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NR 607 Prediagnostic Assessment – Chamberlain University – PMHNP Study Guide with Questions & Answers (Latest Update)

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This document provides updated prediagnostic assessment preparation material for NR 607 at Chamberlain University, focused on Psychiatric Mental Health Nurse Practitioner (PMHNP) content. It includes structured practice questions with correct answers covering psychiatric assessment, diagnostic reasoning, differential diagnosis, mental health evaluation, and clinical decision-making. The content is designed to support exam preparation and strengthen advanced psychiatric nursing assessment skills.

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Chamberlain Prediagnostic NR607
Questions and Correct Answers/ Latest
Update / Already Graded
A 52-year-old obese man with type 2 diabetes reports dozing off while
driving, watching TV, or reading, with increased apathy and fatigue.
The PMHNP ordered a sleep study, which revealed 10 episodes of
apnea lasting 15 to 20 seconds each per hour of sleep. Based on these
findings, what should the PMHNP prescribe for his condition?



-Referral to otolaryngology for rhinoplasty

-Antidepressant medications

-Referral to otolaryngology for uvuloplasty

-Continuous positive airway pressure

Ans: Continuous positive airway pressure


Which of the following is an indication for monitoring of serum drug
levels?



-Smoking cessation

-New diagnosis of hyperlipidemia

-Resolution of symptoms

All rights reserved © 2025/ 2026 |

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-New diagnosis of diabetes

Ans: Smoking cessation


Your client Jamie asks you about a mole of her forearm. You refer her
to dermatology. As an APRN, you recognize that cancerous moles can
be detected on exam. Which of the following would not be of concern?



-A mole that is not elevated

-All of the above

-A dark mole

-A mole that is 5 mm in size

Ans: All of the above


Recall the ABCDE acronym. Concerning moles are asymmetric,
have irregular borders, have color variation, a diameter > 6mm
and elevated moles.


A 42-year-old female recalls a brief episode of chest tightness with no
radiation or chest wall injury during her new taekwondo martial arts
class. This pain subsided during "the cool down period" of her class.
Which of the following is most likely given her presentation?



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-Pericarditis

-Acute myocardial infarction

-Hiatal hernia

-Angina pectoris

Ans: Angina pectoris


Chest pain with activity and relieved at rest in a middle -aged
adult should prompt concern for myocardial ischemia. Although
acute myocardial infarction is a possibility, it is less likely given
the scenario mentioned above.


Gloria is a 68-year-old female with a chronic history of severe anxiety
disorder presents with mild shortness of breath, fine crackles in the
right lower lobe with auscultation and a nonproductive cough. She
recently "ran out of pills". Which medication omission most likely lead
to her current presenting symptoms?



-Metoprolol

-Lorazepam

-Furosemide

-Metformin

Ans: Furosemide
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Furosemide or Lasix is a diuretic utilized in the management of
heart failure. Although anxiety can produce shortness of
breath, one would not expect fine crackles on exam unless
additional comorbidity exists.


The S2 heart sound is a result of what?



-Closure of the semilunar valves

-Opening of the semilunar valves

-Closure of the atrioventricular valves

-Opening of the atrioventricular valves

Ans: Closure of the semilunar valves


The closure of the semilunar valves results in the second heart
sound. The semilunar valves are the aortic and pulmonary
valves.


A systematic inquiry that elaborates on the chief complaint while
eliciting pertinent positive and pertinent negative factors from the
history is known as:



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