NU 671 FINAL EXAM PURDUE UNIVERSITY
GLOBAL | UPDATED QUESTIONS WITH
100% CORRECT ANSWERS
220 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NU 671 FINAL EXAM PURDUE UNIVERSITY GLOBAL | UPDATED QUESTIONS WITH 100% CORRECT
ANSWERS. It contains 220 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 220 Questions
Foundations - Application - NU 671 Purdue University Global Updated WITH 100 Correct Nursing
Psychiatric Mental Health Nurse Practitioner Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NU 671 Purdue University 1-37 Appropriate, Disorder, Health, Medication, First-line
Global Updated WITH 100
Correct Nursing Psychiatric
Mental Health Nurse
Practitioner Graduate
Acute 38-74 Likely, Syndrome, Explains, Finding, Coronary
Medication 75-111 Appropriate, Disorder, Disease, Evidence-based, Health
Disorder 112-148 Acute, Appropriate, Finding, Develops, Intervention
Likely 149-185 Appropriate, Randomized, Systematic, Trials, Severe
Disease 186-220 Project, Manager, Management, Appropriate, Evaluating
TOTAL 220 All questions include answers and detailed rationales
,Section A - NU 671 Purdue University Global Updated
WITH 100 Correct Nursing Psychiatric Mental Health Nurse
Practitioner Graduate
Q1.
A 34-year-old woman with bipolar I disorder, currently euthymic on lithium, presents with
new-onset tremor, polyuria, and cognitive dulling. Labs: lithium 1.1 mEq/L, TSH 6.2 mIU/L,
creatinine 1.4 mg/dL. Which of the following is the most appropriate next step?
A. Continue lithium; add propranolol for B. Reduce lithium dose and start
tremor. levothyroxine.
C. Switch to valproic acid and stop lithium. D. Add desmopressin to manage polyuria.
Correct: B - Reduce lithium dose and start levothyroxine.
Rationale:Lithium toxicity (level >1.0) and hypothyroidism (TSH 6.2) explain the symptoms.
Reducing dose addresses toxicity, while levothyroxine treats lithium-induced hypothyroidism.
Continuing lithium risks kidney damage; valproic acid is not first-line for mood stabilization in
this context; desmopressin is contraindicated in lithium-induced nephrogenic DI.
Q2.
In a patient with treatment-resistant depression who has failed two adequate SSRI trials,
which of the following augmentation strategies has the strongest evidence base and is
recommended as first-line by current guidelines?
A. Adding aripiprazole B. Adding lithium
C. Adding buspirone D. Adding thyroid hormone (T3)
Correct: A - Adding aripiprazole
Rationale:Atypical antipsychotics, particularly aripiprazole, have robust FDA approval and
guideline support for augmentation in MDD. Lithium and T3 have some evidence but are less
commonly first-line; buspirone has limited efficacy in augmentation.
Q3.
A 22-year-old college student presents with recurrent, intrusive thoughts of contamination
and repetitive hand washing. The patient recognizes these thoughts as excessive but
cannot control them. Which of the following is the most appropriate first-line treatment?
A. Clomipramine B. Exposure and response prevention (ERP)
C. Cognitive restructuring alone D. Fluvoxamine
Page 3
, Section A - NU 671 Purdue University Global Updated WITH 100 Correct Nursing Psychiatric Mental Health Nurse Practitioner Graduate
Correct: B - Exposure and response prevention (ERP)
Rationale:ERP is a first-line, evidence-based psychotherapy for OCD and is preferred as
initial treatment, especially for mild-to-moderate cases. Fluvoxamine and clomipramine are
effective but often reserved for moderate-to-severe or when ERP is unavailable. Cognitive
restructuring alone lacks efficacy for OCD.
Q4.
A patient with schizophrenia has been on clozapine for 6 months with good symptom
control. The patient reports persistent sialorrhea. Which of the following is the most
appropriate management strategy?
A. Add ipratropium bromide nasal spray B. Increase clozapine dose
C. Switch to olanzapine D. Prescribe benztropine
Correct: A - Add ipratropium bromide nasal spray
Rationale:Sialorrhea is a common clozapine side effect; ipratropium sublingual or nasal spray
is a targeted local treatment. Increasing dose worsens it; switching is not necessary if
symptoms are controlled; benztropine is anticholinergic and may worsen sialorrhea.
Q5.
A patient with generalized anxiety disorder is started on buspirone. It is most important to
counsel the patient that the therapeutic effect will likely be:
A. Felt within 24 hours B. Maximal after 2-4 weeks of consistent
use
C. Enhanced by taking the medication with D. Only effective when combined with a
grapefruit juice benzodiazepine
Correct: B - Maximal after 2-4 weeks of consistent use
Rationale:Buspirone has a delayed onset of anxiolytic effect, typically 2-4 weeks. It has no
immediate effect and is not synergistic with benzodiazepines; grapefruit juice can increase
levels but is not recommended for enhancing effect.
Q6.
A patient is taking phenelzine, a MAOI. Which of the following over-the-counter
medications is strictly contraindicated due to the risk of hypertensive crisis?
