NR547 MIDTERM PRACTICE EXAM QUESTIONS &
CORRECT ANSWERS LATEST 2025
Which of the following should be included when providing client education about
medication regimens?
a. Explain how the medication targets the symptoms, specific benefits, and
expected time course.
b. Identify potential side effects, duration of side effects, and adverse effects.
c. Explain the instructions, dosing, and special requirements.
d. Use teach-back methods to ensure client understanding.
e. All of the above
e. All of the above
A 52-year-old client presents to the emergency department following a car
accident. The emergency department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a stat PMHNP consult. In
speaking with the PMHNP, the client describes persistent feelings of sadness and
hopelessness. She states that she often wonders if her husband would be happier
if she wasn't around anymore since she's never happy and sometimes thinks
about what it would be like to just take a handful of sleeping pills and go to sleep
forever. The client reports a previous suicide attempt when she was 16 but denies
that she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
provide a brief suicide safety assessment.
,Rationale: While the client's responses do not indicate a need for a stat full safety
and mental health evaluation, the client requires a brief suicide safety assessment
to determine whether a full mental health evaluation in necessary. It is also
important to notify the client's physician or the clinician responsible for the
client's care.
3 multiple choice options
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L
Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is associated
with fatigue. A referral for treatment of hypothyroidism is required. Client can be
reevaluated for fatigue if symptoms persist after hypothyroid treatment has been
initiated, TSH levels are within normal limits.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15 g/dL and
hematocrit is 42%.
Begin Treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This client’s
complaint of fatigue is not due to anemia. Begin treatment based on a complete
evaluation.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Terri is a 79-year old who presents with confusion. She has positive urine
leukocyte esterase.
Refer
,Rationale: A positive Urine Leukocyte Esterase indicates the presence of a urinary
tract infection (UTI) , which may cause confusion. Refer this client for treatment
of the UTI.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Julio is a 66-year-old who presents with depression. His vitamin D level 11 ng/mL.
Refer
Rationale: Vitamin D deficiency is associated with depressive symptoms. The
PMHNP may refer or treat vitamin D deficiency depending on the level of comfort
of the provider. Normal 20-50ng/mL a level less than 12 is indicative of Vit. D
deficiency.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
Refer
Rationale: Clients with hyperthyroidism have elevated T3 levels. Hyperthyroidism
is associated with anxiety symptoms. Client can be reevaluated for anxiety once
hyperthyroid treatment has been initiated and T3 levels are within normal limits.
Normal T3 100-200.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Fred is a 19-year-old who presents with psychosis. His vitamin B12 level is 900
picograms/mL.
Begin Treatment
Rationale: The B12 level is within normal limits. Treatment for symptoms of
psychosis should be initiated. Normal is 190-950 picograms/mL
, Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Ted is a 64-year-old who presents with confusion. His serum creatinine is 7.0
mg/dL and BUN is 32.
Refer
Rationale: Elevated serum creatinine and BUN indicate a problem with kidney
function, which could contribute to confusion.Normal creatinine 06-1.2mg/dL
Normal BUN 7-18
First Line Medication Treatment for Generalized Anxiety Disorder (GAD).
1. SSRI
2. SNRI
3. Buspirone
4. Drug Therapy for at least 12 months
First Line Medication Therapy for Panic Disorder
1. Paroxetine
2. Sertraline
3. Fluoxetine
4. Drug Therapy 6-9 months
First-line medication therapy for Obsessive Compulsive Disorder (OCD)
1. Fluoxetine
2. Fluvoxamine
3. Sertraline
4. Paroxetine
5. Clomipramine (TCA)
6. Drug therapy for at least 1 year
First-line medication therapy for Social Anxiety Disorder.
1. Sertraline
2. Paroxetine
3. Drug therapy takes 4 weeks to see effects
CORRECT ANSWERS LATEST 2025
Which of the following should be included when providing client education about
medication regimens?
a. Explain how the medication targets the symptoms, specific benefits, and
expected time course.
b. Identify potential side effects, duration of side effects, and adverse effects.
c. Explain the instructions, dosing, and special requirements.
d. Use teach-back methods to ensure client understanding.
e. All of the above
e. All of the above
A 52-year-old client presents to the emergency department following a car
accident. The emergency department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a stat PMHNP consult. In
speaking with the PMHNP, the client describes persistent feelings of sadness and
hopelessness. She states that she often wonders if her husband would be happier
if she wasn't around anymore since she's never happy and sometimes thinks
about what it would be like to just take a handful of sleeping pills and go to sleep
forever. The client reports a previous suicide attempt when she was 16 but denies
that she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
provide a brief suicide safety assessment.
,Rationale: While the client's responses do not indicate a need for a stat full safety
and mental health evaluation, the client requires a brief suicide safety assessment
to determine whether a full mental health evaluation in necessary. It is also
important to notify the client's physician or the clinician responsible for the
client's care.
3 multiple choice options
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L
Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is associated
with fatigue. A referral for treatment of hypothyroidism is required. Client can be
reevaluated for fatigue if symptoms persist after hypothyroid treatment has been
initiated, TSH levels are within normal limits.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15 g/dL and
hematocrit is 42%.
Begin Treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This client’s
complaint of fatigue is not due to anemia. Begin treatment based on a complete
evaluation.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Terri is a 79-year old who presents with confusion. She has positive urine
leukocyte esterase.
Refer
,Rationale: A positive Urine Leukocyte Esterase indicates the presence of a urinary
tract infection (UTI) , which may cause confusion. Refer this client for treatment
of the UTI.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Julio is a 66-year-old who presents with depression. His vitamin D level 11 ng/mL.
Refer
Rationale: Vitamin D deficiency is associated with depressive symptoms. The
PMHNP may refer or treat vitamin D deficiency depending on the level of comfort
of the provider. Normal 20-50ng/mL a level less than 12 is indicative of Vit. D
deficiency.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
Refer
Rationale: Clients with hyperthyroidism have elevated T3 levels. Hyperthyroidism
is associated with anxiety symptoms. Client can be reevaluated for anxiety once
hyperthyroid treatment has been initiated and T3 levels are within normal limits.
Normal T3 100-200.
Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Fred is a 19-year-old who presents with psychosis. His vitamin B12 level is 900
picograms/mL.
Begin Treatment
Rationale: The B12 level is within normal limits. Treatment for symptoms of
psychosis should be initiated. Normal is 190-950 picograms/mL
, Evaluate the laboratory value and presenting symptom in the activity below and
select whether to treat or refer.
Ted is a 64-year-old who presents with confusion. His serum creatinine is 7.0
mg/dL and BUN is 32.
Refer
Rationale: Elevated serum creatinine and BUN indicate a problem with kidney
function, which could contribute to confusion.Normal creatinine 06-1.2mg/dL
Normal BUN 7-18
First Line Medication Treatment for Generalized Anxiety Disorder (GAD).
1. SSRI
2. SNRI
3. Buspirone
4. Drug Therapy for at least 12 months
First Line Medication Therapy for Panic Disorder
1. Paroxetine
2. Sertraline
3. Fluoxetine
4. Drug Therapy 6-9 months
First-line medication therapy for Obsessive Compulsive Disorder (OCD)
1. Fluoxetine
2. Fluvoxamine
3. Sertraline
4. Paroxetine
5. Clomipramine (TCA)
6. Drug therapy for at least 1 year
First-line medication therapy for Social Anxiety Disorder.
1. Sertraline
2. Paroxetine
3. Drug therapy takes 4 weeks to see effects
