NURS 66 m
30 MIDTE
m
RMEXAM m
9
VERSION m
S
2023/2024
Duringm assessmentm am patientm statesm “Whym arem youm askingm mem aboutm mym heart,m Im amm herem
formmym head”,m them PMHNP’sm bestmresponsem is:
Selectedm D.
Answer: “Anxietymcanmcausemcortisolmlevelsmtomincreasemandmwhenmthismhappensmfreque
ntlym itm putsm youm atm riskm form comorbiditiesm suchm asm typem 2m diabetes.”
• Question 2 m
1moutmofm1mpoints
Duringm genem expression, m whatm mustm occurm priorm tom am genem beingm express
ed?
Selectedm A.
Answers: Transcriptionm factorm mustm bindm tom them regulatorymregionm withinm themce
ll’sm nucleus.
• Question 3 m
1moutmofm1mpoints
ThemPMNHPmismassessingmam29-year-
oldmclientmwhomtakesmantipsychoticsmthatmblockmD2mreceptors.mThismclientmhasmbegunmt
omdevelopmamcommonmsidemeffectmofmthismmedication.mWhatmismthismsidemeffect?
, Selectedm D.
Answer: Tardivemdyskinesia
• Question 4 m
1moutmofm1mpoints
Aftermorderingmflumazenilm(Rumazicon)mthemPMHNPmcautionsmthemstaffmtommonitormformw
hichmpossiblemeffect?
Selectedm D.
Answer: Allmofmth
emabove
• Question 5 m
1moutmofm1mpoints
, Am patientm ism prescribedm 50m mgm ofm desvenlafaxinem tom takem everym otherm daym form majorm
depressivem disorder.m Whatm doesm them PMHNPm understandm aboutm thism patient?
Selectedm C.
Answer: Thempatientmhasmseveremrenalmimpairme
nt.
• Question 6 m
1moutmofm1mpoints
Ampatientmismprescribedmsertralinemtomtreatmpanicmdisorder.mKnowingmthatmsertralinem canminiti
allym causem anxietym orm insomnia,m whatm shouldm them PMHNPm do?
Selectedm B.
Answer: Prescribem short-
actingm benzodiazepinem form 2m weeks,m thenmdiscontinue.
• Question 7 m
1moutmofm1mpoints
Thoughm medicationsm havem them abilitym tom targetm neurotransmitterm releasem intom them synapsem bym t
hempresynapticm neuronmitm ism notm alwaysm necessary.m Them PMHNPm understandsm thatm thism ism beca
use:
Selectedm C.
Answer: Neurotransmittersmcanmspreadmbymdiffus
ion.
• Question 8 m
1moutmofm1mpoints
Am patientm ism diagnosedm withm schizophrenia.m Whatm increasesm them patient’sm potentialm tomm
ediatem them cognitivem symptomsm ofm them disease?
Selectedm A.
Answer: Achievingmunderactivitymofmthemmesocorticolmprojectionsmtomthem
prefrontalm cortex
• Question 9 m
1moutmofm1mpoints
ThemPMHNPmspendsmamsessionmwithmamclientmandmnoticesmbehaviorsmcorrelatingmwithma
mpotentialmmanicmepisode.mAllmofmthemfollowingmarempossiblemmanicmsymptomsmthemPMH
NPmcouldmobservemexcept:
Selectedm D.
Answer: Amlowmselfmesteem
• Question 10 m
1moutmofm1mpoints
AmpatientmwhomismprescribedmMAOminhibitorsmasksmaboutmwhethermhemcanmcontinuemtakingmpseud
oephedrinem tom relievem hism congestion. m Whichm responsem bym them PMHNPm indicatesm propermund
erstandingm ofm drug-drugminteractions?
Selectedm D.
Answer: “Decongestants m shouldm bem avoidedm duem tom riskm ofmhyperten
sivem crisis.”
• Question 11 m
, 1m outm ofm 1m point
smFluoxetinem(Prozac)mhasmbeenmprescribedmformamclientm withmdepression.mWhichmofmthemfollo
wingmstatementsmismtruemregardingmthemactionmofmthismmedication?
Selectedm B.
Answer: Fluoxetineminhibitsmthemserotoninmtransporterm(SERT).
