NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2025)(Q & A)
• Question 1
0 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been taking a high-
dose SSRI and is participating in therapy twice a week. He reports an inability to
carry out responsibilities due to consistent interferences of his obsessions and
compulsions. The PMHNP knows that the next step would be which of the
following?
Selected Answer: B.
Decrease his SSRI and add an MAOI.
• Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating patients for
impulsive aggression?
Selected B.
Answer: Atypical antipsychotics can increase subcortical dopaminergic
stimulation.
,NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
• Question 3
0 out of 1 points The
PMHNP evaluates a patient presenting with symptoms of
dementia. Before the PMHNP considers treatment options, the patient
must be assessed for other possible causes of dementia. Which of the following
answers addresses both possible other causes of dementia and a rational
treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal
insufficiency, hyperparathyroidism
Possible treatment option: donepezil
• Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for
treatment given the patient’s gastrointestinal problems?
Selected Answer: A.
Donepezil (Aricept)
• Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription for Ritalin.
What will the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.
,NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
• Question 6
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How
does the PMHNP anticipate the drug to work?
Selected A.
Answer: It will bind to the alpha-2-delta ligand subunit of voltage-
sensitive calcium channels.
• Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that
is secondary to cancer. Under what circumstances would the PMHNP order
naloxone (Narcan) IM/SQ?
Selected D.
Answer: The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood
pressure, and 8 respirations.
• Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.
• Question 9
1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up appointment, which
comment made by the patient makes the PMHNP think that the dosing is being
done incorrectly?
, NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
Selected Answer: B.
“I am unable to fall asleep at night.”
• Question 10
1 out of 1 points
A patient recovering from shingles presents with tenderness and sensitivity to the
upper back. He states it is bothersome to put a shirt on most days. This patient has
end stage renal disease (ESRD) and is scheduled to have hemodialysis tomorrow
but states that he does not know how he can lie in a recliner for 3 hours feeling
this uncomfortable. What will be the PMHNP’s priority?
Selected Answer: C.
Prescribe lidocaine 5%
• Question 11
0 out of 1 points
A 63-year-old patient presents with the following symptoms. The PMHNP
determines which set of symptoms warrant prescribing a medication? Select
the answer that is matched with an appropriate treatment.
Selected C.
Answer: Reduced ability to find the correct word is most problematic, and
an appropriate treatment option would be memantine.
• Question 12
1 out of 1 points
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka
daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the
PMHNP to:
2025)(Q & A)
• Question 1
0 out of 1 points
A patient diagnosed with obsessive compulsive disorder has been taking a high-
dose SSRI and is participating in therapy twice a week. He reports an inability to
carry out responsibilities due to consistent interferences of his obsessions and
compulsions. The PMHNP knows that the next step would be which of the
following?
Selected Answer: B.
Decrease his SSRI and add an MAOI.
• Question 2
0 out of 1 points
Which statement best describes a pharmacological approach to treating patients for
impulsive aggression?
Selected B.
Answer: Atypical antipsychotics can increase subcortical dopaminergic
stimulation.
,NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
• Question 3
0 out of 1 points The
PMHNP evaluates a patient presenting with symptoms of
dementia. Before the PMHNP considers treatment options, the patient
must be assessed for other possible causes of dementia. Which of the following
answers addresses both possible other causes of dementia and a rational
treatment option for Dementia?
Selected B.
Answer: Possible other causes: hypothyroidism, adrenal
insufficiency, hyperparathyroidism
Possible treatment option: donepezil
• Question 4
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for
treatment given the patient’s gastrointestinal problems?
Selected Answer: A.
Donepezil (Aricept)
• Question 5
0 out of 1 points
The PMHNP is teaching parents about their child’s new prescription for Ritalin.
What will the PMHNP include in the teaching?
Selected Answer: D.
There will be continued effects into the evening.
,NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
• Question 6
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How
does the PMHNP anticipate the drug to work?
Selected A.
Answer: It will bind to the alpha-2-delta ligand subunit of voltage-
sensitive calcium channels.
• Question 7
1 out of 1 points
An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that
is secondary to cancer. Under what circumstances would the PMHNP order
naloxone (Narcan) IM/SQ?
Selected D.
Answer: The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood
pressure, and 8 respirations.
• Question 8
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient?
Selected Answer: C.
The medication can affect your blood pressure.
• Question 9
1 out of 1 points
A young patient is prescribed Vyvanse. During the follow-up appointment, which
comment made by the patient makes the PMHNP think that the dosing is being
done incorrectly?
, NURS 6630N Final Exam / NURS6630N Final Exam(3 Versions) :Walden university(New,
2022/2023)(Q & A)
Selected Answer: B.
“I am unable to fall asleep at night.”
• Question 10
1 out of 1 points
A patient recovering from shingles presents with tenderness and sensitivity to the
upper back. He states it is bothersome to put a shirt on most days. This patient has
end stage renal disease (ESRD) and is scheduled to have hemodialysis tomorrow
but states that he does not know how he can lie in a recliner for 3 hours feeling
this uncomfortable. What will be the PMHNP’s priority?
Selected Answer: C.
Prescribe lidocaine 5%
• Question 11
0 out of 1 points
A 63-year-old patient presents with the following symptoms. The PMHNP
determines which set of symptoms warrant prescribing a medication? Select
the answer that is matched with an appropriate treatment.
Selected C.
Answer: Reduced ability to find the correct word is most problematic, and
an appropriate treatment option would be memantine.
• Question 12
1 out of 1 points
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka
daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the
PMHNP to:
