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2026 NURS 6630 FINAL EXAM 5
LATEST VERSIONS FROM VERSION 1-
5 | ALL QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY A
GRADED |NEW AND REVISED
An 18-year-old female with a history of frequent headaches and a mood
disorder is prescribed topiramate (Topamax), 25 mg by mouth daily. The
PMHNP understands that this medication is effective in treating which
condition(s) in this patient?` - ANSWER- ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with
some abnormal lab work. Hematology/oncology was consulted and
diagnoses the patient with aplastic anemia and agranulocytosis. Which
medication was likely the culprit? - ANSWER- ANS: d.
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. -
ANSWER- ANS: a.
50-70
,2|Page
The PMHNP is teaching a patient with a sleep disorder about taking
diphenhydramine (Benadryl). The patient is concerned about the side
effects of the drug. What can the PMHNP teach the patient about this
treatment approach? - ANSWER- ANS: b
"It can cause blurred vision
A 9-year-old female patient presents with symptoms of both attention
deficit hyperactivity disorder (ADHD) and oppositional defiant disorder.
In evaluating her symptoms, the PMHNP determines that which of the
following medications may be beneficial in augmenting stimulant
medication? - ANSWER- ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine
(Adipex P)/topiramate (Topamax) (Qsymia). Which of the following
conditions/diseases will require further evaluation before this medication
can be prescribed? - ANSWER- ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate
transmission in an Alzheimer's patient. Which medication should the
PMHNP prescribe? - ANSWER- ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for
symptoms of pain. Which is the PMHNP most likely to prescribe for this
patient? - ANSWER- ANS: d.
,3|Page
Duloxetine (Cymbalta)
A patient is prescribed D-methylphenidate, 10-mg extended-release
capsules. What should the PMHNP include when discussing the side
effects with the patient? - ANSWER- ANS: c.
The medication can affect your blood pressure.
Which medication is an irreversible inhibitor of aldehyde dehydrogenase
that creates a negative and aversive response following ingestion of
alcohol? - ANSWER- ANS: c.
Disulfiram (ANTABUSE)
An 80-year-old female patient diagnosed with Stage II Alzheimer's has a
history of irritable bowel syndrome. Which cholinergic drug may be the
best choice for treatment given the patient's gastrointestinal problems? -
ANSWER- ANS: a.
Donepezil (Aricept)
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What
does the PMHNP prescribe for Mrs. Rosen to improve this condition? -
ANSWER- ANS: b.
All of these are correct
A 26-year-old female patient with nicotine dependence and a history of
anxiety presents with symptoms of attention deficit hyperactivity
disorder (ADHD). Based on the assessment, what does the PMHNP
, 4|Page
consider? - ANSWER- ANS: a. ADHD is often not the focus of
treatment in adults with comorbid conditions.
Parents of a 12-year-old boy want to consider attention deficit
hyperactivity disorder (ADHD) medication for their son. Which
medication would the PMHNP start? - ANSWER- ANS: d.
All of these could potentially treat their son's symptoms.
The PMHNP is assessing a patient who presents with elevated levels of
brain amyloid as noted by positron emission tomography (PET). What
other factors will the PMHNP consider before prescribing medication
for this patient, and what medication would the PMHNP want to avoid
given these other factors? - ANSWER- ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2
diabetes and avoid olanzapine
Karen completes the Epworth sleepiness scale and scores abnormally
high. She is diagnosed with narcolepsy. The PMHNP prescribes a wake-
promoting agent that is a weak dopamine transporter antagonist. Which
medication did the PMHNP prescribe? - ANSWER- ANS: c.
Modafanil (PROVIGIL)
You have been consulted to evaluate a patient who presents with
symptoms of dementia. The patient is experiencing memory deficit,
aphasia, apraxia, and agnosia. Which treatment option is best for this
patient? - ANSWER- ANS: a.
Donepezil (ARICEPT)
2026 NURS 6630 FINAL EXAM 5
LATEST VERSIONS FROM VERSION 1-
5 | ALL QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY A
GRADED |NEW AND REVISED
An 18-year-old female with a history of frequent headaches and a mood
disorder is prescribed topiramate (Topamax), 25 mg by mouth daily. The
PMHNP understands that this medication is effective in treating which
condition(s) in this patient?` - ANSWER- ANS: c.
