NURS 6630 MIDTERM EXAM TEST BANK
QUESTIONS ANDA ANSWERS GRADED ARATED 5
STAR 2023/2024
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach
and liver can be altered.
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about
medications that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have
antagonistic traits.
1 out of 1 points
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat
his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may
impact the dose needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
,0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order
to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The
PMHNP is aware that his next best action is to:
Answer: B. Write an order for a different mood stabilizer
out of 1 points
A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline
(Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric
medications and the reason for admission, what would be the best course of action for
the PMHNP with this client?
Answer: A. Review Amitriptyline (Elavil) level
Question 14
0 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT
and neurotransmitter serotonin. What is the rationale for prescribing a medication such
as this?
Answer: D. To help decrease the amount of serotonin and dopamine
Question 15
1 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
,Answer: D. “I feel nervous to go outside and be in large crowds.”
Question 16
1 out of 1 points
Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic
receptors. She is curious about the effects of the drug and how it will act on her
symptoms. Which statement made by the PMHNP demonstrates proper understanding
of Ms. Harlow’s prescription?
Answer: A. “The drug will have an almost immediate effect.”
Question 17
1 out of 1 points
A patient is seeking pharmacological treatment for smoking cessation. Which drug class
does the PMHNP prescribe to the patient?
Answer: D. Varenicline (Chantix)
Question 18
1 out of 1 points
The PMHNP is caring for a new patient who has been transferred from another office.
When meeting with the new patient, the patient reports, “I feel like I am improving with
the stabilizers.” The PMHNP immediately recognizes that the patient is describing
which kind of drug?
Answer: C. Partial agonists
Question 19
1 out of 1 points
A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
, Answer: B. “The patient could benefit from an anticonvulsant.”
Question 20
1 out of 1 points
What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all
have in common?
Answer: A. Ligand-gated ion channels with a pentameric structure
Question 44
1 out of 1 point
A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline
can initially cause anxiety or insomnia, what should the PMHNP do?
Answer: B. Prescribe short-acting benzodiazepine for 2 weeks, then discontinue.
Question 45
1 out of 1 point
A patient who was diagnosed with bipolar disorder without mania, asks the
PMHNP why he is being prescribed a mood stabilizer. What is the appropriate
response?
Answer: C. Mood stabilizers can target mania and mania relapse and also reduce
symptoms of bipolar depression and relapse of bipolar depression
symptoms but no drug has been proven to target all four therapeutic
actions
Question 46
1 out of 1 point
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
Answer: D. “I feel nervous to go outside and be in large crowds.”
Question 47
1 out of 1 point
Ms. Boeckh is a 42-year-old client who is taking an antidepressant therapy. The
QUESTIONS ANDA ANSWERS GRADED ARATED 5
STAR 2023/2024
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach
and liver can be altered.
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely
prescribe and monitor medications. Which of the following statements does the
competent PMHNP identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about
medications that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have
antagonistic traits.
1 out of 1 points
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat
his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may
impact the dose needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
,0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order
to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The
PMHNP is aware that his next best action is to:
Answer: B. Write an order for a different mood stabilizer
out of 1 points
A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline
(Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric
medications and the reason for admission, what would be the best course of action for
the PMHNP with this client?
Answer: A. Review Amitriptyline (Elavil) level
Question 14
0 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT
and neurotransmitter serotonin. What is the rationale for prescribing a medication such
as this?
Answer: D. To help decrease the amount of serotonin and dopamine
Question 15
1 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
,Answer: D. “I feel nervous to go outside and be in large crowds.”
Question 16
1 out of 1 points
Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic
receptors. She is curious about the effects of the drug and how it will act on her
symptoms. Which statement made by the PMHNP demonstrates proper understanding
of Ms. Harlow’s prescription?
Answer: A. “The drug will have an almost immediate effect.”
Question 17
1 out of 1 points
A patient is seeking pharmacological treatment for smoking cessation. Which drug class
does the PMHNP prescribe to the patient?
Answer: D. Varenicline (Chantix)
Question 18
1 out of 1 points
The PMHNP is caring for a new patient who has been transferred from another office.
When meeting with the new patient, the patient reports, “I feel like I am improving with
the stabilizers.” The PMHNP immediately recognizes that the patient is describing
which kind of drug?
Answer: C. Partial agonists
Question 19
1 out of 1 points
A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
, Answer: B. “The patient could benefit from an anticonvulsant.”
Question 20
1 out of 1 points
What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all
have in common?
Answer: A. Ligand-gated ion channels with a pentameric structure
Question 44
1 out of 1 point
A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline
can initially cause anxiety or insomnia, what should the PMHNP do?
Answer: B. Prescribe short-acting benzodiazepine for 2 weeks, then discontinue.
Question 45
1 out of 1 point
A patient who was diagnosed with bipolar disorder without mania, asks the
PMHNP why he is being prescribed a mood stabilizer. What is the appropriate
response?
Answer: C. Mood stabilizers can target mania and mania relapse and also reduce
symptoms of bipolar depression and relapse of bipolar depression
symptoms but no drug has been proven to target all four therapeutic
actions
Question 46
1 out of 1 point
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
Answer: D. “I feel nervous to go outside and be in large crowds.”
Question 47
1 out of 1 point
Ms. Boeckh is a 42-year-old client who is taking an antidepressant therapy. The
