointestinal problems? - ANSWER: ANS: a.
, Donepezil (Aricept)
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the
PMHNP prescribe for Mrs. Rosen to improve this condition? - ANSWER: ANS: b.
All of these are correct
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? - ANSWER: ANS: a. ADHD is often
not the focus of treatment in adults with comorbid conditions.
Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start? -
ANSWER: ANS: d.
All of these could potentially treat their son's symptoms.
The PMHNP is assessing a patient who presents with elevated levels of brain amyloid
as noted by positron emission tomography (PET). What other factors will the PMHNP
consider before prescribing medication for this patient, and what medication would
the PMHNP want to avoid given these other factors? - ANSWER: ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2 diabetes and avoid
olanzapine
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? - ANSWER: ANS: c.
Modafanil (PROVIGIL)
You have been consulted to evaluate a patient who presents with symptoms of
dementia. The patient is experiencing memory deficit, aphasia, apraxia, and agnosia.
Which treatment option is best for this patient? - ANSWER: ANS: a.
Donepezil (ARICEPT)
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment
to the patient with psychosis and aggression? - ANSWER: ANS: c. There is too high a
risk of serious adverse side effects.
The PMHNP is caring for a patient with chronic insomnia who would benefit from
taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-
short half-life (1-3 hours). Which drug will the PMHNP prescribe? - ANSWER: ANS: d.
Triazolam (Halcion)
The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the PMHNP anticipate the drug to work? - ANSWER: ANS: c.
It will bind to the alpha-2-delta ligand subunit of voltage sensitive calcium channels.
V1,V2,V3,V4,&V5) ACTUAL EXAM EACH EXAM CONTAINS 75
QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|ALREADY
GRADED A+||WALDEN UNIVERSITY
What is the strongest established risk factor for bipolar disorder? - ANSWER: Family
history
which of the following medications are known as selective serotonin re-uptake
inibitors (SSRIs)? - ANSWER: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use
violence, and victimization as well as worse overall quality of life? - ANSWER:
Schizophrenia
Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based on
his comorbid conditions, what antidepressant would you recommend as first-line? -
ANSWER: not TCA due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - ANSWER: SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of
bipolar disorder and why - ANSWER: antidepressants might contribute to an increase
in mood episode freq1uency
An 8-year-old patient presents with severe hyperactivity, described as "ants in his
pants." Based on self-report from the patient, his parents, and his teacher; attention
deficit hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP
most likely to prescribe? - ANSWER: ANS: b.
Methylphenidate (Ritalin, Concerta)
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the
parents regarding his treatment options? - ANSWER: ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming
dependent after a single use? - ANSWER: ANS: c.
Nicotine
,The nursing staff asks the PMHNP for additional education regarding the treatment
of agitation in dementia patients. Which of the following is correct? - ANSWER: ANS:
c.
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The PMHNP
is consulted to treat underlying depression. Under which circumstance should the
PMHNP order naloxone (NARCAN)? - ANSWER: ANS: c.
The patient is somnolent and has 7 respirations per minute.
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? - ANSWER: ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment
but states, "I don't want to feel sedated or drowsy from the medicine." Which
decision made by the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options? - ANSWER: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
Which of these statements is correct? - ANSWER: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka
daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the
PMHNP to: - ANSWER: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a
BMI of 33, Mr. Peterson is obese and needs to modify his food intake. "Sometimes I
think I'm addicted to food the way some people are addicted to drugs," he says.
Which statement best describes the neurobiological parallels between food and drug
addiction? - ANSWER: ANS: d.
There is decreased activation of the prefrontal cortex.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands
that this medication is effective in treating which condition(s) in this patient?` -
ANSWER: ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with some
abnormal lab work. Hematology/oncology was consulted and diagnoses the patient
,with aplastic anemia and agranulocytosis. Which medication was likely the culprit? -
ANSWER: ANS: d.
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. - ANSWER: ANS: a.
50-70
The PMHNP is teaching a patient with a sleep disorder about taking
diphenhydramine (Benadryl). The patient is concerned about the side effects of the
drug. What can the PMHNP teach the patient about this treatment approach? -
ANSWER: ANS: b
"It can cause blurred vision
A 9-year-old female patient presents with symptoms of both attention deficit
hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her
symptoms, the PMHNP determines that which of the following medications may be
beneficial in augmenting stimulant medication? - ANSWER: ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine (Adipex
P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will
require further evaluation before this medication can be prescribed? - ANSWER:
ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate transmission in
an Alzheimer's patient. Which medication should the PMHNP prescribe? - ANSWER:
ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for symptoms
of pain. Which is the PMHNP most likely to prescribe for this patient? - ANSWER:
ANS: d.
Duloxetine (Cymbalta)
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient? -
ANSWER: ANS: c.
The medication can affect your blood pressure.
Which medication is an irreversible inhibitor of aldehyde dehydrogenase that creates
a negative and aversive response following ingestion of alcohol? - ANSWER: ANS: c.
Disulfiram (ANTABUSE)
An 80-year-old female patient diagnosed with Stage II Alzheimer's has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for
treatment given the patient's gastrointestinal problems? - ANSWER: ANS: a.
, Donepezil (Aricept)
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the
PMHNP prescribe for Mrs. Rosen to improve this condition? - ANSWER: ANS: b.
All of these are correct
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? - ANSWER: ANS: a. ADHD is often
not the focus of treatment in adults with comorbid conditions.
Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start? -
ANSWER: ANS: d.
All of these could potentially treat their son's symptoms.
The PMHNP is assessing a patient who presents with elevated levels of brain amyloid
as noted by positron emission tomography (PET). What other factors will the PMHNP
consider before prescribing medication for this patient, and what medication would
the PMHNP want to avoid given these other factors? - ANSWER: ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2 diabetes and avoid
olanzapine
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? - ANSWER: ANS: c.
Modafanil (PROVIGIL)
You have been consulted to evaluate a patient who presents with symptoms of
dementia. The patient is experiencing memory deficit, aphasia, apraxia, and agnosia.
Which treatment option is best for this patient? - ANSWER: ANS: a.
Donepezil (ARICEPT)
Why does the PMHNP avoid prescribing clozapine (Clozaril) as a first-line treatment
to the patient with psychosis and aggression? - ANSWER: ANS: c. There is too high a
risk of serious adverse side effects.
The PMHNP is caring for a patient with chronic insomnia who would benefit from
taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-
short half-life (1-3 hours). Which drug will the PMHNP prescribe? - ANSWER: ANS: d.
Triazolam (Halcion)
The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the PMHNP anticipate the drug to work? - ANSWER: ANS: c.
It will bind to the alpha-2-delta ligand subunit of voltage sensitive calcium channels.
