NR546-FinalExam-Pearls 130+ (Latest Edition) 100% Verified Q&A + Answer Key Solutions

NR546-FinalExam-Pearls
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
130+
Key Solutions


VERIFIED ANSWERS


Question 1
First line treatment for depression
Correct Answer
SSRIs


Question 2
Common side effect of SSRIs
Correct Answer
sexual dysfunction


Question 3
rapid cycling bipolar disorder
Correct Answer
Minimum of 4 episodes a year


Question 4
Goal of antidepressant therapy
Correct Answer
complete remission of symptoms


Question 5
Serotonin GI effects
Correct Answer
Due to the fact that 90% of 5HT receptors are located in GI tract




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,Question 6
best tolerated SSRI
Correct Answer
Escitalopram (Lexapro) also has fewest CYP interactions


Question 7
Lithium levels
Correct Answer
Can be increased by NSAIDS and ACE inhibitors
Can be decreased by caffeine and mania
Unaffected by amiloride, furosemide, and sulindac


Question 8
Lithium purpose
Correct Answer
Effective treatment for manic episodes, to prevent reoccurrence and to a lower degree is effective in depressive episodes


Question 9
Lamotrigine
Correct Answer
Well tolerated except for the propensity to cause a rash


Question 10
Monoamines
Correct Answer
dopamine, norepinephrine, serotonin


Question 11
Lamotrigine
Correct Answer
Is a mood stabilizer


Question 12
Lithium
Correct Answer
Well established to prevent suicide in clients with mood disorders


Question 13
Lithium

Correct Answer
Has a narrow therapeutic window and requires law draws


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, Question 14
1st line treatment for OCD
Correct Answer
SSRIs are first line. Benzodiazepines are not!!!


Question 15
Primary action of hallucinogenic drugs such as LSD,mescaline, psilocybin, and MDMA
Correct Answer
Agonism of 5HT2A receptors
Hallucinogens may have additional actions at other serotonin receptors (particularly 5HT1A and 5HT2C) and at other
neurotransmitter systems, and MDMA in particular also blocks the serotonin transporter (SERT)


Question 16
Controls appetite
Correct Answer
hypothalamus serves as the brain center that controls appetite by utilizing a complex set of circuits and regulators. One
formulation of how the hypothalamus does this is the notion that there is a major appetite stimulating pathway whose
actions are mediated by two peptides (neuropeptide Y and agouti-related protein)


Question 17
Phentermine
Correct Answer
Acts like amphetamine, blocking both the dopamine transporter (DAT) and the norepinephrine transporter (NET) and, at
high doses, the vesicular monoamine transporter (VMAT)


Question 18
Buprenorphine
Correct Answer
Is also approved for <18 year olds


Question 19
Disulfiram caution
Correct Answer
Alcohol reaction may occur within two weeks of alcohol ingestion


Question 20
Methadone
Correct Answer
Is a full mu-receptor agonist with a long half-life, which can prevent withdrawal symptoms for 24 hours and provide
steady control of cravings throughout the day. In addition to its opioid receptor activity, it is also an antagonist of the N-
methyl-D-aspartate (NMDA) receptor.



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