NR 546: PSYCHOPHARMACOLOGY FINAL EXAM PRACTICE
QUESTIONS WITH ACCURATE SOLUTIONS
1) Which best describes serotonin syndrome?
A) Occurs when serotonergic medications deplete levels of
norepinephrine in the body.
B) Occurs when serotonergic medications build an abnormally high levels
of serotonin in the body.
C) Occurs when serotonergic medications are abruptly discontinued.
D) Occurs when serotonergic medications interact with foods containing
high levels of tyramine. -- Correct Answer ✔✔ B. Occurs when
serotonergic medications build an abnormally high levels of serotonin
in the body.
2) Which of the following medications is a serotonin norepinephrine receptor
agonist?
A) Bupropion
B) Mirtazapine
C) Trazodone
D) Nortriptyline -- Correct Answer ✔✔ B. Mirtazapine
3) Which medication should the PMHNP consider prescribing for the patient
diagnosed with bipolar disorder reporting suicidal ideations?
A) Valproic acid
B) Lithium
C) Escitalopram
D) Ziprazadone -- Correct Answer ✔✔ B. Lithium
,4) For the past week, Amiee who is prescribed lithium reports using NSAIDs to
treat tension headache. Which of the following should the PMHNP anticipate?
A) decreased levels of lithium
B) QTC prolongation
C) elevated levels of lithium
D) mild diffuse rash throughout body -- Correct Answer ✔✔ C. elevated
levels of lithium
5) The PMHNP increased their patient's lithium dose from 300mg daily to 600mg
daily. When should the patient's lithium level be monitored next?
A) 3 months for 1 year after dosage change
B) Next follow up appointment in 6 months
C) Within the next 14 days
D) 5 days after dosage change -- Correct Answer ✔✔ D. 5 days after
dosage change
6) Rebecca presents for treatment of moderate depression. Her medical history
includes the use of four medications for comorbid physical diagnoses. Which
medication is least likely to interact with other prescriptions?
A) Fluoxetine
B) Duloxetine
C) Paroxetine
D) Escitalopram -- Correct Answer ✔✔ D. Escitalopram
7) Lithium levels can be decreased by which of the following?
A) Aripiprazole
B) Grapefruit
C) ACE inhibitors
D) Coffee -- Correct Answer ✔✔ D. Coffee
8) Patient presents to the ED with the following symptoms: tachycardia,
hypertension, and mydriasis. Floor staff reports the patient is constantly making
, sexual advances towards them. Which substance is this patient most likely
intoxicated from?
A) Marijuana
B) Benzodiazepines
C) Methamphetamine
D) Cocaine -- Correct Answer ✔✔ C. Methamphetamine
9) PMHNP was called to assess a patient in the emergency room who reports
bruxism. Which recreational stimulant is this patient most likely withdrawing
from?
A) Marijuana
B) MDMA
C) Methamphetamines
D) Methylphenidate -- Correct Answer ✔✔ B. MDMA
10) Which antidepressant is paired most appropriately with its mechanism of action?
A) Mirtazapine - serotonin norepinephrine receptor agonist
B) Topiramate- serotonin norepinephrine reuptake inhibitor
C) Bupropion- serotonin antagonist and reuptake inhibitor
D) Trazodone- serotonin reuptake inhibitor -- Correct Answer ✔✔ A.
Mirtazapine - serotonin norepinephrine receptor agonist
11) Which of the following best describes the signs and symptoms of intoxication
from opiates?
A) Sedation, amnesia, and ataxia
B) Euphoria, miosis, and decreased gag reflex
C) Delirium, hallucinations, and tremor
D) Agitation, mydriasis, and tachycardia -- Correct Answer ✔✔ B.
Euphoria, miosis, and decreased gag reflex
12) PMHNP was called to assess a patient in the emergency room who required 5
nurses to restraint them due to increased agitation. Upon assessment the
QUESTIONS WITH ACCURATE SOLUTIONS
1) Which best describes serotonin syndrome?
A) Occurs when serotonergic medications deplete levels of
norepinephrine in the body.
B) Occurs when serotonergic medications build an abnormally high levels
of serotonin in the body.
C) Occurs when serotonergic medications are abruptly discontinued.
D) Occurs when serotonergic medications interact with foods containing
high levels of tyramine. -- Correct Answer ✔✔ B. Occurs when
serotonergic medications build an abnormally high levels of serotonin
in the body.
2) Which of the following medications is a serotonin norepinephrine receptor
agonist?
A) Bupropion
B) Mirtazapine
C) Trazodone
D) Nortriptyline -- Correct Answer ✔✔ B. Mirtazapine
3) Which medication should the PMHNP consider prescribing for the patient
diagnosed with bipolar disorder reporting suicidal ideations?
A) Valproic acid
B) Lithium
C) Escitalopram
D) Ziprazadone -- Correct Answer ✔✔ B. Lithium
,4) For the past week, Amiee who is prescribed lithium reports using NSAIDs to
treat tension headache. Which of the following should the PMHNP anticipate?
A) decreased levels of lithium
B) QTC prolongation
C) elevated levels of lithium
D) mild diffuse rash throughout body -- Correct Answer ✔✔ C. elevated
levels of lithium
5) The PMHNP increased their patient's lithium dose from 300mg daily to 600mg
daily. When should the patient's lithium level be monitored next?
A) 3 months for 1 year after dosage change
B) Next follow up appointment in 6 months
C) Within the next 14 days
D) 5 days after dosage change -- Correct Answer ✔✔ D. 5 days after
dosage change
6) Rebecca presents for treatment of moderate depression. Her medical history
includes the use of four medications for comorbid physical diagnoses. Which
medication is least likely to interact with other prescriptions?
A) Fluoxetine
B) Duloxetine
C) Paroxetine
D) Escitalopram -- Correct Answer ✔✔ D. Escitalopram
7) Lithium levels can be decreased by which of the following?
A) Aripiprazole
B) Grapefruit
C) ACE inhibitors
D) Coffee -- Correct Answer ✔✔ D. Coffee
8) Patient presents to the ED with the following symptoms: tachycardia,
hypertension, and mydriasis. Floor staff reports the patient is constantly making
, sexual advances towards them. Which substance is this patient most likely
intoxicated from?
A) Marijuana
B) Benzodiazepines
C) Methamphetamine
D) Cocaine -- Correct Answer ✔✔ C. Methamphetamine
9) PMHNP was called to assess a patient in the emergency room who reports
bruxism. Which recreational stimulant is this patient most likely withdrawing
from?
A) Marijuana
B) MDMA
C) Methamphetamines
D) Methylphenidate -- Correct Answer ✔✔ B. MDMA
10) Which antidepressant is paired most appropriately with its mechanism of action?
A) Mirtazapine - serotonin norepinephrine receptor agonist
B) Topiramate- serotonin norepinephrine reuptake inhibitor
C) Bupropion- serotonin antagonist and reuptake inhibitor
D) Trazodone- serotonin reuptake inhibitor -- Correct Answer ✔✔ A.
Mirtazapine - serotonin norepinephrine receptor agonist
11) Which of the following best describes the signs and symptoms of intoxication
from opiates?
A) Sedation, amnesia, and ataxia
B) Euphoria, miosis, and decreased gag reflex
C) Delirium, hallucinations, and tremor
D) Agitation, mydriasis, and tachycardia -- Correct Answer ✔✔ B.
Euphoria, miosis, and decreased gag reflex
12) PMHNP was called to assess a patient in the emergency room who required 5
nurses to restraint them due to increased agitation. Upon assessment the
