NR547 MIDTERM ACTUAL EXAM ELITE
REVIEW WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS GRADED A PLUS 2026
‣ History of Present Illness . Answer: How long have you been feeling
this way?
Did something happen in your life that may have triggered these
emotions?
How is this current situation impacting your life?
‣ The Psychiatric History . Answer: Have you ever been hospitalized for
any mental health issues?
Have you ever had counseling or psychotherapy?
Have you ever taken medications for your mental health in the past?
Are you currently on any medications for mental health or sleep?
‣ Medical History/Screening for General Medical Conditions . Answer:
Do you have a primary care provider?
Do you have any medical illnesses?
Are you currently taking any medications or herbal supplements?
Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
,‣ Family Psychiatric History . Answer: Has any relative of yours ever
been hospitalized for a mental health issue?
Has any blood relative of yours ever been diagnosed with a mental
health issue?
Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
‣ Social and Developmental History . Answer: Tell me a little bit about
your childhood and how you grew up.
How was your experience in school when you were younger? Did you
enjoy school?
How do you support yourself with your finances?
Do you have a good support system? Are you currently in a
relationship? Where do you live? Who do you live with?
What do you do in your free time? What activities do you enjoy?
‣ Which of the following should be included when providing client
education about medication regimens? Select all that apply. . Answer:
A)Explain how the medication targets the symptoms, specific benefits,
and expected time course. (Correct answer)
B)Identify potential side effects, duration of side effects, and adverse
effects. (Correct answer)
C)Explain the instructions, dosing, and special requirements. (Correct
answer)
D)Use teach-back methods to ensure client understanding. (Correct
answer)
,‣ Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk
Screening Tool (Links to an external site.) to the scenario below.
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?
A) No action is necessary as the client is not . Answer: B)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.
‣ Complete Blood Count . Answer: The CBC is a serum diagnostic test
that measures red blood cells, white blood cells, hemoglobin, hematocrit,
and platelets. The CBC includes a differential of the white blood cells. A
CBC is often included as part of routine health screening or to obtain
information related to specific conditions. In mental health, the CBC is
used to rule out medical conditions that may present with symptoms that
can be attributed to both medical and psychiatric diagnoses. For
, example, the CBC can help rule out anemia as a cause for depressive
symptoms and fatigue or rule out infection as a cause of acute mental
status changes. The CBC is also used to monitor certain treatment
regimens. For example, some medications, such as clozapine, require
routine analysis of absolute neutrophil count and platelet levels.
‣ Normal Range of:
Red blood cells
Hemoglobin
Hematocrit
Reticulocytes . Answer: Red blood cells: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
‣ Normal Range of?
White blood cells (total):
Neutrophils:
Eosinophils:
Basophils:
Lymphocytes:
Monocytes:
Platelets: . Answer: White blood cells (total): 5000-10,000/microliter
Neutrophils: 55%-70%
REVIEW WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS GRADED A PLUS 2026
‣ History of Present Illness . Answer: How long have you been feeling
this way?
Did something happen in your life that may have triggered these
emotions?
How is this current situation impacting your life?
‣ The Psychiatric History . Answer: Have you ever been hospitalized for
any mental health issues?
Have you ever had counseling or psychotherapy?
Have you ever taken medications for your mental health in the past?
Are you currently on any medications for mental health or sleep?
‣ Medical History/Screening for General Medical Conditions . Answer:
Do you have a primary care provider?
Do you have any medical illnesses?
Are you currently taking any medications or herbal supplements?
Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
,‣ Family Psychiatric History . Answer: Has any relative of yours ever
been hospitalized for a mental health issue?
Has any blood relative of yours ever been diagnosed with a mental
health issue?
Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
‣ Social and Developmental History . Answer: Tell me a little bit about
your childhood and how you grew up.
How was your experience in school when you were younger? Did you
enjoy school?
How do you support yourself with your finances?
Do you have a good support system? Are you currently in a
relationship? Where do you live? Who do you live with?
What do you do in your free time? What activities do you enjoy?
‣ Which of the following should be included when providing client
education about medication regimens? Select all that apply. . Answer:
A)Explain how the medication targets the symptoms, specific benefits,
and expected time course. (Correct answer)
B)Identify potential side effects, duration of side effects, and adverse
effects. (Correct answer)
C)Explain the instructions, dosing, and special requirements. (Correct
answer)
D)Use teach-back methods to ensure client understanding. (Correct
answer)
,‣ Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk
Screening Tool (Links to an external site.) to the scenario below.
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?
A) No action is necessary as the client is not . Answer: B)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.
‣ Complete Blood Count . Answer: The CBC is a serum diagnostic test
that measures red blood cells, white blood cells, hemoglobin, hematocrit,
and platelets. The CBC includes a differential of the white blood cells. A
CBC is often included as part of routine health screening or to obtain
information related to specific conditions. In mental health, the CBC is
used to rule out medical conditions that may present with symptoms that
can be attributed to both medical and psychiatric diagnoses. For
, example, the CBC can help rule out anemia as a cause for depressive
symptoms and fatigue or rule out infection as a cause of acute mental
status changes. The CBC is also used to monitor certain treatment
regimens. For example, some medications, such as clozapine, require
routine analysis of absolute neutrophil count and platelet levels.
‣ Normal Range of:
Red blood cells
Hemoglobin
Hematocrit
Reticulocytes . Answer: Red blood cells: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
‣ Normal Range of?
White blood cells (total):
Neutrophils:
Eosinophils:
Basophils:
Lymphocytes:
Monocytes:
Platelets: . Answer: White blood cells (total): 5000-10,000/microliter
Neutrophils: 55%-70%
