1|Page
NR 546 MIDTERM EXAM 2025 ACTUAL EXAM TEST BANK 400
QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
Which of the following mechanisms would you associate with an antagonist drug action?
A. A drug that binds postsynaptic receptors and mimics the effect of the neurotransmitter.
B. A drug that binds and blocks normal auto receptor function.
C. A drug that increases the enzymatic synthesis of neurotransmitters.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
A court order inpatient hospitalization was ordered for a patient who is considered a danger to
themselves and other. Which ethical issue is being addressed?
A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods
C. Compliance
What is the expected outcome for a patient who is considered a "intermediate metabolizer"?
A. No need for medication dosage readjustments
B. Increased risk for drug to drug reactions
C. Provider increasing drug dosages
D. Subtherapuetic drug levels
B. Increased risk for drug to drug reactions
Which of the following is true regarding epigenetic changes?
A. Epigenetic changes are reversible.
B. Epigenetic changes, changes the DNA and how the body reacts to the DNA sequence.
C. Epigenetic changes are not linked to mental health conditions.
,2|Page
D. When combined with genetic risks, epigenetic changes decreased the risk for a psychiatric
disease.
A. Epigenetic changes are reversible.
Which of the following brain structures is involved in voluntary motor movements?
A. Basal ganglia
B. Prefrontal cortex
C. Amygdala
D. Limbic system
A. Basal ganglia
Obtaining consent from from a the guardian of a patient who has limited cognitive capabilities
or are incompetent to make decisions represents which ethical principle?
A. Informed consent
B. Compliance
C. Off label prescribing
D. Confidentiality
B. Compliance
Lack of medication access and the increasing costs of medication is which type of factor
contributing to medication non adherence?
A. Provider
B. Environmental
C. Structural
D. Client
C. Structural
Which of the following is an enzyme inhibitor?
A. Sulfaurea
B. Smoking
C. Rifampin
D. Sulfamide
D. Sulfamide
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Which of the following is an enzyme inducer?
A. Quinidine
B. Ketoconazole
C. Amiodarone
D. Carbamezpine
D. Carbamezpine
Which of the following definitions are correct?
A. Partial agonist- drug fully activates receptors
B. Antagonist- drug binds to receptor and activates a response
C. Inverse agonist- drug causes an opposite effect of the agonist
D. Agonist- drug binds to the receptor and does not activate a biological response
C. Inverse agonist- drug causes an opposite effect of the agonist
Ethical issues within mental health include which of the following?
A. Patient unable to afford medication
B. Patient unable to self-determine care
C. Patient's ethnic culture
D. Patients wanting to include family in treatment plan
B. Patient unable to self-determine care
A patient presents to the PMHNP with report of having anxiety, frequent occurrences of feeling
frozen in place and like his heart is pounding out of his chest, as well as having difficulty
sleeping. The PMHNP suspects the patient has an elevated level of which neurotransmitter?
A. Serotonin
B. GABA
C. Norepinephrine
D. Dopamine
C. Norepinephrine
Which best defines a patient who is a poor metabolizer?
A. This patient has a lower concentration of the necessary enzyme to metabolize a medication.
B. This patient will have lower blood concentrations of the medication.
, 4|Page
C. This patient has a decreased risk of side effects and adverse reactions
D. This patient should not be prescribed antidepressants.
A. This patient has a lower concentration of the necessary enzyme to metabolize a medication,
Which part of the Brian activates fear?
A. Striatum
B. Amygdala
C. Limbic system
D. Basal ganglia
B. Amygdala
Which neurotransmitter is responsible for the regulation of the "fight or flight" response?
A. Dopamine
B. Norepinephrine
C. GABA
D. Histamine
B. Norepinephrine
An increase of which neurotransmitter can result in hallucinations and/or psychosis?
A. Serotonin
B. Acetycholine
C. Dopamine
D. GABA
C. Dopamine
Which of the following neurotransmitters is considered the chief inbibitory neurotransmitter?
A. Serotonin
B. Histamine
C. Glutamate
D. GABA
D. GABA
Increased levels of acetycholine result in
NR 546 MIDTERM EXAM 2025 ACTUAL EXAM TEST BANK 400
QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
Which of the following mechanisms would you associate with an antagonist drug action?
