NR 546 Midterm Test Questions and
Complete Solutions Graded A+
Which of the following data is most accurate in determining a treatment plan for a patient who presents
with depression? - Answer: The patient states that they are experiencing feelings of sadness, insomnia,
and lack of appetite
Informed Consent - Answer: clients have the right to receive enough information to make decisions
about their treatment. They must also be informed about the potential risks associated with medication.
Clients have the right to refuse treatment and cannot be forcibly medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in personality changes if
damaged? - Answer: Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However, the client currently
takes amiodarone for chronic atrial fibrillation. What does the PMHNP need to do to establish efficiency
of this medication? - Answer: Decrease the dosage of olanzipine
Amiodarone is a CYP450 inhibitor which means it will stop/slow down the olanzapine from metabolizing
in the body. Therefore, the olanzapine is at risk for building up in the client's system rather than being
metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's? - Answer: Dopamine
dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in the OR and now has a
shallow respiratory rate, pinpoint pupils, and is unresponsive to verbal stimulation. The PMHNP
prescribed naloxone to reverse the effects of the opioids. Where does Naloxone fall on the agonist
spectrum? - Answer: Antagonist
Medications for schizophrenia target which main neurotransmitter? - Answer: Dopamine
, dopamine causes negative and positive symptoms of schizophrenia, medication block dopamine to
reduce these symptoms
first generation antipsychotics improve _________ symptoms, and there is a higher risk of developing
_________. - Answer: positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also suffers from insomnia? -
Answer: Olanzapine
Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension? - Answer: Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate - Answer: a. increased levels of ACH
b. decreased levels of NE
d. decreased levels of histamine
Which pathway is associated with hyperprolactemia? - Answer: Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer. - Answer: False, they are inhibitors
GABA - Answer: chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine - Answer: NTM responsible for fight, flight, or freight
Complete Solutions Graded A+
Which of the following data is most accurate in determining a treatment plan for a patient who presents
with depression? - Answer: The patient states that they are experiencing feelings of sadness, insomnia,
and lack of appetite
Informed Consent - Answer: clients have the right to receive enough information to make decisions
about their treatment. They must also be informed about the potential risks associated with medication.
Clients have the right to refuse treatment and cannot be forcibly medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in personality changes if
damaged? - Answer: Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However, the client currently
takes amiodarone for chronic atrial fibrillation. What does the PMHNP need to do to establish efficiency
of this medication? - Answer: Decrease the dosage of olanzipine
Amiodarone is a CYP450 inhibitor which means it will stop/slow down the olanzapine from metabolizing
in the body. Therefore, the olanzapine is at risk for building up in the client's system rather than being
metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's? - Answer: Dopamine
dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in the OR and now has a
shallow respiratory rate, pinpoint pupils, and is unresponsive to verbal stimulation. The PMHNP
prescribed naloxone to reverse the effects of the opioids. Where does Naloxone fall on the agonist
spectrum? - Answer: Antagonist
Medications for schizophrenia target which main neurotransmitter? - Answer: Dopamine
, dopamine causes negative and positive symptoms of schizophrenia, medication block dopamine to
reduce these symptoms
first generation antipsychotics improve _________ symptoms, and there is a higher risk of developing
_________. - Answer: positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also suffers from insomnia? -
Answer: Olanzapine
Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension? - Answer: Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate - Answer: a. increased levels of ACH
b. decreased levels of NE
d. decreased levels of histamine
Which pathway is associated with hyperprolactemia? - Answer: Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer. - Answer: False, they are inhibitors
GABA - Answer: chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine - Answer: NTM responsible for fight, flight, or freight
