NUR 622 TEST ONE MODULE 4 STUDY GUIDE | NUR 622 MODULE 4
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED
NURSING REVIEW 2026/2027
Which patient presentation is most consistent with the diagnosis of depression?
Difficulty initiating sleep.
Consistent early morning awakening.
Diminished cognitive ability.
Recurrent diarrhea and cramping. - ANS ✔✔C. Diminished cognitive ability
Which of the following features differentiate acute psychosis from delirium?
Caused by disease.
Normal level of consciousness.
Impaired memory.
Impaired attention. - ANS ✔✔B. Normal level of consciousness
A patient scores 17 on their Mini-Mental Status Exam (MMSE). In what stage of Alzheimer's would you
classify them?
End Stage.
Severe.
Mild.
Moderate. - ANS ✔✔D. Moderate
Dopamine or dopamine agonists used to treat Parkinson's disease include all of the following EXCEPT:
Levodopa
Ropinirole
Pramipexole
Chlorpromazine - ANS ✔✔D. Chlorpromazine
All of the following are characteristics of delirium EXCEPT:
Altered mental Status.
result of disease or hormonal changes.
Speech pattern disturbances.
Visual hallucinations.
Non organic causes. - ANS ✔✔E. Non organic causes
When evaluating a patient for a neuro-cognitive disorder, a thorough history and physical should include
all of the following, EXCEPT
Baseline CT of Brain.
, Family history- for genetic aspects/family influences.
A comprehensive neurological exam.
Social History including functional status. - ANS ✔✔A. Baseline CT of brain
All individuals with Alzheimer's develop symptoms and lose functional capacity within ten years of their
diagnosis. True or False.
True
False - ANS ✔✔False
Which of the following drug classes is the first-line treatment for individuals diagnosed with anxiety?
Non-Benzodiazepine Anxiolytics
Beta Blockers.
Benzodiazepines
Serotonin Selective Reuptake Inhibitors (SSRIs) - ANS ✔✔D. Serotonin Selective Reuptake Inhibitors
(SSRI's)
You are the AGACNP working on a military Base ER when a soldier presents with acute anxiety. He has
known PTSD. Which is the BEST treatment option in patients with PTSD?
Tenormin (atenolol)
Sertraline (Zoloft)
Alprazolam (Xanax)
Busoirone (Buspar) - ANS ✔✔B. Sertraline (Zoloft)
In caring for elderly patients, the AGACNP considers that all of the following are true EXCEPT:
Signs and symptoms of dementia usually evolve over months, but depression usually has a more rapid
onset.
Many older patients with dementia have a component of depression.
Patients with dementia are aware of difficulties with cognitive ability.
Treating concurrent depression can help improve symptoms of dementia. - ANS ✔✔C. Patients with
dementia are aware of difficulties with cognitive abilities
A nurse practitioner is doing an assessment on a 30 year old female with suspected depression. Which of
these questions is the MOST important to ask?
Have you thought of harming yourself?
Have you talked to your husband about your feelings?
Are you prescribed anything to help with your mood?
Have you been diagnosed with depression before? - ANS ✔✔A. Have you thought of harming yourself?
A patient with a history of bipolar depression is brought to the ER by his mother due to change in
behavior. The patient has been very impulsive and not sleeping for the past 2 weeks. The mother says
this is similar to when he was diagnosed with bipolar disorder 2 years ago. Which line of questioning by
the NP shows an understanding of the likely cause of the behavior change?
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE ADVANCED
NURSING REVIEW 2026/2027
Which patient presentation is most consistent with the diagnosis of depression?
Difficulty initiating sleep.
Consistent early morning awakening.
Diminished cognitive ability.
Recurrent diarrhea and cramping. - ANS ✔✔C. Diminished cognitive ability
Which of the following features differentiate acute psychosis from delirium?
Caused by disease.
Normal level of consciousness.
Impaired memory.
Impaired attention. - ANS ✔✔B. Normal level of consciousness
A patient scores 17 on their Mini-Mental Status Exam (MMSE). In what stage of Alzheimer's would you
classify them?
End Stage.
Severe.
Mild.
Moderate. - ANS ✔✔D. Moderate
Dopamine or dopamine agonists used to treat Parkinson's disease include all of the following EXCEPT:
Levodopa
Ropinirole
Pramipexole
Chlorpromazine - ANS ✔✔D. Chlorpromazine
All of the following are characteristics of delirium EXCEPT:
Altered mental Status.
result of disease or hormonal changes.
Speech pattern disturbances.
Visual hallucinations.
Non organic causes. - ANS ✔✔E. Non organic causes
When evaluating a patient for a neuro-cognitive disorder, a thorough history and physical should include
all of the following, EXCEPT
Baseline CT of Brain.
, Family history- for genetic aspects/family influences.
A comprehensive neurological exam.
Social History including functional status. - ANS ✔✔A. Baseline CT of brain
All individuals with Alzheimer's develop symptoms and lose functional capacity within ten years of their
diagnosis. True or False.
True
False - ANS ✔✔False
Which of the following drug classes is the first-line treatment for individuals diagnosed with anxiety?
Non-Benzodiazepine Anxiolytics
Beta Blockers.
Benzodiazepines
Serotonin Selective Reuptake Inhibitors (SSRIs) - ANS ✔✔D. Serotonin Selective Reuptake Inhibitors
(SSRI's)
You are the AGACNP working on a military Base ER when a soldier presents with acute anxiety. He has
known PTSD. Which is the BEST treatment option in patients with PTSD?
Tenormin (atenolol)
Sertraline (Zoloft)
Alprazolam (Xanax)
Busoirone (Buspar) - ANS ✔✔B. Sertraline (Zoloft)
In caring for elderly patients, the AGACNP considers that all of the following are true EXCEPT:
Signs and symptoms of dementia usually evolve over months, but depression usually has a more rapid
onset.
Many older patients with dementia have a component of depression.
Patients with dementia are aware of difficulties with cognitive ability.
Treating concurrent depression can help improve symptoms of dementia. - ANS ✔✔C. Patients with
dementia are aware of difficulties with cognitive abilities
A nurse practitioner is doing an assessment on a 30 year old female with suspected depression. Which of
these questions is the MOST important to ask?
Have you thought of harming yourself?
Have you talked to your husband about your feelings?
Are you prescribed anything to help with your mood?
Have you been diagnosed with depression before? - ANS ✔✔A. Have you thought of harming yourself?
A patient with a history of bipolar depression is brought to the ER by his mother due to change in
behavior. The patient has been very impulsive and not sleeping for the past 2 weeks. The mother says
this is similar to when he was diagnosed with bipolar disorder 2 years ago. Which line of questioning by
the NP shows an understanding of the likely cause of the behavior change?
