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Download Nurs 6630 Final Exam Questions with 100% Correct Answers 2025 Update. and more Exams Nursing in PDF only on Docsity!
Page 1 Question 1 1 out of 1 points Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition? Selected D. Answer: All of the above Question 2 0 out of 1 points An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and myocardial infarction had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While assessing this patient, the PMHNP is made aware that the patient continues to experience mild to moderate pain. What is the PMHNP most likely to do? Selected A. Answer: Order an X-ray because it is possible that she dislocated her hip. Question 3 1 out of 1 points The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain fram a hyperactive state to a sleep state? Selected B. Answer: Benzodiazepi Page 2 nes Question 4 1 out of 1 points A patient addicted to heroin is receiving treatment for detoxification. He begins to experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP prescribe for this patient? Selected Dz. Answer: Clonidine (Catapres) Question 5 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 6 1 out of 1 points A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient? Selected Cc. Answer: It will block testosterone. Question 7 1 out of 1 points Which statement best describes a pharmacological approach to treating patients for impulsive aggression? Selected D. Answer: Opioid antagonists can be used to reduce drive. Page 4 Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of Page 5 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes | think I’m addicted to food the way some people are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food and drug addiction? Selected A. Answer: There is decreased activation of the prefrontal cortex. Question 13 1 out of 1 points A 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNP determines that improving memory is a key consideration in selecting a medication. Which of the following would be an appropriate choice? Selected Dz. Answer: All of the above Question 14 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 Cc. Answer: The medication can affect your blood pressure. Question 15 1 out of 1 points The parents of a 7-year-old patient with ADHD are concerned about the effects of stimulants on their child. The parents prefer to start pharmacological treatment with a non-stimulant. Which medication will the PMHNP will most likely prescribe? Selected A. Answer: Stratt era Question 16 1 out of 1 points The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following? [Date] || Page 7 Selected B. Answer: Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly. Question 21 1 out of 1 points The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most likely do? Selected G, Answer: Prescribe desvenlafaxine (Pristiq), 50 mg daily Question 22 1 out of 1 points The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the PMHNP select that may be effective far managing this patient’s pain? Selected c. Answer: Imipramine (Tofranil) Question 23 1 out of 1 points The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP. most likely to take? Selected As Answer: Order hydroxyzine (Vistaril), 50 mg PRN or as needed Question 24 1 out of 1 points The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an initial prescription that has a half-life of approximately 1-2 hours. What is the most — Page 8 appropriate prescription for the PMHNP to make? Selected A. Answer: Triazolam (Halcion) Question 25 1 out of 1 points A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe? Selected D. Answer: Naltrexo ne Question 26 1 out of 1 points The PMHNP has been asked to provide an in-service training to include attention to the use of antipsychotics to treat Alzheimer’s. What does the PMHNP convey to staff? Selected D. Answer: Both “A” & “C.” Question 27 1 out of 1 points A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken. What does the PMHNP understand regarding the drug’s dosing profile? Selected B. Answer: The patient will have one or two doses a day. Question 28 1 out of 1 points Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the following conditions? Selected A Answer: Alcoholis m Page 10 Question 33 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: Selected A. Answer: Evaluate the patient’s willingness to abstain from alcohol Question 34 1 out of 1 points A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that which of the fallowing medications may be beneficial in augmenting stimulant medication? Selected ion Answer: Guanfacine ER (Intuniv) Question 35 1 out of 1 points An adult patient presents with a history of alcohol addiction and attention deficit hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which of the following medications may be the best treatment aption? Selected Cc. Answer: Atomoxetine (Strattera) Question 36 1 out of 1 points The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)? Selected B. Answer: Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax) acts by inhibiting appetite. [Date] | 10 | Page 11 Question 37 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 A. Answer: Possible other causes: hypothyroidism, Cushing’s syndrome, multiple sclerosis Possible treatment option: memantine Question 38 1 out of 1 points The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by positron emission tomography (PET). What other factors will the PMHNP consider