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NR 546 FINAL EXAM VERSION 1 AND VERSION 2
NEWEST 2026/2027 ACTUAL COMPLETE REAL
VERIFIED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ | GUARANTEED SUCCESS!!
BRAND NEW!!!
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". - Answer-B. "Most
side effects subside after 4-5 days. Your body is getting
adjusted to the increased serotonin levels".
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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". - Answer-B. "It can take
up to 6 weeks before you notice improvements of
depressive symptoms".
Duloxetine effects which two neurotransmitters?
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine - Answer-A. serotonin and
norepinephrine
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Awura, a 70 year old patient diagnosed with major
depressive disorder reports a recent 40 pound weight loss
within the last 3 months. Which medication should the
PMHNP consider adding to her medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine - Answer-B. mirtazpine
Which of the following symptoms is NOT an adverse effect
associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching - Answer-C. Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient,
the PMHNP understands to dose at 1/2 dose due to the
increased risk of
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A. delirium
B. polypharmacy
C. falls
D. QTc prolongation - Answer-D. QTc prolongation
Which of the following medication class is approved for
first line treatment for OCD?
A. Atypical antipsychotics
B. Benzodiazepines
C. MAOI
D. SSRI - Answer-D. SSRI
Which SSRI has a mild antihistamine effect?
A. Paroxetine
B. Fluoxetine
C. Citalopram
D. Sertraline - Answer-C. Citalopram
NR 546 FINAL EXAM VERSION 1 AND VERSION 2
NEWEST 2026/2027 ACTUAL COMPLETE REAL
VERIFIED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ | GUARANTEED SUCCESS!!
BRAND NEW!!!
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". - Answer-B. "Most
side effects subside after 4-5 days. Your body is getting
adjusted to the increased serotonin levels".
,2|Page
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". - Answer-B. "It can take
up to 6 weeks before you notice improvements of
depressive symptoms".
Duloxetine effects which two neurotransmitters?
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine - Answer-A. serotonin and
norepinephrine
,3|Page
Awura, a 70 year old patient diagnosed with major
depressive disorder reports a recent 40 pound weight loss
within the last 3 months. Which medication should the
PMHNP consider adding to her medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine - Answer-B. mirtazpine
Which of the following symptoms is NOT an adverse effect
associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching - Answer-C. Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient,
the PMHNP understands to dose at 1/2 dose due to the
increased risk of
, 4|Page
A. delirium
B. polypharmacy
C. falls
D. QTc prolongation - Answer-D. QTc prolongation
Which of the following medication class is approved for
first line treatment for OCD?
A. Atypical antipsychotics
B. Benzodiazepines
C. MAOI
D. SSRI - Answer-D. SSRI
Which SSRI has a mild antihistamine effect?
A. Paroxetine
B. Fluoxetine
C. Citalopram
D. Sertraline - Answer-C. Citalopram
