NRNP 6675
______________________________________
Walden University NRNP 6675 Final EXAM
QUESTIONS & ANSWERS UPDATED
(2025/2026) - 100% (Questions And Answers)
______________________________________
1. Being knowledgeable about one's own thoughts, feelings and sensations as well as the
ability to reflect on how these can affect one's interactions with others is known as which of
the following?
C. Cultural Humanity
A. Cultural Awareness
B. Cultural competence
D. Cultural sensitivity
Correct answer: A. Cultural Awareness
2. Lithium is toxic above?
INCREASE
*always check a lithium level
D. A minimum of 2 years experience in the specialty
increased falls, delirium, pneumonia/recent infections
>1.5 mEq
*close to therapeutic range of 0.4 to 1.2
Correct answer: >1.5 mEq
3. the ARNP is tx a 27 year old female who bipolar disorder, who is obese and has kidney
dysfunction- which of the following is true?
A. Lithium is the gold standard
C. An atypical antipsychotic should be used, such as olanzapine or risperidone
B. Lithium should be avoided in patients with renal disease
D. Depakote is the best option for the pt
Correct answer: B. Lithium should be avoided in patients with renal disease
4. the serum concentrations of IR medications spike quickly and then fall back down, leading
1/
30
,NRNP 6675
to what?
always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder
1-2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening
it's half life.
LONG Half life--2-3 days
persist up to 2 weeks following stopping
leading to low trough levels before the next dose.
These ups and downs in serum levels can cause SE or efficacy problems.
Correct answer: leading to low trough levels before the next dose (and potential side effects
or efficacy problems)
5. The obligation to not inflict harm or balancing unavoidable harm with benefits of good
achieved is known as which of the following?
B. Beneficence
C. Non-maleficence
do not harm
D. Respect for autonomy
A. Fidelity
Correct answer: C. Non-maleficence
6. At a minimum, a psychiatric eval in an emergency should include which of the following?
Select all that apply
A. Is the patient psychotic?
B. Is the patient suicidal or homicidal
A, B & C
D. Is it safe for the patient to be in an ED room?
C. Is the problem organic, functional or a combination?
Correct answer: A, B, C, D (all of the above: A, B, C, D)
7. The 1/2 life of lithium is about?
12 hours
48 hours
72 hours
24 hours
Correct answer: 24 hours
8. What antipsychotics are good for pts who miss doses of their meds?
2/
30
, NRNP 6675
A&B
D. Risperidone and haldol
WHY?
-Individuals with lewy body dementia have increased sensitivity to antipsychotics
-increased risk of EPS, confusion, sedation and falls
-typical or traditional antipsychotics should be avoided
always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder
Antipsychotics with long half-lives: Cariprazine (Vraylar) (2-4 days-active metabolites up to 3
weeks), Abilify (3 days), Brexipiprazole (4 days), Pimozide (4-5 days), Pimavanserin (2 days,
active metabolites 8 days)
Correct answer: Antipsychotics with long half-lives (Cariprazine, Abilify, Brexipiprazole,
Pimozide, Pimavanserin)
9. Which of the following symptoms of BPD assist in differentiating BPD from schizophrenia?
D. A&C only
C. Demand extraordinary relationships
A. Chronic feelings of emptiness
B. Prolonged psychotic episodes
Correct answer: D. A&C only (chronic feelings of emptiness and demand extraordinary
relationships)
10. Chosen favorite anticonvulsants to combine to treat a mood disorder?
D. Tegretol and Lithium
C. Trileptal and Depakote
A. Lithium and depakote
B. Abilify and Depakote
Correct answer: A. Lithium and depakote (though lithium is not an anticonvulsant; among
anticonvulsants, Depakote + Lamictal is common, but from options A is standard)
11. Abilify in bipolar mania?
Preferred choice, works rapidly
Recommended for long-term management
Commonly used, highly effective
NOT used, does not work well
Correct answer: Preferred choice, works rapidly
12. Most medications cannot be split or crushed without disrupting the integrity of the time-
release mechanism?