• Question 12 m
1moutmofm1mpoints
AmpatientmwasmdiagnosedmwithmGADm4mweeksmagomandmwasmplacedmmonmmClonazepammm(klonopin)
mtwice m a m day m and m citalopram m (citalopram m (celexa)) m once m daily. m When m he m asks m the m PMHNP m
whymitm ism necessarym tom weanm himm offm ofm them Clonazepamm (klonopin) m them bestm responsem is:
Selectedm C.
Answer: Clonazepamm (klonopin) m wasm usedm asm anm aidm tom treatm yourm condition m whil
emyoum werem adjustingm tom citalopramm (celexa)
• Question 13 m
1moutmofm1mpoints
Ms.mSkidmorempresentsmformamfollow-
upmappointmentmaftermbeingmprescribedmphenelzinem(Nardil),m andm reportsm “Im takem mym 45m m
gm pill,m threem timesm am day,m justm likem I’mm supposedm to.”mWhatm doesm them PMHNPm understand
m aboutm thism patient?
Selectedm C.
Answer: Ms.m Skidmoremism takingm toom muchm ofm them phenelzinem(Nardil);m shem shouldm bemt
akingmthem 45m mgm inm threem doses.
• Question 14 m
1moutmofm1mpoints
Ampatientm diagnosedm withmPTSDm ism prescribedmpropranololm (Inderal)mandm them PMHNPmunderst
andsm thatm hem wasm prescribedm thism medicationm form whatm purpose:
Selectedm B.
Answer: Betam blockersm arem linkedm tomreconsoli
dation.
• Question 15 m
1moutmofm1mpoints
Whatmcharacteristicsmdomthemnicotinic,mcholinergic,mserotoninm3,mandmglycinemreceptorsmallmhaveminmco
mmon?
Selectedm A.
Answer: Ligand-
gatedm ionm channelsm withm am pentamericmstructure
• Question 16 m
1moutmofm1mpoints
AmpatientmwhomwasmprescribedmanmMAOminhibitormism learningm aboutm dietarym modifications.m
Whichmstatementm madem bym them PMHNPm demonstratesm properm teachingm ofmthem food-
drugminteractionsm form MAOm inhibitors?
Selectedm A.
Answer: “Yoummustm avoidm soym products,m suchm
asmtofu.”
30 MIDTE
m
RMEXAM m
9
VERSION m
S
2023/2024
Duringm assessmentm am patientm statesm “Whym arem youm askingm mem aboutm mym heart,m Im amm herem
formmym head”,m them PMHNP’sm bestmresponsem is:
Selectedm D.
Answer: “Anxietymcanmcausemcortisolmlevelsmtomincreasemandmwhenmthismhappensmfreque
ntlym itm putsm youm atm riskm form comorbiditiesm suchm asm typem 2m diabetes.”
• Question 2 m
1moutmofm1mpoints
Duringm genem expression, m whatm mustm occurm priorm tom am genem beingm express
ed?
Selectedm A.
Answers: Transcriptionm factorm mustm bindm tom them regulatorymregionm withinm themce
ll’sm nucleus.
• Question 3 m
1moutmofm1mpoints
ThemPMNHPmismassessingmam29-year-
oldmclientmwhomtakesmantipsychoticsmthatmblockmD2mreceptors.mThismclientmhasmbegunmt
omdevelopmamcommonmsidemeffectmofmthismmedication.mWhatmismthismsidemeffect?
, Selectedm D.
Answer: Tardivemdyskinesia
• Question 4 m
1moutmofm1mpoints
Aftermorderingmflumazenilm(Rumazicon)mthemPMHNPmcautionsmthemstaffmtommonitormformw
hichmpossiblemeffect?
Selectedm D.
Answer: Allmofmth
emabove
• Question 5 m
1moutmofm1mpoints
, Am patientm ism prescribedm 50m mgm ofm desvenlafaxinem tom takem everym otherm daym form majorm
depressivem disorder.m Whatm doesm them PMHNPm understandm aboutm thism patient?
Selectedm C.
Answer: Thempatientmhasmseveremrenalmimpairme
nt.
• Question 6 m
1moutmofm1mpoints
Ampatientmismprescribedmsertralinemtomtreatmpanicmdisorder.mKnowingmthatmsertralinem canminiti
allym causem anxietym orm insomnia,m whatm shouldm them PMHNPm do?
Selectedm B.
Answer: Prescribem short-
actingm benzodiazepinem form 2m weeks,m thenmdiscontinue.