A. Acetaminophen B. Loratadine
C. Pseudoephedrine D. Omeprazole
Correct: C - Pseudoephedrine
Page 4
GLOBAL | UPDATED QUESTIONS WITH
100% CORRECT ANSWERS
220 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NU 671 FINAL EXAM PURDUE UNIVERSITY GLOBAL | UPDATED QUESTIONS WITH 100% CORRECT
ANSWERS. It contains 220 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 220 Questions
Foundations - Application - NU 671 Purdue University Global Updated WITH 100 Correct Nursing
Psychiatric Mental Health Nurse Practitioner Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NU 671 Purdue University 1-37 Appropriate, Disorder, Health, Medication, First-line
Global Updated WITH 100
Correct Nursing Psychiatric
Mental Health Nurse
Practitioner Graduate
Acute 38-74 Likely, Syndrome, Explains, Finding, Coronary
Medication 75-111 Appropriate, Disorder, Disease, Evidence-based, Health
Disorder 112-148 Acute, Appropriate, Finding, Develops, Intervention
Likely 149-185 Appropriate, Randomized, Systematic, Trials, Severe
Disease 186-220 Project, Manager, Management, Appropriate, Evaluating
TOTAL 220 All questions include answers and detailed rationales
,Section A - NU 671 Purdue University Global Updated
WITH 100 Correct Nursing Psychiatric Mental Health Nurse
Practitioner Graduate
Q1.
A 34-year-old woman with bipolar I disorder, currently euthymic on lithium, presents with
new-onset tremor, polyuria, and cognitive dulling. Labs: lithium 1.1 mEq/L, TSH 6.2 mIU/L,
creatinine 1.4 mg/dL. Which of the following is the most appropriate next step?
A. Continue lithium; add propranolol for B. Reduce lithium dose and start
tremor. levothyroxine.
C. Switch to valproic acid and stop lithium. D. Add desmopressin to manage polyuria.
Correct: B - Reduce lithium dose and start levothyroxine.
Rationale:Lithium toxicity (level >1.0) and hypothyroidism (TSH 6.2) explain the symptoms.
Reducing dose addresses toxicity, while levothyroxine treats lithium-induced hypothyroidism.
Continuing lithium risks kidney damage; valproic acid is not first-line for mood stabilization in
this context; desmopressin is contraindicated in lithium-induced nephrogenic DI.
Q2.
In a patient with treatment-resistant depression who has failed two adequate SSRI trials,
which of the following augmentation strategies has the strongest evidence base and is
recommended as first-line by current guidelines?
A. Adding aripiprazole B. Adding lithium
C. Adding buspirone D. Adding thyroid hormone (T3)
Correct: A - Adding aripiprazole
Rationale:Atypical antipsychotics, particularly aripiprazole, have robust FDA approval and
guideline support for augmentation in MDD. Lithium and T3 have some evidence but are less
commonly first-line; buspirone has limited efficacy in augmentation.
Q3.
A 22-year-old college student presents with recurrent, intrusive thoughts of contamination
and repetitive hand washing. The patient recognizes these thoughts as excessive but
cannot control them. Which of the following is the most appropriate first-line treatment?
A. Clomipramine B. Exposure and response prevention (ERP)
C. Cognitive restructuring alone D. Fluvoxamine
Page 3
, Section A - NU 671 Purdue University Global Updated WITH 100 Correct Nursing Psychiatric Mental Health Nurse Practitioner Graduate
Correct: B - Exposure and response prevention (ERP)
Rationale:ERP is a first-line, evidence-based psychotherapy for OCD and is preferred as
initial treatment, especially for mild-to-moderate cases. Fluvoxamine and clomipramine are
effective but often reserved for moderate-to-severe or when ERP is unavailable. Cognitive
restructuring alone lacks efficacy for OCD.
Q4.
A patient with schizophrenia has been on clozapine for 6 months with good symptom
control. The patient reports persistent sialorrhea. Which of the following is the most
appropriate management strategy?
A. Add ipratropium bromide nasal spray B. Increase clozapine dose
C. Switch to olanzapine D. Prescribe benztropine
Correct: A - Add ipratropium bromide nasal spray
Rationale:Sialorrhea is a common clozapine side effect; ipratropium sublingual or nasal spray
is a targeted local treatment. Increasing dose worsens it; switching is not necessary if
symptoms are controlled; benztropine is anticholinergic and may worsen sialorrhea.
Q5.
A patient with generalized anxiety disorder is started on buspirone. It is most important to
counsel the patient that the therapeutic effect will likely be:
A. Felt within 24 hours B. Maximal after 2-4 weeks of consistent
use
C. Enhanced by taking the medication with D. Only effective when combined with a
grapefruit juice benzodiazepine
Correct: B - Maximal after 2-4 weeks of consistent use
Rationale:Buspirone has a delayed onset of anxiolytic effect, typically 2-4 weeks. It has no
immediate effect and is not synergistic with benzodiazepines; grapefruit juice can increase
levels but is not recommended for enhancing effect.
Q6.
A patient is taking phenelzine, a MAOI. Which of the following over-the-counter
medications is strictly contraindicated due to the risk of hypertensive crisis?
A. Acetaminophen B. Loratadine
C. Pseudoephedrine D. Omeprazole
Correct: C - Pseudoephedrine
Page 4
