1
NURS 6531 MIDTERM EXAM 2 – QUESTION AND
ANSWERS 2025-2026 EXAM UPDATE
Question 1
What baseline levels should you perform before initiating an anti-ADHD medication?
Electrolytes, height, weight, white-blood cells
ECHO, heart rate, pulse
Height, weight, blood pressure, pulse
Blood pressure and pulse
Question 2
Which medication(s) requires a test dose to determine accurate use of the drug (i.e.,
how addicted the patient truly is on a certain drug) before beginning a titration schedule
to withdrawal the patient?
• Butalbital
• Lorazepam
• Hydrocodone
A. I only
B. II only
pg. 1
,2
C. III only
D. I and II
Question 3
Which of the following psychiatric conditions is present in both domains (i.e., core
psychopathology & pain-related psychological symptoms) of chronic pain that will likely
lead to an outcome of disability, pain, and poor quality of life?
A. Major depression
B. Personality disorder
C. Anger
D. Anxiety
Question 4
Which medication below would you use in addition to benzodiazepine treatment if the
patient is experiencing psychosis during alcohol withdrawal delirium?
Which medication below would you use in addition to benzodiazepine treatment if the
patient is experiencing psychosis during alcohol withdrawal delirium?
A. Naltrexone
B. Haloperidol
C. Propofol
D. Chlordiazepoxide
Question 5
If a patient suffers from a multitude of small strokes and later begins experiencing mood
disturbances in an acute fashion that sometimes resolve, from what type of dementia
would you think that patient may suffer?
A. Vascular Dementia
pg. 2
, 3
B. Frontotemporal Dementias
C. Alzheimer’s Disease
D. Dementia with Lewy Bodies
Question 6
If a patient is being managed for chronic pain and is not getting better after months of
therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs,
etc.), what should be your next step in helping the patient?
• Add a high-dose opioid if patient is not already on the maximum dose.
• Assess for a co-morbid psychiatric condition.
• Tell the patient you have exhausted all your options and there is nothing more
you can do.
• Refer the patient for a second opinion.
A. I and II
B. II and IV
C. III only
D. IV only
Question 7
T. C. is an 88-year-old male who is diagnosed at your clinic with Dementia with Lewy
Bodies. He currently has some debilitating gait issues, which makes his quality of life
very poor. His memory is still intact with minor deficits. Which medication would likely
benefit T. C. as his initial therapy?
A. Levodopa/carbidopa
B. Galantamine
C. Memantine
D. Benztropine
Of the axons involved in the transmission of pain, which one is thinly myelinated and
conducts
pg. 3 that first feeling of pain that is often felt as coming on as a sharp, rapid
feeling?
NURS 6531 MIDTERM EXAM 2 – QUESTION AND
ANSWERS 2025-2026 EXAM UPDATE
Question 1
What baseline levels should you perform before initiating an anti-ADHD medication?
Electrolytes, height, weight, white-blood cells
ECHO, heart rate, pulse
Height, weight, blood pressure, pulse
Blood pressure and pulse
Question 2
Which medication(s) requires a test dose to determine accurate use of the drug (i.e.,
how addicted the patient truly is on a certain drug) before beginning a titration schedule
to withdrawal the patient?
• Butalbital
• Lorazepam
• Hydrocodone
A. I only
B. II only
pg. 1
,2
C. III only
D. I and II
Question 3
Which of the following psychiatric conditions is present in both domains (i.e., core
psychopathology & pain-related psychological symptoms) of chronic pain that will likely
lead to an outcome of disability, pain, and poor quality of life?
A. Major depression
B. Personality disorder
C. Anger
D. Anxiety
Question 4
Which medication below would you use in addition to benzodiazepine treatment if the
patient is experiencing psychosis during alcohol withdrawal delirium?
Which medication below would you use in addition to benzodiazepine treatment if the
patient is experiencing psychosis during alcohol withdrawal delirium?
A. Naltrexone
B. Haloperidol
C. Propofol
D. Chlordiazepoxide
Question 5
If a patient suffers from a multitude of small strokes and later begins experiencing mood
disturbances in an acute fashion that sometimes resolve, from what type of dementia
would you think that patient may suffer?
A. Vascular Dementia
pg. 2
, 3
B. Frontotemporal Dementias
C. Alzheimer’s Disease
D. Dementia with Lewy Bodies
Question 6
If a patient is being managed for chronic pain and is not getting better after months of
therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs,
etc.), what should be your next step in helping the patient?
• Add a high-dose opioid if patient is not already on the maximum dose.
• Assess for a co-morbid psychiatric condition.
• Tell the patient you have exhausted all your options and there is nothing more
you can do.
• Refer the patient for a second opinion.
A. I and II
B. II and IV
C. III only
D. IV only
Question 7
T. C. is an 88-year-old male who is diagnosed at your clinic with Dementia with Lewy
Bodies. He currently has some debilitating gait issues, which makes his quality of life
very poor. His memory is still intact with minor deficits. Which medication would likely
benefit T. C. as his initial therapy?
A. Levodopa/carbidopa
B. Galantamine
C. Memantine
D. Benztropine
Of the axons involved in the transmission of pain, which one is thinly myelinated and
conducts
pg. 3 that first feeling of pain that is often felt as coming on as a sharp, rapid
feeling?
