NRNP 6665
Week 11 Final Exam Updated 2026 – Complete Final
Exam Questions and Answers for Advanced
Pharmacology Review | Rationales Included
THIS EXAM INCLUDES:
➢NRNP 6665 Week 11 Final Exam
➢Updated 2026
➢Exam Questions and Answers for Advanced Pharmacology
Review
➢Rationales Included
➢Assured Pass
➢Graded A+
,NRNP 6665 Week 11 Final Exam – Complete 100+ Questions
Questions 1–10
Question 1
The Confusion Assessment Method Instrument (CAMI) is used to assess which
disorder?
A. Dementia
B. Delirium
C. Depression
D. Anxiety
Correct Answer: B
Rationale: CAMI is specifically standardized for diagnosing delirium, which is
characterized by acute onset and fluctuating cognition, as opposed to the chronic
progression of dementia.
Question 2
A patient reports feeling detached from their environment, describing it as unreal
or dreamlike. This is known as?
A. Depersonalization
B. Dissociative amnesia
C. Derealization
D. Fugue state
Correct Answer: C
Rationale: Derealization involves the sense that the external world is strange or
unreal. Depersonalization (A) is a feeling of detachment from oneself (e.g.,
watching yourself in a movie).
Question 3
A 15-year-old girl achieves remission from depression. What statistic should the
PMHNP advise her parents about?
A. 5–10% may develop schizophrenia within 5 years
,B. 20–40% may develop bipolar I within 5 years
C. 50–70% will have a recurrence of depression in 1 year
D. Less than 5% will have any subsequent mood disorder
Correct Answer: B
*Rationale: Adolescents with major depressive disorder have a significant risk
(20-40%) of developing bipolar I disorder within five years, making this a key point
for family education.*
Question 4
Which of the following is a first-line treatment for pyromania?
A. Atypical antipsychotics
B. SSRIs
C. Cognitive behavioral therapy (CBT)
D. Mood stabilizers
Correct Answer: C
Rationale: CBT is the primary treatment for pyromania. Medications (SSRIs,
antipsychotics) have limited evidence and are not first-line.
Question 5
A patient with Parkinson’s disease develops visual hallucinations and delusions.
Which medication is most appropriate?
A. Haloperidol
B. Pimavanserin
C. Quetiapine
D. Clozapine
Correct Answer: B
Rationale: Pimavanserin is FDA-approved for Parkinson’s disease psychosis
without worsening motor symptoms. Haloperidol (A) can worsen parkinsonism.
Question 6
In older adults, which pharmacokinetic change is most significant for psychotropic
medications?
, A. Increased renal clearance
B. Decreased hepatic metabolism
C. Increased gastric motility
D. Decreased protein binding
Correct Answer: B
Rationale: Decreased hepatic metabolism (reduced liver enzyme activity) leads to
higher drug levels and prolonged half-lives, requiring lower doses in geriatric
patients.
Question 7
Which finding is most characteristic of conversion disorder (functional
neurological symptom disorder)?
A. Deliberate symptom production for external gain
B. Neurologic deficit inconsistent with known anatomy
C. Gradual onset over several months
D. Always preceded by a head injury
Correct Answer: B
Rationale: Conversion disorder presents with neurologic symptoms (e.g.,
weakness, seizures) that are incompatible with known neuroanatomy. Factitious
disorder (A) involves deliberate falsification.
Question 8
A patient with acute stress disorder (ASD) is most likely to have which brain
volume finding compared to healthy controls?
A. Enlarged hippocampus
B. Smaller amygdala
C. Smaller anterior cingulate cortex
D. Larger prefrontal cortex
Correct Answer: C
Rationale: Research shows reduced anterior cingulate cortex volume in ASD.
Hippocampal volume may be smaller, not larger.
Week 11 Final Exam Updated 2026 – Complete Final
Exam Questions and Answers for Advanced
Pharmacology Review | Rationales Included
THIS EXAM INCLUDES:
➢NRNP 6665 Week 11 Final Exam
➢Updated 2026
➢Exam Questions and Answers for Advanced Pharmacology
Review
➢Rationales Included
➢Assured Pass
➢Graded A+
,NRNP 6665 Week 11 Final Exam – Complete 100+ Questions
Questions 1–10
Question 1
The Confusion Assessment Method Instrument (CAMI) is used to assess which
disorder?
A. Dementia
B. Delirium
C. Depression
D. Anxiety
Correct Answer: B
Rationale: CAMI is specifically standardized for diagnosing delirium, which is
characterized by acute onset and fluctuating cognition, as opposed to the chronic
progression of dementia.
Question 2
A patient reports feeling detached from their environment, describing it as unreal
or dreamlike. This is known as?
A. Depersonalization
B. Dissociative amnesia
C. Derealization
D. Fugue state
Correct Answer: C
Rationale: Derealization involves the sense that the external world is strange or
unreal. Depersonalization (A) is a feeling of detachment from oneself (e.g.,
watching yourself in a movie).
Question 3
A 15-year-old girl achieves remission from depression. What statistic should the
PMHNP advise her parents about?
A. 5–10% may develop schizophrenia within 5 years
,B. 20–40% may develop bipolar I within 5 years
C. 50–70% will have a recurrence of depression in 1 year
D. Less than 5% will have any subsequent mood disorder
Correct Answer: B
*Rationale: Adolescents with major depressive disorder have a significant risk
(20-40%) of developing bipolar I disorder within five years, making this a key point
for family education.*
Question 4
Which of the following is a first-line treatment for pyromania?
A. Atypical antipsychotics
B. SSRIs
C. Cognitive behavioral therapy (CBT)
D. Mood stabilizers
Correct Answer: C
Rationale: CBT is the primary treatment for pyromania. Medications (SSRIs,
antipsychotics) have limited evidence and are not first-line.
Question 5
A patient with Parkinson’s disease develops visual hallucinations and delusions.
Which medication is most appropriate?
A. Haloperidol
B. Pimavanserin
C. Quetiapine
D. Clozapine
Correct Answer: B
Rationale: Pimavanserin is FDA-approved for Parkinson’s disease psychosis
without worsening motor symptoms. Haloperidol (A) can worsen parkinsonism.
Question 6
In older adults, which pharmacokinetic change is most significant for psychotropic
medications?
, A. Increased renal clearance
B. Decreased hepatic metabolism
C. Increased gastric motility
D. Decreased protein binding
Correct Answer: B
Rationale: Decreased hepatic metabolism (reduced liver enzyme activity) leads to
higher drug levels and prolonged half-lives, requiring lower doses in geriatric
patients.
Question 7
Which finding is most characteristic of conversion disorder (functional
neurological symptom disorder)?
A. Deliberate symptom production for external gain
B. Neurologic deficit inconsistent with known anatomy
C. Gradual onset over several months
D. Always preceded by a head injury
Correct Answer: B
Rationale: Conversion disorder presents with neurologic symptoms (e.g.,
weakness, seizures) that are incompatible with known neuroanatomy. Factitious
disorder (A) involves deliberate falsification.
Question 8
A patient with acute stress disorder (ASD) is most likely to have which brain
volume finding compared to healthy controls?
A. Enlarged hippocampus
B. Smaller amygdala
C. Smaller anterior cingulate cortex
D. Larger prefrontal cortex
Correct Answer: C
Rationale: Research shows reduced anterior cingulate cortex volume in ASD.
Hippocampal volume may be smaller, not larger.
