NR 547 MIDTERM EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS brand new 2025
Which of the following should be included when providing client
education about medication regimens?
a. Explain how the medication targets the symptoms, specific
benefits, and expected time course.
b. Identify potential side effects, duration of side effects, and adverse
effects.
c. Explain the instructions, dosing, and special requirements.
d. Use teach-back methods to ensure client understanding.
e. All of the above
e. All of the above
A 52-year-old client presents to the emergency department following
a car accident. The emergency department (ED) physician is
concerned that the client may have intentionally crashed her car and
requests a stat PMHNP consult. In speaking with the PMHNP, the
client describes persistent feelings of sadness and hopelessness.
She states that she often wonders if her husband would be happier if
she wasn't around anymore since she's never happy and sometimes
thinks about what it would be like to just take a handful of sleeping
pills and go to sleep forever. The client reports a previous suicide
attempt when she was 16 but denies that she is considering killing
herself right now.
,Based on the client's ASQ score, what is the most appropriate
response?
provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full
safety and mental health evaluation, the client requires a brief suicide
safety assessment to determine whether a full mental health evaluation in
necessary. It is also important to notify the client's physician or the clinician
responsible for the client's care.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L
Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is
associated with fatigue. A referral for treatment of hypothyroidism is
required. Client can be reevaluated for fatigue if symptoms persist after
hypothyroid treatment has been initiated, TSH levels are within normal
limits.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15
g/dL and hematocrit is 42%.
Begin Treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This
client’s complaint of fatigue is not due to anemia. Begin treatment based on
a complete evaluation.
,Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Terri is a 79-year old who presents with confusion. She has positive
urine leukocyte esterase.
Refer
Rationale: A positive Urine Leukocyte Esterase indicates the presence of a
urinary tract infection (UTI) , which may cause confusion. Refer this client
for treatment of the UTI.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Julio is a 66-year-old who presents with depression. His vitamin D
level 11 ng/mL.
Refer
Rationale: Vitamin D deficiency is associated with depressive symptoms.
The PMHNP may refer or treat vitamin D deficiency depending on the level
of comfort of the provider. Normal 20-50ng/mL a level less than 12 is
indicative of Vit. D deficiency.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
Refer
Rationale: Clients with hyperthyroidism have elevated T3 levels.
Hyperthyroidism is associated with anxiety symptoms. Client can be
, reevaluated for anxiety once hyperthyroid treatment has been initiated and
T3 levels are within normal limits. Normal T3 100-200.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Fred is a 19-year-old who presents with psychosis. His vitamin B12
level is 900 picograms/mL.
Begin Treatment
Rationale: The B12 level is within normal limits. Treatment for symptoms
of psychosis should be initiated. Normal is 190-950 picograms/mL
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Ted is a 64-year-old who presents with confusion. His serum
creatinine is 7.0 mg/dL and BUN is 32.
Refer
Rationale: Elevated serum creatinine and BUN indicate a problem with
kidney function, which could contribute to confusion.Normal creatinine 06-
1.2mg/dL Normal BUN 7-18
First Line Medication Treatment for Generalized Anxiety Disorder
(GAD).
1. SSRI
2. SNRI
3. Buspirone
4. Drug Therapy for at least 12 months
First Line Medication Therapy for Panic Disorder
SOLUTIONS GUARANTEED PASS brand new 2025
Which of the following should be included when providing client
education about medication regimens?
a. Explain how the medication targets the symptoms, specific
benefits, and expected time course.
b. Identify potential side effects, duration of side effects, and adverse
effects.
c. Explain the instructions, dosing, and special requirements.
d. Use teach-back methods to ensure client understanding.
e. All of the above
e. All of the above
A 52-year-old client presents to the emergency department following
a car accident. The emergency department (ED) physician is
concerned that the client may have intentionally crashed her car and
requests a stat PMHNP consult. In speaking with the PMHNP, the
client describes persistent feelings of sadness and hopelessness.
She states that she often wonders if her husband would be happier if
she wasn't around anymore since she's never happy and sometimes
thinks about what it would be like to just take a handful of sleeping
pills and go to sleep forever. The client reports a previous suicide
attempt when she was 16 but denies that she is considering killing
herself right now.
,Based on the client's ASQ score, what is the most appropriate
response?
provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full
safety and mental health evaluation, the client requires a brief suicide
safety assessment to determine whether a full mental health evaluation in
necessary. It is also important to notify the client's physician or the clinician
responsible for the client's care.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Toni is a 58-year-old who presents with fatigue. Her TSH is 6.3 mIU/L
Refer
Rationale: A TSH level >4.0 is indicative of hypothyroidism, which is
associated with fatigue. A referral for treatment of hypothyroidism is
required. Client can be reevaluated for fatigue if symptoms persist after
hypothyroid treatment has been initiated, TSH levels are within normal
limits.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Leo is a 49-year-old who presents with fatigue. His hemoglobin is 15
g/dL and hematocrit is 42%.
Begin Treatment
Rationale: The hemoglobin and hematocrit are within normal limits. This
client’s complaint of fatigue is not due to anemia. Begin treatment based on
a complete evaluation.
,Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Terri is a 79-year old who presents with confusion. She has positive
urine leukocyte esterase.
Refer
Rationale: A positive Urine Leukocyte Esterase indicates the presence of a
urinary tract infection (UTI) , which may cause confusion. Refer this client
for treatment of the UTI.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Julio is a 66-year-old who presents with depression. His vitamin D
level 11 ng/mL.
Refer
Rationale: Vitamin D deficiency is associated with depressive symptoms.
The PMHNP may refer or treat vitamin D deficiency depending on the level
of comfort of the provider. Normal 20-50ng/mL a level less than 12 is
indicative of Vit. D deficiency.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
Refer
Rationale: Clients with hyperthyroidism have elevated T3 levels.
Hyperthyroidism is associated with anxiety symptoms. Client can be
, reevaluated for anxiety once hyperthyroid treatment has been initiated and
T3 levels are within normal limits. Normal T3 100-200.
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Fred is a 19-year-old who presents with psychosis. His vitamin B12
level is 900 picograms/mL.
Begin Treatment
Rationale: The B12 level is within normal limits. Treatment for symptoms
of psychosis should be initiated. Normal is 190-950 picograms/mL
Evaluate the laboratory value and presenting symptom in the activity
below and select whether to treat or refer.
Ted is a 64-year-old who presents with confusion. His serum
creatinine is 7.0 mg/dL and BUN is 32.
Refer
Rationale: Elevated serum creatinine and BUN indicate a problem with
kidney function, which could contribute to confusion.Normal creatinine 06-
1.2mg/dL Normal BUN 7-18
First Line Medication Treatment for Generalized Anxiety Disorder
(GAD).
1. SSRI
2. SNRI
3. Buspirone
4. Drug Therapy for at least 12 months
First Line Medication Therapy for Panic Disorder