3/
30
______________________________________
Walden University NRNP 6675 Final EXAM
QUESTIONS & ANSWERS UPDATED
(2025/2026) - 100% (Questions And Answers)
______________________________________
1. Being knowledgeable about one's own thoughts, feelings and sensations as well as the
ability to reflect on how these can affect one's interactions with others is known as which of
the following?
C. Cultural Humanity
A. Cultural Awareness
B. Cultural competence
D. Cultural sensitivity
Correct answer: A. Cultural Awareness
2. Lithium is toxic above?
INCREASE
*always check a lithium level
D. A minimum of 2 years experience in the specialty
increased falls, delirium, pneumonia/recent infections
>1.5 mEq
*close to therapeutic range of 0.4 to 1.2
Correct answer: >1.5 mEq
3. the ARNP is tx a 27 year old female who bipolar disorder, who is obese and has kidney
dysfunction- which of the following is true?
A. Lithium is the gold standard
C. An atypical antipsychotic should be used, such as olanzapine or risperidone
B. Lithium should be avoided in patients with renal disease
D. Depakote is the best option for the pt
Correct answer: B. Lithium should be avoided in patients with renal disease
4. the serum concentrations of IR medications spike quickly and then fall back down, leading
1/
30
,NRNP 6675
to what?
always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder
1-2 months due to Tegretol inducing it's own metabolism, hastening excretion and shortening
it's half life.
LONG Half life--2-3 days
persist up to 2 weeks following stopping
leading to low trough levels before the next dose.
These ups and downs in serum levels can cause SE or efficacy problems.
Correct answer: leading to low trough levels before the next dose (and potential side effects
or efficacy problems)
5. The obligation to not inflict harm or balancing unavoidable harm with benefits of good
achieved is known as which of the following?
B. Beneficence
C. Non-maleficence
do not harm
D. Respect for autonomy
A. Fidelity
Correct answer: C. Non-maleficence
6. At a minimum, a psychiatric eval in an emergency should include which of the following?
Select all that apply
A. Is the patient psychotic?
B. Is the patient suicidal or homicidal
A, B & C
D. Is it safe for the patient to be in an ED room?
C. Is the problem organic, functional or a combination?
Correct answer: A, B, C, D (all of the above: A, B, C, D)
7. The 1/2 life of lithium is about?
12 hours
48 hours
72 hours
24 hours
Correct answer: 24 hours
8. What antipsychotics are good for pts who miss doses of their meds?
2/
30
, NRNP 6675
A&B
D. Risperidone and haldol
WHY?
-Individuals with lewy body dementia have increased sensitivity to antipsychotics
-increased risk of EPS, confusion, sedation and falls
-typical or traditional antipsychotics should be avoided
always start with an anticonvulsant for bipolar disorders-- preferred option for mood disorder
Antipsychotics with long half-lives: Cariprazine (Vraylar) (2-4 days-active metabolites up to 3
weeks), Abilify (3 days), Brexipiprazole (4 days), Pimozide (4-5 days), Pimavanserin (2 days,
active metabolites 8 days)
Correct answer: Antipsychotics with long half-lives (Cariprazine, Abilify, Brexipiprazole,
Pimozide, Pimavanserin)
9. Which of the following symptoms of BPD assist in differentiating BPD from schizophrenia?
D. A&C only
C. Demand extraordinary relationships
A. Chronic feelings of emptiness
B. Prolonged psychotic episodes
Correct answer: D. A&C only (chronic feelings of emptiness and demand extraordinary
relationships)
10. Chosen favorite anticonvulsants to combine to treat a mood disorder?
D. Tegretol and Lithium
C. Trileptal and Depakote
A. Lithium and depakote
B. Abilify and Depakote
Correct answer: A. Lithium and depakote (though lithium is not an anticonvulsant; among
anticonvulsants, Depakote + Lamictal is common, but from options A is standard)
11. Abilify in bipolar mania?
Preferred choice, works rapidly
Recommended for long-term management
Commonly used, highly effective
NOT used, does not work well
Correct answer: Preferred choice, works rapidly
12. Most medications cannot be split or crushed without disrupting the integrity of the time-
release mechanism?
3/
30
