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NR 546 / NR546 FINAL EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

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Sarah, 39 year old, has a diagnosis of ADHD and is taking clonidine daily reports sleep disturbances. Which statement made by the PMHNP is most correct? A. "Start taking clonidine at bedtime. That should help". B. "Lets increase the daytime dosage". C. "Stop taking the medication immediately". D. "Take clonidine with a small snack". During a follow up visit with Coraan 11-year-old who is currently prescribed 5mg methylphenidate IR in the morning, her mother reports slight improvement in Cora's behavior but the medication seems to wear off within a few hours. Which of the following changes would you make to Cora's initial prescription? A. Increase dose to 5 mg methylphenidate IR twice daily. B. Change dose to methylphenidate 10 mg ER once daily. C. Switch to a different stimulant medication D. Evaluate client for non-stimulant medication Patient reports difficulty staying asleep and requests for prescription medication. Which of the following should the PMHNP consider? A. Ramelteon B. Melatonin C. Suvorexant D. Valerian root Which of the following medications is a dual orexin receptor antagonist (DORA)? A. Zolpidem B. Ramelteon C. Trazodone D. Lemborexant During an annual visit, Carol reports her PCP prescribed her diltiazem for her hypertension and chest pain. Which of the following actions done by the PMHNP demonstrated correct understanding of Carol's concurrent prescription of suvorexant? A. The PMHNP discontinues the suvorexant prescription due to severe interactions with diltiazem. B. The PMHNP instructs Carol to take suvorexant first thing in the morning prior to taking diltiazem. C. The PMHNP decreased the dose of suvorexant. D. The PMHNP increases the dose of suvorexant. Which of the following medications bind to benzodiazepine sites on GABA receptors? A. Eszopiclone B. Ramelteon C. Lrmborexant D. Trazodone

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NR 546 FINAL EXAM
MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?
A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine




Which of the following is considered first line treatment for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI




When treating a patient for major depression disorder which medication would
the PMHNP consider first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid

,Which of the following medication should be considered for a patient diagnosed
with major depressive disorder who reports "always forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine




Which of the following medication has a black box warning of a life-threatening skin
rash?
A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam




Which medication is considered the best tolerated SSRI?
A. Venlafaxine
B. Bupropion

,C. Setraline
D. Escitalopram




During a 4 week follow up appointment, Rashida, who is prescribed Sertraline
25mg qAM reports slight improvement in depression symptoms and tolerating
medication well. Which of the following should the PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.




Which medication should be avoided for the 66 year patient diagnosed with major
depressive disorder and anxiety with a reported fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole

, A patient reports upset stomach and diarrhea 3 days after taking new prescription
of sertraline. Which of the following is the most appropriate response from the
PMHNP?
A. "Start doubling the dose of sertraline and your symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the
increased serotonin levels".
C. "Stop taking it immediately and go to the local emergency department".
D. "You must take Sertraline with food, otherwise you will continue to experience GI
symptoms".




During a 2 week follow up appointment, the patient reports no improvement in
depressive symptoms with escitalopram. Which of the following statement made
by the PMHNP is correct?
A. "Let's discontinue escitalopram and start you on something stronger".
B. "It can take up to 6 weeks before you notice improvements of depressive
symptoms".
C. "I am going to prescibe Trazodone. Take it at night to help you sleep".
D. "Start taking two pills at a time".




Duloxetine effects which two neurotransmitters?
A. serotonin and norepinephrine

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