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NR 605 / NR605 Midterm Exam Actual Exam
2026/2027 | Diagnosis & Management in Psychiatric-
Mental Health Across the Lifespan I Practicum |
Chamberlain | Questions with Verified Answers |
100% Correct | Pass Guaranteed
Q001: A 19-year-old college freshman presents with 6 weeks of declining grades,
auditory hallucinations commenting on his actions, and social withdrawal. He is
awake for 20–22 hrs nightly researching conspiracy theories. Urine drug screen is
negative. Which initial pharmacologic class is first-line for acute psychosis?
Options:
A. Benzodiazepines
B. Long-acting injectable antipsychotic
C. Second-generation oral antipsychotic (e.g., risperidone)
D. Lithium monotherapy
ANSWER: C
Q002: A 34-year-old woman with bipolar I disorder, currently hypomanic on 1500
mg lithium carbonate (level 0.9 mEq/L), reports new tremor and 3-lb weight gain
over 2 weeks. She denies dehydration. Which initial laboratory test is most
important?
Options:
A. Serum creatinine and TSH
B. Serum sodium
C. Serum calcium
D. Serum magnesium
, 2
ANSWER: A
Q003: A 7-year-old boy is brought in for disruptive behavior: frequent tantrums,
biting peers, and refusal to follow commands at school. Symptoms began at age 4,
occur in multiple settings, and have worsened over 6 months. Conners rating scale
shows high hyperactivity/impulsivity scores. Which first-line medication is FDA-
approved for this age?
Options:
A. Atomoxetine
B. Methylphenidate extended-release
C. Clonidine
D. Sertraline
ANSWER: B
Q004: A 56-year-old retired teacher with major depressive disorder, recurrent,
severe, has failed adequate trials of sertraline and venlafaxine. PHQ-9 is 22. He is
medically cleared. Which next evidence-based biologic treatment is
recommended?
Options:
A. Augmentation with aripiprazole
B. Switch to bupropion
C. Electroconvulsive therapy (ECT)
D. Lamotrigine monotherapy
ANSWER: C
Q005: A 24-year-old Marine reports 4 months of nightmares, hypervigilance, and
avoiding fireworks displays after a deployment IED blast. CAPS-5 score 48.
Which first-line medication has the strongest evidence for PTSD-related sleep
disruption?
Options:
, 3
A. Zolpidem
B. Prazosin
C. Trazodone
D. Gabapentin
ANSWER: B
Q006: A 15-year-old transgender male (on testosterone 6 months) presents with 3
weeks of depressed mood, anhedonia, and passive suicidal ideation. He denies
substance use. Which initial diagnostic step is required before starting sertraline 25
mg?
Options:
A. Serum testosterone level
B. Columbia Suicide Severity Rating Scale and safety plan
C. ECG
D. Liver function tests
ANSWER: B
Q007: A 42-year-old woman with generalized anxiety disorder has taken
escitalopram 20 mg daily for 8 weeks with partial response (GAD-7 reduced from
16 to 10). She has no comorbidities. Which evidence-based next step?
Options:
A. Increase escitalopram to 30 mg
B. Augment with buspirone 15 mg BID
C. Switch to alprazolam
D. Add hydroxyzine PRN
ANSWER: B
NR 605 / NR605 Midterm Exam Actual Exam
2026/2027 | Diagnosis & Management in Psychiatric-
Mental Health Across the Lifespan I Practicum |
Chamberlain | Questions with Verified Answers |
100% Correct | Pass Guaranteed
Q001: A 19-year-old college freshman presents with 6 weeks of declining grades,
auditory hallucinations commenting on his actions, and social withdrawal. He is
awake for 20–22 hrs nightly researching conspiracy theories. Urine drug screen is
negative. Which initial pharmacologic class is first-line for acute psychosis?
Options:
A. Benzodiazepines
B. Long-acting injectable antipsychotic
C. Second-generation oral antipsychotic (e.g., risperidone)
D. Lithium monotherapy
ANSWER: C
Q002: A 34-year-old woman with bipolar I disorder, currently hypomanic on 1500
mg lithium carbonate (level 0.9 mEq/L), reports new tremor and 3-lb weight gain
over 2 weeks. She denies dehydration. Which initial laboratory test is most
important?
Options:
A. Serum creatinine and TSH
B. Serum sodium
C. Serum calcium
D. Serum magnesium
, 2
ANSWER: A
Q003: A 7-year-old boy is brought in for disruptive behavior: frequent tantrums,
biting peers, and refusal to follow commands at school. Symptoms began at age 4,
occur in multiple settings, and have worsened over 6 months. Conners rating scale
shows high hyperactivity/impulsivity scores. Which first-line medication is FDA-
approved for this age?
Options:
A. Atomoxetine
B. Methylphenidate extended-release
C. Clonidine
D. Sertraline
ANSWER: B
Q004: A 56-year-old retired teacher with major depressive disorder, recurrent,
severe, has failed adequate trials of sertraline and venlafaxine. PHQ-9 is 22. He is
medically cleared. Which next evidence-based biologic treatment is
recommended?
Options:
A. Augmentation with aripiprazole
B. Switch to bupropion
C. Electroconvulsive therapy (ECT)
D. Lamotrigine monotherapy
ANSWER: C
Q005: A 24-year-old Marine reports 4 months of nightmares, hypervigilance, and
avoiding fireworks displays after a deployment IED blast. CAPS-5 score 48.
Which first-line medication has the strongest evidence for PTSD-related sleep
disruption?
Options:
, 3
A. Zolpidem
B. Prazosin
C. Trazodone
D. Gabapentin
ANSWER: B
Q006: A 15-year-old transgender male (on testosterone 6 months) presents with 3
weeks of depressed mood, anhedonia, and passive suicidal ideation. He denies
substance use. Which initial diagnostic step is required before starting sertraline 25
mg?
Options:
A. Serum testosterone level
B. Columbia Suicide Severity Rating Scale and safety plan
C. ECG
D. Liver function tests
ANSWER: B
Q007: A 42-year-old woman with generalized anxiety disorder has taken
escitalopram 20 mg daily for 8 weeks with partial response (GAD-7 reduced from
16 to 10). She has no comorbidities. Which evidence-based next step?
Options:
A. Increase escitalopram to 30 mg
B. Augment with buspirone 15 mg BID
C. Switch to alprazolam
D. Add hydroxyzine PRN
ANSWER: B
