NURS 6630 Final Exam 6 (2026) – A+ Guaranteed Answers
with Detailed Rationales for Exam Success
This document contains;
• NURS 6630
• PMHNP exam
• Final Exam 2025
• ADHD treatment
• Obsessive Compulsive Disorder (OCD)
• Alzheimer’s disease medications
• Chronic pain management
• Fibromyalgia pharmacology
• Sleep disorders management
• Substance use disorder treatment
• Pediatric psychiatry
,NURS 6630 Final Exam 6 (2026) – A+ Guaranteed Answers with Detailed Rationales for Exam
Success
NURS 6630 Final Exam Test Bank – Section 1 (Q1–25)
Question 1
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
a. No
b. Yes
Rationale:: Students must always follow the Code of Conduct to uphold academic
integrity.
Question 2
The PMHNP understands that slow-dose extended release stimulants are most
appropriate for which patient with ADHD?
a. 4-year-old patient
b. 12-year-old patient
c. 8-year-old patient
d. Adult patient
Rationale:: Extended-release stimulants are suitable for school-aged children (6–12
years), improving adherence and symptom control.
Question 3
Jordan has OCD and is on high-dose sertraline but remains functionally impaired. Best
treatment?
a. Maintain sertraline dose + add quetiapine
b. Increase sertraline
c. Switch to fluoxetine
d. Start benzodiazepine
Rationale:: Augmentation with atypical antipsychotics is effective for treatment-
resistant OCD.
Question 4
Why does the PMHNP prescribe standard doses of atypical antipsychotics?
a. Minimize sedation
b. Reduce QT prolongation
c. Achieve 60% D2 receptor occupancy
d. Avoid weight gain
, Rationale:: Standard dosing balances efficacy and minimizes extrapyramidal side
effects.
Question 5
A 72-year-old with early Alzheimer’s needs medication to improve memory.
Appropriate choice?
a. Donepezil
b. Rivastigmine
c. All of these are correct
d. Galantamine
Rationale:: Cholinesterase inhibitors improve cognition in early Alzheimer’s disease.
Question 6
Memantine (Namenda) is considered for a patient showing amnesia, apraxia, and
agnosia.
a. Agnosia only
b. Apraxia only
c. Amnesia, apraxia, agnosia
d. Aphasia only
Rationale:: Memantine addresses moderate-to-severe Alzheimer’s cognitive
symptoms.
Question 7
Why are SSRIs not consistently useful in diabetic peripheral neuropathic pain?
a. Inhibit norepinephrine
b. “SSRIs only increase serotonin levels.”
c. Cause hypoglycemia
d. Toxic to peripheral nerves
Rationale:: Neuropathic pain requires modulation of multiple neurotransmitters;
SSRIs affect serotonin alone.
Question 8
Before prescribing disulfiram (Antabuse) for alcohol dependence, the PMHNP must:
a. Ensure normal liver function
b. Evaluate willingness to abstain
c. Assess cardiac risk
d. Conduct urine toxicology
Rationale:: Disulfiram works only if patients are motivated to abstain from alcohol.
Question 9
Appropriate initial dose of D-amphetamine for an 8-year-old?
with Detailed Rationales for Exam Success
This document contains;
• NURS 6630
• PMHNP exam
• Final Exam 2025
• ADHD treatment
• Obsessive Compulsive Disorder (OCD)
• Alzheimer’s disease medications
• Chronic pain management
• Fibromyalgia pharmacology
• Sleep disorders management
• Substance use disorder treatment
• Pediatric psychiatry
,NURS 6630 Final Exam 6 (2026) – A+ Guaranteed Answers with Detailed Rationales for Exam
Success
NURS 6630 Final Exam Test Bank – Section 1 (Q1–25)
Question 1
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
a. No
b. Yes
Rationale:: Students must always follow the Code of Conduct to uphold academic
integrity.
Question 2
The PMHNP understands that slow-dose extended release stimulants are most
appropriate for which patient with ADHD?
a. 4-year-old patient
b. 12-year-old patient
c. 8-year-old patient
d. Adult patient
Rationale:: Extended-release stimulants are suitable for school-aged children (6–12
years), improving adherence and symptom control.
Question 3
Jordan has OCD and is on high-dose sertraline but remains functionally impaired. Best
treatment?
a. Maintain sertraline dose + add quetiapine
b. Increase sertraline
c. Switch to fluoxetine
d. Start benzodiazepine
Rationale:: Augmentation with atypical antipsychotics is effective for treatment-
resistant OCD.
Question 4
Why does the PMHNP prescribe standard doses of atypical antipsychotics?
a. Minimize sedation
b. Reduce QT prolongation
c. Achieve 60% D2 receptor occupancy
d. Avoid weight gain
, Rationale:: Standard dosing balances efficacy and minimizes extrapyramidal side
effects.
Question 5
A 72-year-old with early Alzheimer’s needs medication to improve memory.
Appropriate choice?
a. Donepezil
b. Rivastigmine
c. All of these are correct
d. Galantamine
Rationale:: Cholinesterase inhibitors improve cognition in early Alzheimer’s disease.
Question 6
Memantine (Namenda) is considered for a patient showing amnesia, apraxia, and
agnosia.
a. Agnosia only
b. Apraxia only
c. Amnesia, apraxia, agnosia
d. Aphasia only
Rationale:: Memantine addresses moderate-to-severe Alzheimer’s cognitive
symptoms.
Question 7
Why are SSRIs not consistently useful in diabetic peripheral neuropathic pain?
a. Inhibit norepinephrine
b. “SSRIs only increase serotonin levels.”
c. Cause hypoglycemia
d. Toxic to peripheral nerves
Rationale:: Neuropathic pain requires modulation of multiple neurotransmitters;
SSRIs affect serotonin alone.
Question 8
Before prescribing disulfiram (Antabuse) for alcohol dependence, the PMHNP must:
a. Ensure normal liver function
b. Evaluate willingness to abstain
c. Assess cardiac risk
d. Conduct urine toxicology
Rationale:: Disulfiram works only if patients are motivated to abstain from alcohol.
Question 9
Appropriate initial dose of D-amphetamine for an 8-year-old?
