NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
NR 668 CEA FINAL EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL
HEALTH CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM |
QUESTRIONS AND ANSWERS RATED A+ | UPDATED 2025/2026
| CHAMBERLAIN
Gabe receives psychotherapy for performance anxiety. He has a rare request for a
medication to help with sleep. He is required to travel for work and is requesting
help. He has no trouble with sleep latency, but wants 6 hours of sleep. Which of
the following best fits Gabe's needs?
a. Zaleplon
b. Eszopiclone
c. Tylenol cold and flu
d. Quetiapine - ANSWER-b. Eszopiclone
Eszopiclone (Lunesta) may help with short term insomnia related to sleep
maintenance issues
Which of the following medications are approved by the US Food and Drug
Administration specifically targeting irritability in children with Autism Spectrum
d/o (ASD)?
a. Haloperidol and atomoxetine
b. Ziprasidone and olanzapine
c. Clozapine and citalopram
d. Aripiprazole and risperidone - ANSWER-d. Aripiprazole and risperidone
1|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
Aripiprazole and risperidone have FDA approval for treating irritability secondary
to ASD. There are many other medications utilized for irritability related to ASD
that are designated as "off-label" use
Which of the following would help the PMHNP differentiate between NMS and
serotonin syndrome?
a. Clonus
b. Muscle rigidity
c. Temperature of 101.7
d. Low vitamin B12 - ANSWER-a. Clonus
*a febrile patient with muscle rigidity may have either NMS or serotonin
syndrome; clonus is a/w serotonin syndrome; low vitamin B12 does not help
narrow the differential diagnosis in this clinical scenario
Robert presented to the emergency room after ingesting an unknown amount of
pills. Which of the following medications has a reduced risk of mortality in
overdose?
a. Amitriptyline
b. Phenelzine
c. Acetaminophen
d. Sertraline - ANSWER-d. Sertraline
SSRIs are considered safer than TCAs or MAOIs in overdose situations;
acetaminophen overdose leads to hepatic failure and possibly death
2|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
A condition characterized by abnormal involuntary movements in a rhythmic
pattern often affecting the mouth, tongue, and jaw that is potentially irreversible
is known as?
a. Pseudo-parkinson's
b. Tardive dyskinesia
c. Neuroleptic malignant syndrome
d. Dystonia - ANSWER-b. Tardive dyskinesia
A patient who had previously reported feeling much better on her antidepressant
suddenly says the "drug seems to have stopped working". This is known as:
a. Adverse effect
b. Tachyphylaxis
c. Side effect
d. Tolerance - ANSWER-b. Tachyphylaxis
A drug that blocks receptors, inhibiting a biological response, is known as a(n):
a. Inverse agonist
b. Antagonist
c. Agonist
d. Partial agonist - ANSWER-b. Antagonist
Helen is a 59 female who presents with occasional panic attacks and new onset
"leg aches". She is on ASA 81mg/day, Sertraline 150mg/day, Aripiprazole 2mg/day,
Atorvastatin 20mg/day and Magnesium OTC Daily PRN. Laboratory results are as
3|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
follows: BUN 17, Creatinine 1.0, Sodium 139, CK 244 IU/L and Hemoglobin of 13.1.
Blood pressure of 130/80. Which medication could explain Helen's current chief
complaint and related laboratory abnormality?
a. Anemia secondary to acute blood loss
b. Statin induced myositis
c. Hyponatremia secondary to sertraline
d. Renal disease - ANSWER-b. Statin induced myositis
*helen's laboratory results are relatively normal except for an elevated CK; statins
are well known to cause myalgias. There is no evidence of acute blood loss,
hyponatremia or renal disease present here
Which of the following is characteristic of the leadership competency for APRNs?
a. Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
c. Developing an age-appropriate treatment plan
d. Evaluating the appropriate use of seclusion - ANSWER-a. Participating in a
community-focused program that promotes mental health and reduces the risk of
mental health problems
Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
4|Page
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
NR 668 CEA FINAL EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL
HEALTH CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM |
QUESTRIONS AND ANSWERS RATED A+ | UPDATED 2025/2026
| CHAMBERLAIN
Gabe receives psychotherapy for performance anxiety. He has a rare request for a
medication to help with sleep. He is required to travel for work and is requesting
help. He has no trouble with sleep latency, but wants 6 hours of sleep. Which of
the following best fits Gabe's needs?
a. Zaleplon
b. Eszopiclone
c. Tylenol cold and flu
d. Quetiapine - ANSWER-b. Eszopiclone
Eszopiclone (Lunesta) may help with short term insomnia related to sleep
maintenance issues
Which of the following medications are approved by the US Food and Drug
Administration specifically targeting irritability in children with Autism Spectrum
d/o (ASD)?
a. Haloperidol and atomoxetine
b. Ziprasidone and olanzapine
c. Clozapine and citalopram
d. Aripiprazole and risperidone - ANSWER-d. Aripiprazole and risperidone
1|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
Aripiprazole and risperidone have FDA approval for treating irritability secondary
to ASD. There are many other medications utilized for irritability related to ASD
that are designated as "off-label" use
Which of the following would help the PMHNP differentiate between NMS and
serotonin syndrome?
a. Clonus
b. Muscle rigidity
c. Temperature of 101.7
d. Low vitamin B12 - ANSWER-a. Clonus
*a febrile patient with muscle rigidity may have either NMS or serotonin
syndrome; clonus is a/w serotonin syndrome; low vitamin B12 does not help
narrow the differential diagnosis in this clinical scenario
Robert presented to the emergency room after ingesting an unknown amount of
pills. Which of the following medications has a reduced risk of mortality in
overdose?
a. Amitriptyline
b. Phenelzine
c. Acetaminophen
d. Sertraline - ANSWER-d. Sertraline
SSRIs are considered safer than TCAs or MAOIs in overdose situations;
acetaminophen overdose leads to hepatic failure and possibly death
2|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
A condition characterized by abnormal involuntary movements in a rhythmic
pattern often affecting the mouth, tongue, and jaw that is potentially irreversible
is known as?
a. Pseudo-parkinson's
b. Tardive dyskinesia
c. Neuroleptic malignant syndrome
d. Dystonia - ANSWER-b. Tardive dyskinesia
A patient who had previously reported feeling much better on her antidepressant
suddenly says the "drug seems to have stopped working". This is known as:
a. Adverse effect
b. Tachyphylaxis
c. Side effect
d. Tolerance - ANSWER-b. Tachyphylaxis
A drug that blocks receptors, inhibiting a biological response, is known as a(n):
a. Inverse agonist
b. Antagonist
c. Agonist
d. Partial agonist - ANSWER-b. Antagonist
Helen is a 59 female who presents with occasional panic attacks and new onset
"leg aches". She is on ASA 81mg/day, Sertraline 150mg/day, Aripiprazole 2mg/day,
Atorvastatin 20mg/day and Magnesium OTC Daily PRN. Laboratory results are as
3|Page
, NR 668 CEA Final EXAM 2025 UPDATE | PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM
follows: BUN 17, Creatinine 1.0, Sodium 139, CK 244 IU/L and Hemoglobin of 13.1.
Blood pressure of 130/80. Which medication could explain Helen's current chief
complaint and related laboratory abnormality?
a. Anemia secondary to acute blood loss
b. Statin induced myositis
c. Hyponatremia secondary to sertraline
d. Renal disease - ANSWER-b. Statin induced myositis
*helen's laboratory results are relatively normal except for an elevated CK; statins
are well known to cause myalgias. There is no evidence of acute blood loss,
hyponatremia or renal disease present here
Which of the following is characteristic of the leadership competency for APRNs?
a. Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
c. Developing an age-appropriate treatment plan
d. Evaluating the appropriate use of seclusion - ANSWER-a. Participating in a
community-focused program that promotes mental health and reduces the risk of
mental health problems
Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
4|Page