before prescribing medication for this patient, and what medication would the PMHNP want to avoid given these other factors? Selected D. Answer: Both “A” & “BR” Question 39 1 out of 1 points The PMHNP is discussing dopamine D2 receptor occupancy and its association with aggressive behaviors in patients with the student. Why does the PMHNP prescribe a standard dose of atypical antipsychotics? Selected Cc. Answer: The doses are based on achieving 60% D2 receptor occupancy. Question 40 1 out of 1 points The PMHNP is caring for a patient who experiences too much overstimulation and anxiety during daytime hours. The patient agrees to a pharmacological treatment but states, “I don’t want to feel sedated or drowsy from the medicine.” Which decision made by the PMHNP demonstrates proper knowledge of this patient’s symptoms and appropriate treatment options? Selected A. [Date] Question 45 Page 13 [Date] 13 Page 14 1 out of 1 points A group of nursing students seeks further clarification from the PMHNP on how cholinesterase inhibitors are beneficial for Alzheimer’s disease patients. What is the appropriate response? Selected Dz. Answer: oe ON” Ee Question 46 1 out of 1 points The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be taken by the PMHNP? Selected A. Answer: Orders liver function tests. Question 47 1 out of 1 points The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those channels with a “use-dependent” form of inhibition. Which agent will the PMHNP most likely select? Selected A. Answer: Pregabalin (Lyrica) Question 48 1 out of 1 points A patient with chronic insomnia asks the PMHNP if they can first try an over-the-counter (OTC) medication before one that needs to be prescribed to help the patient sleep. Which is the best response by the PMHNP? Selected D. Answer: “You can get melatonin over the counter, which will help with sleep onset.” Question 49 1 out of 1 points The PMHNP wants to prescribe Mr. Barber a mood stabilizer that will target aggressive Page 16 Selected ‘. . . Answer: mnesia, apraxia, agnosia Question 54 0 out of O points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Question 55 1 out of 1 points The PMHNP is working with the student to care for a patient with diabetic peripheral neuropathic pain. The student asks the PMHNP why SSRIs are not consistently useful in treating this particular patient’s pain. What is the best response by the PMHNP? Selected B. Answer: “SSRIs only increase serotonin levels.” Question 56 1 out of 1 points The PMHNP is treating a patient for fibromyalgia and is considering prescribing milnacipran (Savella). When prescribing this medication, which action is the PMHNP likely to choose? Selected c. Answer: Split the daily dose into two doses after the first day. Question 57 1 out of 1 points A patient is being prescribed bupropion and is concerned about the side effects. What will the PMHMP tell the patient regarding bupropion? Selected Cs Answer: It can cause cardiac arrhythmias. [Date] | 16 | Page 17 Question 58 1 out of 1 points What will the PMHNP most likely prescribe to a patient with psychotic aggression who heeds to manage the top-down cortical control and the excessive drive from striatal hyperactivity? Selected G: Answer: Antipsychot ics Question 59 1 out of 1 points The PMHNP understands that slow-dose extended release stimulants are most appropriate for which patient with ADHD? Selected A. Answer: 8-year-old patient Question 60 1 out of 1 points The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by mouth daily, for nerve pain 6 months ago. The patient suddenly presents to the office with the complaint that the medication is no longer working and complains of increased pain. What action will the PMHNP most likely take? Selected A. Answer: Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily. Question 61 1 out of 1 points The PMHNP is selecting a medication treatment option for a patient who is exhibiting psychotic behaviors with poor impulse control and aggression. Of the available treatments, which can help temper some of the adverse effects or symptoms that are normally caused by D2 antagonism? Selected D. Answer: Second-generation, atypical antipsychotics [Date] Page 19 A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and aggressive behavior. The PMHNP determines which of the following to be the best treatment option? Selected D. Answer: Citalopram (Celexa) or Escitalopram (Lexapro) Question 63 1 out of 1 points An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.” Based on self-report from the patient, his parents, and his teacher; attention deficit hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely to prescribe? Selected A. Answer: Methylphenidate (Ritalin, Concerta) Question 64 1 out of 1 points The PMHNP is providing a workshop for pediatric nurses, and a question is posed about noradrenergic agents to treat ADHD. Which of the following noradrenergic agents have norepinephrine reuptake inhibitor (NRI) properties that can treat ADHD? Selected D. Answer: Both “A” & “or Question 65 1 out of 1 points A patient with chronic back pain has been prescribed a serotonin-norepinephrine reuptake inhibitor (SNRI). How does the PMHNP describe the action of SNRIs on the inhibition of pain to the patient? Selected A. Answer: “The SNRI can increase noradrenergic neurotransmission in the descending spinal pathway to the dorsal horn.” Question 66 1 out of 1 points [Date] | 19 | An opiaid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is Page 20 
