NR 546 FINAL PRACTICE EXAM PSYCHOPHARMACOLOGY FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 546 FINAL PRACTICE EXAM PSYCHOPHARMACOLOGY FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters? A. Serotonin, Dopamine, Norepinephrine B. Serotonin, GABA, Glutamate C. Acetylcholine, Dopamine, Norepinephrine D. Dopamine, GABA, Acetylcholine Correct Answer A. Serotonin, Dopamine, Norepinephrine 2. Which of the following is considered first line treatment for depression? A. SSRI B. FGA C. SNRI D. MAOI Correct Answer A. SSRI 3. When treating a patient for major depression disorder which medication would the PMHNP consider first? A. Depakote B. Selegiline C. Escitalopram D. Isocarboxazid Correct Answer C. Escitalopram 4. Which of the following medication should be considered for a patient diagnosed with major depressive disorder who reports "always forgetting to take my pills"? A. Mirtazapine B. Fluvoxamine C. Fluoxetine D. Carbemazepine Correct Answer C. Fluoxetine 5. Which of the following medication has a black box warning of a life-threatening skin rash? A. Lithium B. Lamotrigine C. Lurasidone D. Lorazepam Correct Answer B. Lamotrigine 6. Which medication is considered the best tolerated SSRI? A. Venlafaxine B. Bupropion C. Setraline D. Escitalopram Correct Answer D. Escitalopram 7. During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports slight improvement in depression symptoms and tolerating medication well. Which of the following should the PMHNP do? A. Increase Setraline dose B. Switch to an SNRI C. Switch to a different SSRI D. Add Trazodone qHS for sleep. Correct Answer A. Increase Setraline dose 8. Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder and anxiety with a reported fall 3 months ago? A. Citalopram B. Setraline C. Paroxetine D. Aripiprazole Correct Answer C. Paroxetine 9. A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which of the following is the most appropriate response from the PMHNP? A. "Start doubling the dose of sertraline and your symptoms will begin to ease up". B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin levels". C. "Stop taking it immediately and go to the local emergency department". D. "You must take Sertraline with food, otherwise you will continue to expe- rience GI symptoms". Correct Answer B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin levels". 10. During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms with escitalopram. Which of the following statement made by the PMHNP is correct? A. "Let's discontinue escitalopram and start you on something stronger". B. "It can take up to 6 weeks before you notice improvements of depressive symptoms". C. "I am going to prescibe Trazodone. Take it at night to help you sleep". D. "Start taking two pills at a time". Correct Answer B. "It can take up to 6 weeks before you notice improvements of depressive symptoms". 11. Duloxetine effects which two neurotransmitters? A. serotonin and norepinephrine B. serotonin and dopamine C. norepinephrine and GABA D. glutamate and acetylcholine Correct Answer A. serotonin and norepinephrine 12. Awura, a 70 year old patient diagnosed with major depressive disorder reports a recent 40 pound weight loss within the last 3 months. Which medication should the PMHNP consider adding to her medication regimen? A. quetiapine B. mirtazpine C. valproic acid D. paroxetine Correct Answer B. mirtazpine 13. Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids? A. Sedation B. Respiratory depression C. Immunosuppression D. Itching Correct Answer C. Immunosuppression