NR546 NURSING FINAL EXAM REVIEW | COMPREHENSIVE
STUDY GUIDE | 2026/2027 EDITION
1. What is the main treatment for alcohol withdrawal?
Benzodiazepines
All of the above
SSRI's
TCA's
Antipsychotics
2. The mechanism of action of galantamine is:
Pure acetylcholinesterase antagonist
Acetylcholinesterase inhibitor and allosteric nicotinic modulator
Acetylcholinesterase and butyrylcholinesterase antagonist
NMDA receptor antagonist
NMDA receptor agonist
3. Describe the patient population that Galantamine is primarily prescribed for
and the severity of their condition.
Galantamine is prescribed for patients with no cognitive impairment.
Galantamine is used for patients with severe dementia only.
Galantamine is primarily prescribed for patients with mild to
moderate dementia.
Galantamine is indicated for patients with Alzheimer's disease only.
,4. Describe the role of SSRIs and SNRIs in managing symptoms of aggression
and agitation in dementia patients.
SSRIs and SNRIs have no effect on aggression and agitation in
dementia.
SSRIs and SNRIs are used to enhance cognitive function in dementia
patients.
SSRIs and SNRIs are primarily used for treating psychosis in dementia.
SSRIs and SNRIs are used to manage symptoms of aggression and
agitation by stabilizing mood and reducing anxiety.
5. What is the minimum age for which olanzapine is approved for the treatment
of acute and mixed mania?
12 years old
14 years old
15 years old
13 years old
6. Which gastrointestinal symptoms are commonly associated with Rivastigmine
(Exelon)?
Anorexia, nausea, vomiting, diarrhea
Constipation, fever, weight gain
Fatigue, rash, confusion
Headache, insomnia, dry mouth
7. The monoamine hypothesis proposes that depression is caused by
overactivity of monoaminergic neurotransmitters.
, excessive activity of dopamine synapses.
excessive activity of serotonin synapses.
insufficient activity of monoaminergic neurotransmitters.
loss of cells within the prefrontal cortex.
8. Describe the role of lithium in the management of bipolar disorder.
Lithium is used to treat anxiety by increasing serotonin levels.
Lithium acts as an antidepressant for major depressive disorder.
Lithium helps stabilize mood and reduce the frequency and severity
of mood swings in individuals with bipolar disorder.
Lithium is primarily used to enhance cognitive function in
schizophrenia.
9. Discuss the significance of olanzapine's approval for children aged 13 and
older in the context of treating acute and mixed mania.
Olanzapine has no significant impact on treating mania in any age
group.
Olanzapine's approval for children aged 13 and older signifies its
recognized efficacy and safety in managing acute and mixed mania
in adolescents.
Olanzapine is primarily used for treating anxiety disorders in children.
Olanzapine is only effective for adults and not recommended for
children.
10. Which best describes serotonin syndrome?
Occurs when serotonergic medications interact with foods containing
high levels of tyramine.
, Occurs when serotonergic medications build an abnormally high
levels of serotonin in the body.
Occurs when serotonergic medications deplete levels of
norepinephrine in the body.
Occurs when serotonergic medications are abruptly discontinued.
11. Which of the following is a common ADR of Donepezil (Aricept)?
Diarrhea
Insomnia
Nausea
All of the above
12. If a patient with restless legs syndrome is also pregnant, which consideration
should be taken into account when prescribing dopamine agonists?
Increased effectiveness of the medication
Potential risks to the fetus
No special considerations are needed
Lower dosage requirements
13. Why is Fluoxetine considered a suitable option for patients who may forget
to take their medication regularly?
Fluoxetine has a longer half-life, allowing for more flexibility in
dosing.
Fluoxetine is only prescribed for older adults.
Fluoxetine is less effective than other SSRIs.
Fluoxetine has fewer side effects than other SSRIs.
STUDY GUIDE | 2026/2027 EDITION
1. What is the main treatment for alcohol withdrawal?
Benzodiazepines
All of the above
SSRI's
TCA's
Antipsychotics
2. The mechanism of action of galantamine is:
Pure acetylcholinesterase antagonist
Acetylcholinesterase inhibitor and allosteric nicotinic modulator
Acetylcholinesterase and butyrylcholinesterase antagonist
NMDA receptor antagonist
NMDA receptor agonist
3. Describe the patient population that Galantamine is primarily prescribed for
and the severity of their condition.
Galantamine is prescribed for patients with no cognitive impairment.
Galantamine is used for patients with severe dementia only.
Galantamine is primarily prescribed for patients with mild to
moderate dementia.
Galantamine is indicated for patients with Alzheimer's disease only.
,4. Describe the role of SSRIs and SNRIs in managing symptoms of aggression
and agitation in dementia patients.
SSRIs and SNRIs have no effect on aggression and agitation in
dementia.
SSRIs and SNRIs are used to enhance cognitive function in dementia
patients.
SSRIs and SNRIs are primarily used for treating psychosis in dementia.
SSRIs and SNRIs are used to manage symptoms of aggression and
agitation by stabilizing mood and reducing anxiety.
5. What is the minimum age for which olanzapine is approved for the treatment
of acute and mixed mania?
12 years old
14 years old
15 years old
13 years old
6. Which gastrointestinal symptoms are commonly associated with Rivastigmine
(Exelon)?
Anorexia, nausea, vomiting, diarrhea
Constipation, fever, weight gain
Fatigue, rash, confusion
Headache, insomnia, dry mouth
7. The monoamine hypothesis proposes that depression is caused by
overactivity of monoaminergic neurotransmitters.
, excessive activity of dopamine synapses.
excessive activity of serotonin synapses.
insufficient activity of monoaminergic neurotransmitters.
loss of cells within the prefrontal cortex.
8. Describe the role of lithium in the management of bipolar disorder.
Lithium is used to treat anxiety by increasing serotonin levels.
Lithium acts as an antidepressant for major depressive disorder.
Lithium helps stabilize mood and reduce the frequency and severity
of mood swings in individuals with bipolar disorder.
Lithium is primarily used to enhance cognitive function in
schizophrenia.
9. Discuss the significance of olanzapine's approval for children aged 13 and
older in the context of treating acute and mixed mania.
Olanzapine has no significant impact on treating mania in any age
group.
Olanzapine's approval for children aged 13 and older signifies its
recognized efficacy and safety in managing acute and mixed mania
in adolescents.
Olanzapine is primarily used for treating anxiety disorders in children.
Olanzapine is only effective for adults and not recommended for
children.
10. Which best describes serotonin syndrome?
Occurs when serotonergic medications interact with foods containing
high levels of tyramine.
, Occurs when serotonergic medications build an abnormally high
levels of serotonin in the body.
Occurs when serotonergic medications deplete levels of
norepinephrine in the body.
Occurs when serotonergic medications are abruptly discontinued.
11. Which of the following is a common ADR of Donepezil (Aricept)?
Diarrhea
Insomnia
Nausea
All of the above
12. If a patient with restless legs syndrome is also pregnant, which consideration
should be taken into account when prescribing dopamine agonists?
Increased effectiveness of the medication
Potential risks to the fetus
No special considerations are needed
Lower dosage requirements
13. Why is Fluoxetine considered a suitable option for patients who may forget
to take their medication regularly?
Fluoxetine has a longer half-life, allowing for more flexibility in
dosing.
Fluoxetine is only prescribed for older adults.
Fluoxetine is less effective than other SSRIs.
Fluoxetine has fewer side effects than other SSRIs.
