NR 546 Final PRACTICE EXAM Psychopharmacology 80+ (Latest Edition) 100% Verified Q&A + Answer Key Solutions

NR 546 Final PRACTICE EXAM
Psychopharmacology
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
80+
Key Solutions


VERIFIED ANSWERS


Question 1
MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?

A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine
Correct Answer
A. Serotonin, Dopamine, Norepinephrine


Question 2
Which of the following is considered first line treatment for depression?

A. SSRI
B. FGA
C. SNRI
D. MAOI
Correct Answer
A. SSRI


Question 3
When treating a patient for major depression disorder which medication would the PMHNP consider first?

A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
Correct Answer
C. Escitalopram


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,Question 4
Which of the following medication should be considered for a patient diagnosed with major depressive disorder who
reports "always forgetting to take my pills"?

A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
Correct Answer
C. Fluoxetine


Question 5
Which of the following medication has a black box warning of a life-threatening skin rash?

A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
Correct Answer
B. Lamotrigine


Question 6
Which medication is considered the best tolerated SSRI?

A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
Correct Answer
D. Escitalopram


Question 7
During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports slight improvement in
depression symptoms and tolerating medication well. Which of the following should the PMHNP do?

A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.

Correct Answer
A. Increase Setraline dose




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, Question 8
Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder and anxiety with a
reported fall 3 months ago?

A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
Correct Answer
C. Paroxetine


Question 9
A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which of the following is the
most appropriate response from the PMHNP?

A. "Start doubling the dose of sertraline and your symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin levels".
C. "Stop taking it immediately and go to the local emergency department".
D. "You must take Sertraline with food, otherwise you will continue to experience GI symptoms".
Correct Answer
B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin levels".


Question 10
During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms with escitalopram.
Which of the following statement made by the PMHNP is correct?

A. "Let's discontinue escitalopram and start you on something stronger".
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".
C. "I am going to prescibe Trazodone. Take it at night to help you sleep".
D. "Start taking two pills at a time".
Correct Answer
B. "It can take up to 6 weeks before you notice improvements of depressive symptoms".


Question 11
Duloxetine effects which two neurotransmitters?

A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine
Correct Answer
A. serotonin and norepinephrine




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