NRNP 6675 PMHNP PRACTICE EXAM
QUESTIONS AND ANSWERS 2027
1. A 72-year-old patient presents with sudden onset of confusion, fluctuating consciousness,
and visual hallucinations. Which diagnosis is most likely?
A. Delirium
B. Alzheimer’s Disease
C. Major Depressive Disorder
D. Schizophrenia
Answer: A
Conceptual Explanation: Delirium is characterized by a rapid onset of symptoms,
fluctuating levels of consciousness, and is often associated with an underlying medical
condition.
2. Which neurotransmitter is primarily targeted by Selective Serotonin Reuptake Inhibitors
(SSRIs)?
A. Dopamine
B. Norepinephrine
C. Serotonin
,D. GABA
Answer: C
Conceptual Explanation: SSRIs work by inhibiting the reuptake of serotonin into the
presynaptic neuron, increasing its availability in the synaptic cleft.
3. In a patient taking Clozapine, which laboratory value is the most critical to monitor?
A. Liver Function Tests (LFTs)
B. Serum Potassium
C. Thyroid Stimulating Hormone (TSH)
D. Absolute Neutrophil Count (ANC)
Answer: D
Conceptual Explanation: Clozapine carries a risk of agranulocytosis, requiring regular
monitoring of the ANC to ensure patient safety.
4. A patient exhibits grandiosity, decreased need for sleep, and flight of ideas for at least one
week. This meets criteria for:
A. Hypomanic Episode
B. Cyclothymic Disorder
C. Mixed Episode
D. Manic Episode
, Answer: D
Conceptual Explanation: A manic episode is defined by these symptoms lasting at least
one week and causing significant impairment.
5. Which medication is considered first-line for the treatment of Panic Disorder?
A. Lorazepam
B. Sertraline
C. Bupropion
D. Haloperidol
Answer: B
Conceptual Explanation: SSRIs like Sertraline are first-line treatments for Panic Disorder
due to their safety profile and efficacy.
6. The ‘Tarasoff Rule’ relates to which ethical/legal obligation?
A. Patient Confidentiality
B. Informed Consent
C. Right to Refuse Treatment
D. Duty to Warn
Answer: D
QUESTIONS AND ANSWERS 2027
1. A 72-year-old patient presents with sudden onset of confusion, fluctuating consciousness,
and visual hallucinations. Which diagnosis is most likely?
A. Delirium
B. Alzheimer’s Disease
C. Major Depressive Disorder
D. Schizophrenia
Answer: A
Conceptual Explanation: Delirium is characterized by a rapid onset of symptoms,
fluctuating levels of consciousness, and is often associated with an underlying medical
condition.
2. Which neurotransmitter is primarily targeted by Selective Serotonin Reuptake Inhibitors
(SSRIs)?
A. Dopamine
B. Norepinephrine
C. Serotonin
,D. GABA
Answer: C
Conceptual Explanation: SSRIs work by inhibiting the reuptake of serotonin into the
presynaptic neuron, increasing its availability in the synaptic cleft.
3. In a patient taking Clozapine, which laboratory value is the most critical to monitor?
A. Liver Function Tests (LFTs)
B. Serum Potassium
C. Thyroid Stimulating Hormone (TSH)
D. Absolute Neutrophil Count (ANC)
Answer: D
Conceptual Explanation: Clozapine carries a risk of agranulocytosis, requiring regular
monitoring of the ANC to ensure patient safety.
4. A patient exhibits grandiosity, decreased need for sleep, and flight of ideas for at least one
week. This meets criteria for:
A. Hypomanic Episode
B. Cyclothymic Disorder
C. Mixed Episode
D. Manic Episode
, Answer: D
Conceptual Explanation: A manic episode is defined by these symptoms lasting at least
one week and causing significant impairment.
5. Which medication is considered first-line for the treatment of Panic Disorder?
A. Lorazepam
B. Sertraline
C. Bupropion
D. Haloperidol
Answer: B
Conceptual Explanation: SSRIs like Sertraline are first-line treatments for Panic Disorder
due to their safety profile and efficacy.
6. The ‘Tarasoff Rule’ relates to which ethical/legal obligation?
A. Patient Confidentiality
B. Informed Consent
C. Right to Refuse Treatment
D. Duty to Warn
Answer: D