Migraines
A patient you have been evaluating was admitted to the hospital with
some abnormal lab work. Hematology/oncology was consulted and
diagnoses the patient with aplastic anemia and agranulocytosis. Which
medication was likely the culprit? - ANSWER- ANS: d.
Carbamazepine
Antipsychotics are doses at a level that blocks % of D2 receptors. -
ANSWER- ANS: a.
50-70
,2|Page
The PMHNP is teaching a patient with a sleep disorder about taking
diphenhydramine (Benadryl). The patient is concerned about the side
effects of the drug. What can the PMHNP teach the patient about this
treatment approach? - ANSWER- ANS: b
"It can cause blurred vision
A 9-year-old female patient presents with symptoms of both attention
deficit hyperactivity disorder (ADHD) and oppositional defiant disorder.
In evaluating her symptoms, the PMHNP determines that which of the
following medications may be beneficial in augmenting stimulant
medication? - ANSWER- ANS: b.
Guanfacine ER (Intuniv)
The PMHNP is assessing a patient who will be receiving phentermine
(Adipex P)/topiramate (Topamax) (Qsymia). Which of the following
conditions/diseases will require further evaluation before this medication
can be prescribed? - ANSWER- ANS: b.
Cardiovascular disease
The PMHNP wishes to prescribe a medication that reduces glutamate
transmission in an Alzheimer's patient. Which medication should the
PMHNP prescribe? - ANSWER- ANS: b.
Memantine (NAMENDA)
A patient with fibromyalgia and major depression needs to be treated for
symptoms of pain. Which is the PMHNP most likely to prescribe for this
patient? - ANSWER- ANS: d.
,3|Page
Duloxetine (Cymbalta)
A patient is prescribed D-methylphenidate, 10-mg extended-release
capsules. What should the PMHNP include when discussing the side
effects with the patient? - ANSWER- ANS: c.
The medication can affect your blood pressure.
Which medication is an irreversible inhibitor of aldehyde dehydrogenase
that creates a negative and aversive response following ingestion of
alcohol? - ANSWER- ANS: c.
Disulfiram (ANTABUSE)
An 80-year-old female patient diagnosed with Stage II Alzheimer's has a
history of irritable bowel syndrome. Which cholinergic drug may be the
best choice for treatment given the patient's gastrointestinal problems? -
ANSWER- ANS: a.
Donepezil (Aricept)
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What
does the PMHNP prescribe for Mrs. Rosen to improve this condition? -
ANSWER- ANS: b.
All of these are correct
A 26-year-old female patient with nicotine dependence and a history of
anxiety presents with symptoms of attention deficit hyperactivity
disorder (ADHD). Based on the assessment, what does the PMHNP
, 4|Page
consider? - ANSWER- ANS: a. ADHD is often not the focus of
treatment in adults with comorbid conditions.
Parents of a 12-year-old boy want to consider attention deficit
hyperactivity disorder (ADHD) medication for their son. Which
medication would the PMHNP start? - ANSWER- ANS: d.
All of these could potentially treat their son's symptoms.
The PMHNP is assessing a patient who presents with elevated levels of
brain amyloid as noted by positron emission tomography (PET). What
other factors will the PMHNP consider before prescribing medication
for this patient, and what medication would the PMHNP want to avoid
given these other factors? - ANSWER- ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2
diabetes and avoid olanzapine
Karen completes the Epworth sleepiness scale and scores abnormally
high. She is diagnosed with narcolepsy. The PMHNP prescribes a wake-
promoting agent that is a weak dopamine transporter antagonist. Which
medication did the PMHNP prescribe? - ANSWER- ANS: c.
Modafanil (PROVIGIL)
You have been consulted to evaluate a patient who presents with
symptoms of dementia. The patient is experiencing memory deficit,
aphasia, apraxia, and agnosia. Which treatment option is best for this
patient? - ANSWER- ANS: a.
Donepezil (ARICEPT)
