1. A client wishing to use medication assisted treatment for
opioid use disorder expresses concerns that her roommates
may try to steal her medication to get high. Which medication
is the most appropriate options for the client?
A. Buprenorphine/naloxone
B. Methadone
C. Naloxone
D. Buprenorphine
2. Which of the following is the best predictor for antisocial
personality disorder?
A. A diagnosis of ADHD at age 14
B. A diagnosis of conduct disorder at age 13
C. A diagnosis of attachment disorder at age 6
D. A diagnosis of anxiety at age 11
3. Which of the following is a tool that may be used to screen for
any type of substance use disorder?
A. CAGE
B. DAST-10
C. SBIRT
D. CIWA-Ar
4. Which of the following would be included in the treatment
plan for a client with antisocial personality disorder?
A. Group therapy
B. Involuntary commitment
C. Reward-based therapy
D. Methylphenidate
5. Which description best describes cluster A personality
disorders?
A. Characterized by odd, eccentric thinking or behavior
B. Characterized by dramatic, overly emotional, or
unpredictable thinking or behavior
C. Characterized by oppositional or sadistic behavior
D. Characterized by anxious, fearful thinking or behavior
6. Which characteristic is most indicative of narcissistic
personality disorder?
A. Substance use behavior
B. Inability to monitor reality
C. Ongoing need for admiration
D. Unusual ideas of reference
7. A 25-year-old client presents with irritability, insomnia, and
excessive energy. She states she has felt this way for about a
week. Last month,
, she reports that she felt “really down” and slept most of the
time. She endorses a pattern of “ups and downs” in her mood
at least half the time over the past few years. Which diagnosis
is the most consistent with the client’s symptoms?
A. Cyclothymia
B. Bipolar II disorder
C. Dysthymia
D. Premenstrual dysphoric disorder
8. Select an appropriate initial medication choice for a 75-year-old
with a new diagnosis of major depressive disorder.
A. Amitriptyline 50 mg daily
B. Sertraline 75 mg daily
C. Citalopram 40 mg daily
D. Escitalopram 10 mg daily
9. An inpatient client has a CIWA-Ar score of 12. What is
the most appropriate action by the nurse practitioner?
A. Prescribe STAT dose of oral Lorazepam and reassess CIWA-
Ar every hour
B. Prescribe oral Lorazepam every 4 hours and reassess CIWA-
Ar every hour
C. Reassess CIWA-Ar every 4 hours; do not prescribe
medication at this time
D. Prescribe STAT dose of oral diazepam and reassess CIWA-Ar
every 4 hours
10. Inattention and a variable level of consciousness
are the hallmark symptoms of which condition?
A. Neurocognitive disorder due to prion disease
B. Neurocognitive disorder with Lewy bodies
C. Neurocognitive disorder due to Alzheimer’s disease
D. Delirium
11. Which client is the best candidate for electroconvulsive
therapy for major depressive disorder?
A. A 25-year-old who continues to experience symptoms of
depressive disorder 4 months after starting bupropion 100
mg daily
B. A 45-year-old who continues to experience symptoms
of major depressive disorder 6 months after switching
to isocarboxazid
C. A 29-year-old who continues to experience symptoms of
major depressive disorder two months after adding
amitriptyline to their daily regimen of paroxetine
D. A 32-year-old who continues to experience symptoms of
major depressive disorder six months after starting
sertraline 50 mg daily
opioid use disorder expresses concerns that her roommates
may try to steal her medication to get high. Which medication
is the most appropriate options for the client?
A. Buprenorphine/naloxone
B. Methadone
C. Naloxone
D. Buprenorphine
2. Which of the following is the best predictor for antisocial
personality disorder?
A. A diagnosis of ADHD at age 14
B. A diagnosis of conduct disorder at age 13
C. A diagnosis of attachment disorder at age 6
D. A diagnosis of anxiety at age 11
3. Which of the following is a tool that may be used to screen for
any type of substance use disorder?
A. CAGE
B. DAST-10
C. SBIRT
D. CIWA-Ar
4. Which of the following would be included in the treatment
plan for a client with antisocial personality disorder?
A. Group therapy
B. Involuntary commitment
C. Reward-based therapy
D. Methylphenidate
5. Which description best describes cluster A personality
disorders?
A. Characterized by odd, eccentric thinking or behavior
B. Characterized by dramatic, overly emotional, or
unpredictable thinking or behavior
C. Characterized by oppositional or sadistic behavior
D. Characterized by anxious, fearful thinking or behavior
6. Which characteristic is most indicative of narcissistic
personality disorder?
A. Substance use behavior
B. Inability to monitor reality
C. Ongoing need for admiration
D. Unusual ideas of reference
7. A 25-year-old client presents with irritability, insomnia, and
excessive energy. She states she has felt this way for about a
week. Last month,
, she reports that she felt “really down” and slept most of the
time. She endorses a pattern of “ups and downs” in her mood
at least half the time over the past few years. Which diagnosis
is the most consistent with the client’s symptoms?
A. Cyclothymia
B. Bipolar II disorder
C. Dysthymia
D. Premenstrual dysphoric disorder
8. Select an appropriate initial medication choice for a 75-year-old
with a new diagnosis of major depressive disorder.
A. Amitriptyline 50 mg daily
B. Sertraline 75 mg daily
C. Citalopram 40 mg daily
D. Escitalopram 10 mg daily
9. An inpatient client has a CIWA-Ar score of 12. What is
the most appropriate action by the nurse practitioner?
A. Prescribe STAT dose of oral Lorazepam and reassess CIWA-
Ar every hour
B. Prescribe oral Lorazepam every 4 hours and reassess CIWA-
Ar every hour
C. Reassess CIWA-Ar every 4 hours; do not prescribe
medication at this time
D. Prescribe STAT dose of oral diazepam and reassess CIWA-Ar
every 4 hours
10. Inattention and a variable level of consciousness
are the hallmark symptoms of which condition?
A. Neurocognitive disorder due to prion disease
B. Neurocognitive disorder with Lewy bodies
C. Neurocognitive disorder due to Alzheimer’s disease
D. Delirium
11. Which client is the best candidate for electroconvulsive
therapy for major depressive disorder?
A. A 25-year-old who continues to experience symptoms of
depressive disorder 4 months after starting bupropion 100
mg daily
B. A 45-year-old who continues to experience symptoms
of major depressive disorder 6 months after switching
to isocarboxazid
C. A 29-year-old who continues to experience symptoms of
major depressive disorder two months after adding
amitriptyline to their daily regimen of paroxetine
D. A 32-year-old who continues to experience symptoms of
major depressive disorder six months after starting
sertraline 50 mg daily
