NR 546 Final PRACTICE EXAM Psychopharmacology questions and answers.

NR 546 Final PRACTICE EXAM
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Psychopharmacology
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1.MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?
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A. Serotonin, Dopamine, Norepinephrine nn nn




B. Serotonin, GABA, Glutamate nn nn




C. Acetylcholine, Dopamine, Norepinephrine nn nn




D. Dopamine, GABA, Acetylcholine: A. Serotonin, Dopamine, Norepinephrin
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2.Which of the following is considered first line treatment for depression?
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A. SSRI
B. FGA
C. SNRI
D. MAOI: A. SSRI nn nn




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




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




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




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


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, NR 546 Final PRACTICE EXAM
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Psychopharmacology nn



C. Setraline
D. Escitalopram: D. Escitalopram nn nn




7.During a 4 week follow up appointment, Rashida, who is prescribed Ser-
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traline 25mg qAM reports slight improvement in depression symptoms and
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tolerating medication well. Which of the following should the PMHNP do?
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A. Increase Setraline dose nn nn




B. Switch to an SNRI nn nn nn




C. Switch to a different SSRI nn nn nn nn




D. Add Trazodone qHS for sleep.: A. Increase Setraline dose
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8.Which medication should be avoided for the 66 year patient diagnosed with
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major depressive disorder and anxiety with a reported fall 3 months ago?
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A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole: C. Paroxetine nn nn




9.A patient reports upset stomach and diarrhea 3 days after taking new pre-
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scription of sertraline. Which of the following is the most appropriate
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response from the PMHNP?
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A. "Start doubling the dose of sertraline and your symptoms will begin to
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ease up".
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B. "Most side effects subside after 4-5 days. Your body is getting adjusted to
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the increased serotonin levels".
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C. "Stop taking it immediately and go to the local emergency department".
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D. "You must take Sertraline with food, otherwise you will continue to expe-
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rience GI symptoms".: B. "Most side effects subside after 4-5 days. Your
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body is getting adjusted to the increased serotonin levels".
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10.During a 2 week follow up appointment, the patient reports no improve-
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ment in depressive symptoms with escitalopram. Which of the following
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state- ment made by the PMHNP is correct?
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A. "Let's discontinue escitalopram and start you on something stronger".
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B. "It can take up to 6 weeks before you notice improvements of depressive
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symptoms".
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C. "I am going to prescibe Trazodone. Take it at night to help you sleep".
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D. "Start taking two pills at a time".: B. "It can take up to 6 weeks before you
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notice improvements of depressive symptoms".
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, NR 546 Final PRACTICE EXAM
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Psychopharmacology
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11.Duloxetine effects which two neurotransmitters? nn nn nn nn




A. serotonin and norepinephrine nn nn




B. serotonin and dopamine nn nn




C. norepinephrine and GABA nn nn




D. glutamate and acetylcholine: A. serotonin and norepinephrine
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12.Awura, a 70 year old patient diagnosed with major depressive disorder
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reports a recent 40 pound weight loss within the last 3 months. Which
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med- ication should the PMHNP consider adding to her medication
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regimen?
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A. quetiapine
B. mirtazpine
C. valproic acid nn




D. paroxetine: B. mirtazpine nn nn




13.Which of the following symptoms is NOT an adverse effect associated with
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the acute use of opioids?
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A. Sedation
B. Respiratory depression nn




C. Immunosuppression
D. Itching: C. Immunosuppression nn nn




14.When dosing citalopram for Lynee, a 72 year old patient, the PMHNP
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understands to dose at 1/2 dose due to the increased risk of
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A. delirium
B. polypharmacy
C. falls
D. QTc prolongation: D. QTc prolongation
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15.Which of the following medication class is approved for first line
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treatment for OCD?
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A. Atypical antipsychotics nn




B. Benzodiazepines
C. MAOI
D. SSRI: D. SSRI nn nn




16.Which SSRI has a mild antihistamine effect?
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A. Paroxetine

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