1|Page
NURS6630 Final Exam |2025-2026 LATEST UPDATED| REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED SOLUTIONS | ALREADY GRADED A+
What is the strongest established risk factor for bipolar disorder? - (answer)Family
history
which of the following medications are known as selective serotonin re-uptake
inibitors (SSRIs)? - (answer)Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use
violence, and victimization as well as worse overall quality of life? -
(answer)Schizophrenia
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Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based
on his comorbid conditions, what antidepressant would you recommend as first-
line? - (answer)not TCA due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - (answer)SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of
bipolar disorder and why - (answer)antidepressants might contribute to an increase
in mood episode freq1uency
An 8-year-old patient presents with severe hyperactivity, described as "ants in his
pants." Based on self-report from the patient, his parents, and his teacher; attention
deficit hyperactivity disorder (ADHD) is suspected. What medication is the
PMNHP most likely to prescribe? - (answer)ANS: b.
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Methylphenidate (Ritalin, Concerta)
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the
parents regarding his treatment options? - (answer)ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming
dependent after a single use? - (answer)ANS: c.
Nicotine
The nursing staff asks the PMHNP for additional education regarding the treatment
of agitation in dementia patients. Which of the following is correct? -
(answer)ANS: c.
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
, 4|Page
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The
PMHNP is consulted to treat underlying depression. Under which circumstance
should the PMHNP order naloxone (NARCAN)? - (answer)ANS: c.
The patient is somnolent and has 7 respirations per minute.
A patient with chronic insomnia asks the PMHNP if they can first try an over the-
counter (OTC) medication before one that needs to be prescribed to help the
patient sleep. Which is the best response by the PMHNP? - (answer)ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment
but states, "I don't want to feel sedated or drowsy from the medicine." Which
decision made by the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options? - (answer)ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
NURS6630 Final Exam |2025-2026 LATEST UPDATED| REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED SOLUTIONS | ALREADY GRADED A+
What is the strongest established risk factor for bipolar disorder? - (answer)Family
history
which of the following medications are known as selective serotonin re-uptake
inibitors (SSRIs)? - (answer)Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
Which disease state o a non-adherent patient is at greater risk for substance use
violence, and victimization as well as worse overall quality of life? -
(answer)Schizophrenia
,2|Page
Patient is a 72 year old male with a past medical history significant for the atrial
fibrillation and COPD with a new diagnosis of major depression disorder. Based
on his comorbid conditions, what antidepressant would you recommend as first-
line? - (answer)not TCA due to fib and age, not ADHD med
which of the following is an appropriate strategy for managing treatment resistant
depression - (answer)SSRI and SNRI
which of the following medications is best to AVOID in maintenance treatment of
bipolar disorder and why - (answer)antidepressants might contribute to an increase
in mood episode freq1uency
An 8-year-old patient presents with severe hyperactivity, described as "ants in his
pants." Based on self-report from the patient, his parents, and his teacher; attention
deficit hyperactivity disorder (ADHD) is suspected. What medication is the
PMNHP most likely to prescribe? - (answer)ANS: b.
,3|Page
Methylphenidate (Ritalin, Concerta)
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the
parents regarding his treatment options? - (answer)ANS: d.
"Naltrexone may be an appropriate option to discuss."
Which of the following substances has the highest probability of becoming
dependent after a single use? - (answer)ANS: c.
Nicotine
The nursing staff asks the PMHNP for additional education regarding the treatment
of agitation in dementia patients. Which of the following is correct? -
(answer)ANS: c.
The nurse should attempt to determine how the patient's environment may be
impacting the patient's mood.
, 4|Page
A patient on chronic opioids is currently on oxycodone ER (OxyContin). The
PMHNP is consulted to treat underlying depression. Under which circumstance
should the PMHNP order naloxone (NARCAN)? - (answer)ANS: c.
The patient is somnolent and has 7 respirations per minute.
A patient with chronic insomnia asks the PMHNP if they can first try an over the-
counter (OTC) medication before one that needs to be prescribed to help the
patient sleep. Which is the best response by the PMHNP? - (answer)ANS: a.
"You can get melatonin over the counter, which will help with sleep onset."
The PMHNP is caring for a patient who experiences too much overstimulation and
anxiety during daytime hours. The patient agrees to a pharmacological treatment
but states, "I don't want to feel sedated or drowsy from the medicine." Which
decision made by the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options? - (answer)ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
