NURS 6630 Final Exam 2025 | Complete and Verified NURS
6630N Exam Questions and Answers | Accurate and Latest
Q&A | Walden University
Question 1
A 59-year-old male has been admitted to the E. D. due to a
methamphetamine overdose. The patient’s friend reported he
ingested up to 2 grams because “he thought cops were coming to
get him.” The patient’s vitals are all within normal limits, except
his blood pressure is 180/110. What is the best recommendation to
make at this time?
Response "When severe hypertension arises, phentolamine is
recommended for
Feedback: vasodilation. Beta- or mixed alpha- and beta-
adrenergic blockers (such as propranolol or labetalol)
are to be avoided because they may exacerbate
stimulant-induced cardiovascular toxicity.”
Question 2
Disorientation, tremor, hyperactivity, fever, hallucinations, marked
wakefulness, and increased autonomic tone are all features that are
consistent with which part of alcohol withdrawal?
Response "The principal features are disorientation (to time,
place, or person),
,Feedback: tremor, hyperactivity, marked wakefulness, fever,
increased autonomic tone, and hallucinations.”
Question 3
Which medication(s) requires a test dose to determine accurate use
of the drug (i.e., how addicted the patient truly is on a certain drug)
before beginning a titration schedule to withdrawal the patient?
I. Butalbital
II. Lorazepam
III. Hydrocodone
Response “Treatment should begin with an oral test dose of 200
mg of
Feedback: pentobarbital, a short-acting-barbiturate.”
Question 4
Drug addiction includes many prescription medications and illegal
substances. Of the drugs listed, which ones can be withdrawn
abruptly WITHOUT medical intervention to prevent withdraw
seizures? Response “Amphetamines can be withdrawn Feedback:
abruptly”
Question 5
What should our treatment goal be with our patients when
it comes to managing chronic pain? Response “In
general, treatment goals are reports of pain less than 5 out
of Feedback: 10 and an improvement in function.”
, Question 6
Which of the following psychiatric conditions is present in both
domains (i.e., core psychopathology & painrelated psychological
symptoms) of chronic pain that will likely lead to an outcome of
disability, pain, and poor quality of life?
Response Figure 17-4 and in the text on the page discussing how
anxiety is
Feedback: present in both, therefore, a review is needed of the
exact cause of the anxiety
Question 7
Which of the following drugs is structurally simila r to tramadol;
thus, its opioid-mediated analgesia can be reversed by naloxone in
mice?
Response “Structurally, venlafaxine is similar to tramadol, and
in mice,
Feedback: venlafaxine demonstrates opioid-mediated
analgesia that is reversed by naloxone.”
Questio
n8
Daytrana is the MPH transdermal system of methylphenidate
approved for the treatment of ADHD in children aged 6 years and
, older. What is the difference in terms of the metabolism compared
to the other formulations in this class?
Response referring to MPH transdermal system (MTS;
Daytrana): “Since the
Feedback: MPH is absorbed through the skin, it does not
undergo first-pass metabolism by CES-1 in the liver,
resulting in higher plasma MPH levels”
Question 9
T. C. is an 88-year-old male who is diagnosed at your clinic with
Dementia with Lewy Bodies. He currentl y has some debilitating
gait issues, which makes his quality of life very poor. His memory
is still intact with minor deficits. Which medication would likely
benefit T. C. as his initial therapy?
Response “Low dosages of levodopa/carbidopa (dopamine
replacement) are
Feedback: sometimes helpful for the motor symptoms of DLB,
although higher dosages of dopamine replacement
therapy and direct dopamine agonists may exacerbate
neuropsychiatric symptoms.”
- Motor symptoms = gait issues
Question 10
Which of the following drugs is often used in the m anagement of
opioid addiction due to its ceiling effect? Response “Because
6630N Exam Questions and Answers | Accurate and Latest
Q&A | Walden University
Question 1
A 59-year-old male has been admitted to the E. D. due to a
methamphetamine overdose. The patient’s friend reported he
ingested up to 2 grams because “he thought cops were coming to
get him.” The patient’s vitals are all within normal limits, except
his blood pressure is 180/110. What is the best recommendation to
make at this time?
Response "When severe hypertension arises, phentolamine is
recommended for
Feedback: vasodilation. Beta- or mixed alpha- and beta-
adrenergic blockers (such as propranolol or labetalol)
are to be avoided because they may exacerbate
stimulant-induced cardiovascular toxicity.”
Question 2
Disorientation, tremor, hyperactivity, fever, hallucinations, marked
wakefulness, and increased autonomic tone are all features that are
consistent with which part of alcohol withdrawal?
Response "The principal features are disorientation (to time,
place, or person),
,Feedback: tremor, hyperactivity, marked wakefulness, fever,
increased autonomic tone, and hallucinations.”
Question 3
Which medication(s) requires a test dose to determine accurate use
of the drug (i.e., how addicted the patient truly is on a certain drug)
before beginning a titration schedule to withdrawal the patient?
I. Butalbital
II. Lorazepam
III. Hydrocodone
Response “Treatment should begin with an oral test dose of 200
mg of
Feedback: pentobarbital, a short-acting-barbiturate.”
Question 4
Drug addiction includes many prescription medications and illegal
substances. Of the drugs listed, which ones can be withdrawn
abruptly WITHOUT medical intervention to prevent withdraw
seizures? Response “Amphetamines can be withdrawn Feedback:
abruptly”
Question 5
What should our treatment goal be with our patients when
it comes to managing chronic pain? Response “In
general, treatment goals are reports of pain less than 5 out
of Feedback: 10 and an improvement in function.”
, Question 6
Which of the following psychiatric conditions is present in both
domains (i.e., core psychopathology & painrelated psychological
symptoms) of chronic pain that will likely lead to an outcome of
disability, pain, and poor quality of life?
Response Figure 17-4 and in the text on the page discussing how
anxiety is
Feedback: present in both, therefore, a review is needed of the
exact cause of the anxiety
Question 7
Which of the following drugs is structurally simila r to tramadol;
thus, its opioid-mediated analgesia can be reversed by naloxone in
mice?
Response “Structurally, venlafaxine is similar to tramadol, and
in mice,
Feedback: venlafaxine demonstrates opioid-mediated
analgesia that is reversed by naloxone.”
Questio
n8
Daytrana is the MPH transdermal system of methylphenidate
approved for the treatment of ADHD in children aged 6 years and
, older. What is the difference in terms of the metabolism compared
to the other formulations in this class?
Response referring to MPH transdermal system (MTS;
Daytrana): “Since the
Feedback: MPH is absorbed through the skin, it does not
undergo first-pass metabolism by CES-1 in the liver,
resulting in higher plasma MPH levels”
Question 9
T. C. is an 88-year-old male who is diagnosed at your clinic with
Dementia with Lewy Bodies. He currentl y has some debilitating
gait issues, which makes his quality of life very poor. His memory
is still intact with minor deficits. Which medication would likely
benefit T. C. as his initial therapy?
Response “Low dosages of levodopa/carbidopa (dopamine
replacement) are
Feedback: sometimes helpful for the motor symptoms of DLB,
although higher dosages of dopamine replacement
therapy and direct dopamine agonists may exacerbate
neuropsychiatric symptoms.”
- Motor symptoms = gait issues
Question 10
Which of the following drugs is often used in the m anagement of
opioid addiction due to its ceiling effect? Response “Because
