NR546 FINAL ACTUAL EXAM FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A PLUS
●● Which of the following is considered first line treatment for
depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
Answer: A. SSRI
●● When treating a patient for major depression disorder which
medication would the PMHNP consider first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
Answer: C. Escitalopram
,●● Which of the following medication should be considered for a
patient diagnosed with major depressive disorder who reports "always
forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
Answer: C. Fluoxetine
●● Which of the following medication has a black box warning of a life-
threatening skin rash?
A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
Answer: B. Lamotrigine
●● Which medication is considered the best tolerated SSRI?
A. Venlafaxine
B. Bupropion
,C. Setraline
D. Escitalopram
Answer: D. Escitalopram
●● During a 4 week follow up appointment, Rashida, who is prescribed
Sertraline 25mg qAM reports slight improvement in depression
symptoms and tolerating medication well. Which of the following
should the PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
Answer: A. Increase Setraline dose
●● Which medication should be avoided for the 66 year patient
diagnosed with major depressive disorder and anxiety with a reported
fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
, Answer: C. Paroxetine
●● 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".
●● 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".
QUESTIONS AND CORRECT ANSWERS
GRADED A PLUS
●● Which of the following is considered first line treatment for
depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
Answer: A. SSRI
●● When treating a patient for major depression disorder which
medication would the PMHNP consider first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
Answer: C. Escitalopram
,●● Which of the following medication should be considered for a
patient diagnosed with major depressive disorder who reports "always
forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
Answer: C. Fluoxetine
●● Which of the following medication has a black box warning of a life-
threatening skin rash?
A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
Answer: B. Lamotrigine
●● Which medication is considered the best tolerated SSRI?
A. Venlafaxine
B. Bupropion
,C. Setraline
D. Escitalopram
Answer: D. Escitalopram
●● During a 4 week follow up appointment, Rashida, who is prescribed
Sertraline 25mg qAM reports slight improvement in depression
symptoms and tolerating medication well. Which of the following
should the PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
Answer: A. Increase Setraline dose
●● Which medication should be avoided for the 66 year patient
diagnosed with major depressive disorder and anxiety with a reported
fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
, Answer: C. Paroxetine
●● 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".
●● 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".
