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NSG 552 Midterm Exam 2026/2027 – Wilkes University – Psychopharmacology – Verified Questions & Answers Study Guide (Grade A)

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This document provides updated NSG 552 midterm exam preparation material for the 2026/2027 academic year at Wilkes University, focused on Psychopharmacology. It includes structured questions with verified answers covering antidepressants, antipsychotics, mood stabilizers, anxiolytics, pharmacokinetics, and clinical decision-making in psychiatric medication management. The content is designed to support midterm exam preparation and strengthen understanding of advanced psychopharmacology concepts.

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NSG552 / NSG 552 Midterm Exam (Latest 2026 /
2027 Update): Psychopharmacology | Questions
and Verified Answers | 100% Correct | Grade A -
Wilkes



Which of the following best describes asthma?



A. Intermittent airway inflammation with occasional bronchospasm

B. A disease of bronchospasm that leads to airway inflammation

C. Chronic airway inflammation with superimposed bronchospasm

D. Relatively fixed airway constriction
C. Chronic airway inflammation with superimposed bronchospasm




The patient you are evaluating is having an asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the following on physical exam:



A. Tripod posture

B. Inspiratory crackles
C. Increased vocal fremitus

D. Hyperresonance on thoracic percussion
D. Hyperresonance on thoracic percussion




A 44-year-old man has a long-standing history of moderate persistent asthma that is normally
well controlled by fluticasone with salmeterol (Advair) via metered-dose inhaler, one puff twice
a day, and the use of albuterol one to two times a week as needed for wheezing. Three days ago,
he developed a sore throat, clear nasal discharge, body aches, and a cough with a small amount

, NSG552 / NSG 552 Midterm Exam (Latest 2026 /
2027 Update): Psychopharmacology | Questions
and Verified Answers | 100% Correct | Grade A -
Wilkes

of white sputum production. In the past 24 hours, he has had intermittent wheezing that
necessitated the use of albuterol, two puffs, every 3 hours, which produced partial relief. Your
next most appropriate action is to obtain a:



A. Chest radiograph
B. Measurement of oxygen saturation (SaO2)

C. Spirometry measurement

D. Sputum smear for WBCs

C. Spirometry measurement




You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day history
of upper respiratory tract symptoms (clear nasal drainage, dry cough, no fever). She has a history
of moderate persistent asthma that is in good control and an acceptable peak expiratory flow
(PED). She is using budesonide (Pulmicort) and albuterol as directed and continues to have
difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the office,
her forced expiratory volume at 1 second (FEV1) is 65% of predicted. Her medication regimen
should be adjusted to include:



A. Oral theophylline
B. Inhale salmeterol (Serevent) via MDI

C. Oral prednisone

D. Oral montelukast (Singulair)

, NSG552 / NSG 552 Midterm Exam (Latest 2026 /
2027 Update): Psychopharmacology | Questions
and Verified Answers | 100% Correct | Grade A -
Wilkes

For Jane in the previous question, the NP also considers prescribing:


A. A 10-day course of oral amoxicillin

B. A 5-day course of oral azithromycin

C. A 14-day course of levofloxacin

D. No antimicrobial therapy

C. Oral prednisone


D. No antimicrobial therapy




Which of the following describes a PEF meter?



A. Should only be used in the presence of a medical professional

B. Provides convenient method to check expiratory air flow at home
C. Is as accurate as spirometry

D. Should not be used more than once daily

B. Provides convenient method to check expiratory air flow at home




Which of the following is most accurate regarding the use of a chest x-ray during an acute
asthma flare?


A. Chest radiograph should be performed with each asthma flare

, NSG552 / NSG 552 Midterm Exam (Latest 2026 /
2027 Update): Psychopharmacology | Questions
and Verified Answers | 100% Correct | Grade A -
Wilkes

B. Chest radiograph should be performed during and following resolution of the flare
C. Chest radiograph should be avoided as it can further exacerbate a flare

D. Chest radiograph should be limited to those with signs of respiratory tract infection (i.e.,
fever, congested cough)

D. Chest radiograph should be limited to those with signs of respiratory tract infection (i.e.,
fever, congested cough)




A 36-year-old man with asthma also needs antihypertensive therapy. Which of the following
products should you avoid prescribing?



A. Hydrochlorothiazide

B. Propranolol

C. Amlodipine

D. Enalapril
B. Propranolol




For the next 4 questions, which of the following is consistent with presentation of asthma that is
not well controlled (Yes or No):



1. Troublesome nocturnal cough more than two nights per week

2. Need for albuterol to relieve SOB more than twice a week

3. Evidence of consolidation on chest x-ray
4. Two or more exacerbations/year requiring OCSs

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