• Question 7 m
1moutmofm1mpoints
Thoughm medicationsm havem them abilitym tom targetm neurotransmitterm releasem intom them synapsem bym t
hempresynapticm neuronmitm ism notm alwaysm necessary.m Them PMHNPm understandsm thatm thism ism beca
use:
Selectedm C.
Answer: Neurotransmittersmcanmspreadmbymdiffus
ion.
• Question 8 m
1moutmofm1mpoints
Am patientm ism diagnosedm withm schizophrenia.m Whatm increasesm them patient’sm potentialm tomm
ediatem them cognitivem symptomsm ofm them disease?
Selectedm A.
Answer: Achievingmunderactivitymofmthemmesocorticolmprojectionsmtomthem
prefrontalm cortex
• Question 9 m
1moutmofm1mpoints
ThemPMHNPmspendsmamsessionmwithmamclientmandmnoticesmbehaviorsmcorrelatingmwithma
mpotentialmmanicmepisode.mAllmofmthemfollowingmarempossiblemmanicmsymptomsmthemPMH
NPmcouldmobservemexcept:
Selectedm D.
Answer: Amlowmselfmesteem
• Question 10 m
1moutmofm1mpoints
AmpatientmwhomismprescribedmMAOminhibitorsmasksmaboutmwhethermhemcanmcontinuemtakingmpseud
oephedrinem tom relievem hism congestion. m Whichm responsem bym them PMHNPm indicatesm propermund
erstandingm ofm drug-drugminteractions?
Selectedm D.
Answer: “Decongestants m shouldm bem avoidedm duem tom riskm ofmhyperten
sivem crisis.”
• Question 11 m
, 1m outm ofm 1m point
smFluoxetinem(Prozac)mhasmbeenmprescribedmformamclientm withmdepression.mWhichmofmthemfollo
wingmstatementsmismtruemregardingmthemactionmofmthismmedication?
Selectedm B.
Answer: Fluoxetineminhibitsmthemserotoninmtransporterm(SERT).
• Question 12 m
1moutmofm1mpoints
AmpatientmwasmdiagnosedmwithmGADm4mweeksmagomandmwasmplacedmmonmmClonazepammm(klonopin)
mtwice m a m day m and m citalopram m (citalopram m (celexa)) m once m daily. m When m he m asks m the m PMHNP m
whymitm ism necessarym tom weanm himm offm ofm them Clonazepamm (klonopin) m them bestm responsem is:
Selectedm C.
Answer: Clonazepamm (klonopin) m wasm usedm asm anm aidm tom treatm yourm condition m whil
emyoum werem adjustingm tom citalopramm (celexa)
• Question 13 m
1moutmofm1mpoints
Ms.mSkidmorempresentsmformamfollow-
upmappointmentmaftermbeingmprescribedmphenelzinem(Nardil),m andm reportsm “Im takem mym 45m m
gm pill,m threem timesm am day,m justm likem I’mm supposedm to.”mWhatm doesm them PMHNPm understand
m aboutm thism patient?
Selectedm C.
Answer: Ms.m Skidmoremism takingm toom muchm ofm them phenelzinem(Nardil);m shem shouldm bemt
akingmthem 45m mgm inm threem doses.
• Question 14 m
1moutmofm1mpoints
Ampatientm diagnosedm withmPTSDm ism prescribedmpropranololm (Inderal)mandm them PMHNPmunderst
andsm thatm hem wasm prescribedm thism medicationm form whatm purpose:
Selectedm B.
Answer: Betam blockersm arem linkedm tomreconsoli
dation.
• Question 15 m
1moutmofm1mpoints
Whatmcharacteristicsmdomthemnicotinic,mcholinergic,mserotoninm3,mandmglycinemreceptorsmallmhaveminmco
mmon?
Selectedm A.
Answer: Ligand-
gatedm ionm channelsm withm am pentamericmstructure
• Question 16 m
1moutmofm1mpoints
AmpatientmwhomwasmprescribedmanmMAOminhibitormism learningm aboutm dietarym modifications.m
Whichmstatementm madem bym them PMHNPm demonstratesm properm teachingm ofmthem food-
drugminteractionsm form MAOm inhibitors?
Selectedm A.
Answer: “Yoummustm avoidm soym products,m suchm
asmtofu.”