A. A drug that binds postsynaptic receptors and mimics the effect of the neurotransmitter.
B. A drug that binds and blocks normal auto receptor function.
C. A drug that increases the enzymatic synthesis of neurotransmitters.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
D. A drug that binds postsynaptic receptors and blocks the normal action of the
neurotransmitter.
A court order inpatient hospitalization was ordered for a patient who is considered a danger to
themselves and other. Which ethical issue is being addressed?
A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods
C. Compliance
What is the expected outcome for a patient who is considered a "intermediate metabolizer"?
A. No need for medication dosage readjustments
B. Increased risk for drug to drug reactions
C. Provider increasing drug dosages
D. Subtherapuetic drug levels
B. Increased risk for drug to drug reactions
Which of the following is true regarding epigenetic changes?
A. Epigenetic changes are reversible.
B. Epigenetic changes, changes the DNA and how the body reacts to the DNA sequence.
C. Epigenetic changes are not linked to mental health conditions.
,2|Page
D. When combined with genetic risks, epigenetic changes decreased the risk for a psychiatric
disease.
A. Epigenetic changes are reversible.
Which of the following brain structures is involved in voluntary motor movements?
A. Basal ganglia
B. Prefrontal cortex
C. Amygdala
D. Limbic system
A. Basal ganglia
Obtaining consent from from a the guardian of a patient who has limited cognitive capabilities
or are incompetent to make decisions represents which ethical principle?
A. Informed consent
B. Compliance
C. Off label prescribing
D. Confidentiality
B. Compliance
Lack of medication access and the increasing costs of medication is which type of factor
contributing to medication non adherence?
A. Provider
B. Environmental
C. Structural
D. Client
C. Structural
Which of the following is an enzyme inhibitor?
A. Sulfaurea
B. Smoking
C. Rifampin
D. Sulfamide
D. Sulfamide
,3|Page
Which of the following is an enzyme inducer?
A. Quinidine
B. Ketoconazole
C. Amiodarone
D. Carbamezpine
D. Carbamezpine
Which of the following definitions are correct?
A. Partial agonist- drug fully activates receptors
B. Antagonist- drug binds to receptor and activates a response
C. Inverse agonist- drug causes an opposite effect of the agonist
D. Agonist- drug binds to the receptor and does not activate a biological response
C. Inverse agonist- drug causes an opposite effect of the agonist
Ethical issues within mental health include which of the following?
A. Patient unable to afford medication
B. Patient unable to self-determine care
C. Patient's ethnic culture
D. Patients wanting to include family in treatment plan
B. Patient unable to self-determine care
A patient presents to the PMHNP with report of having anxiety, frequent occurrences of feeling
frozen in place and like his heart is pounding out of his chest, as well as having difficulty
sleeping. The PMHNP suspects the patient has an elevated level of which neurotransmitter?
A. Serotonin
B. GABA
C. Norepinephrine
D. Dopamine
C. Norepinephrine
Which best defines a patient who is a poor metabolizer?
A. This patient has a lower concentration of the necessary enzyme to metabolize a medication.
B. This patient will have lower blood concentrations of the medication.
, 4|Page
C. This patient has a decreased risk of side effects and adverse reactions
D. This patient should not be prescribed antidepressants.
A. This patient has a lower concentration of the necessary enzyme to metabolize a medication,
Which part of the Brian activates fear?
A. Striatum
B. Amygdala
C. Limbic system
D. Basal ganglia
B. Amygdala
Which neurotransmitter is responsible for the regulation of the "fight or flight" response?
A. Dopamine
B. Norepinephrine
C. GABA
D. Histamine
B. Norepinephrine
An increase of which neurotransmitter can result in hallucinations and/or psychosis?
A. Serotonin
B. Acetycholine
C. Dopamine
D. GABA
C. Dopamine
Which of the following neurotransmitters is considered the chief inbibitory neurotransmitter?
A. Serotonin
B. Histamine
C. Glutamate
D. GABA
D. GABA
Increased levels of acetycholine result in
