NR 546 Final Exam Psychopharmacology Exam
NR 546 FINAL EXAM PSYCHOPHARMACOLOGY EXAM NEWEST
2025/2026 COMPLETE ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!
A patient has been admitted to the emergency department with a suspected
overdose. Their EKG is noted to have a widened QRS complex. Which
antidepressant does the PMHNP suspect the patient has overdosed on?
A. Paroxetine
B. Amitriptyline
C. Phenelzine
D. Isocarboxazid
B. Amitriptyline
Tricyclic antidepressants (TCA) act as reuptake inhibitors on which of the following
neurotransmitters?
A. Norepinephrine and Serotonin
B. GABA and Acetylcholine
C. Dopamine and Histamine
D. Histamine and Acetylcholine
A. Norepinephrine and Serotonin
Which medication is safest for 28 year old patient, diagnosed with major
depressive disorder, who is actively trying to conceive?
A. Sertraline
B. Topiramate
C. Lithium
D. Paroxetine
1|Page
, NR 546 Final Exam Psychopharmacology Exam
A. Sertraline
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.
B. Occurs when serotonergic medications build an abnormally high levels of
serotonin in the body.
Which of the following medications is a serotonin norepinephrine receptor
agonist?
A. Bupropion
B. Mirtazapine
C. Trazodone
D. Nortripyline
B. Mirtazapine
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
B. Lithium
2|Page
, NR 546 Final Exam Psychopharmacology Exam
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
C. elevated levels of lithium
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
D. 5 days after dosage change
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
D. Escitalopram
Lithium levels can be decreased by which of the following?
A. Aripiprazole
B. Grapefruit
3|Page
NR 546 FINAL EXAM PSYCHOPHARMACOLOGY EXAM NEWEST
2025/2026 COMPLETE ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!
A patient has been admitted to the emergency department with a suspected
overdose. Their EKG is noted to have a widened QRS complex. Which
antidepressant does the PMHNP suspect the patient has overdosed on?
A. Paroxetine
B. Amitriptyline
C. Phenelzine
D. Isocarboxazid
B. Amitriptyline
Tricyclic antidepressants (TCA) act as reuptake inhibitors on which of the following
neurotransmitters?
A. Norepinephrine and Serotonin
B. GABA and Acetylcholine
C. Dopamine and Histamine
D. Histamine and Acetylcholine
A. Norepinephrine and Serotonin
Which medication is safest for 28 year old patient, diagnosed with major
depressive disorder, who is actively trying to conceive?
A. Sertraline
B. Topiramate
C. Lithium
D. Paroxetine
1|Page
, NR 546 Final Exam Psychopharmacology Exam
A. Sertraline
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.
B. Occurs when serotonergic medications build an abnormally high levels of
serotonin in the body.
Which of the following medications is a serotonin norepinephrine receptor
agonist?
A. Bupropion
B. Mirtazapine
C. Trazodone
D. Nortripyline
B. Mirtazapine
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
B. Lithium
2|Page
, NR 546 Final Exam Psychopharmacology Exam
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
C. elevated levels of lithium
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
D. 5 days after dosage change
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
D. Escitalopram
Lithium levels can be decreased by which of the following?
A. Aripiprazole
B. Grapefruit
3|Page
