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Introduction
This document contains comprehensive NR 607 exam
questions with verified answers covering psychopharmacology,
psychiatric assessment, DSM-5 diagnoses, neurobiology, ethics,
developmental psychology, substance use disorders, and
evidence-based practice. It includes clinical case scenarios and
explanations relevant to psychiatric mental health nursing
concepts commonly tested on examinations. The material
spans both pediatric and adult psychiatric topics and serves as
a complete practice and review resource for exam preparation.
The content is presented in a question-and-answer format
aligned with advanced nursing coursework.
Exam Questions and Answers
Which is the key laboratory parameter for monitoring patients
for clozapine-induced neutropenia? --- correct precise answer
---The ANC or Absolute Neutrophil count is the key laboratory
,parameter for monitoring patients for clozapine-induced
neutropenia.
Which of the following is not related to the Black Box warning
for Valproate? --- correct precise answer ---Acute dystonia is
not an adverse effect of Valproate. The Black box warning for
Depakote includes Hepatotoxicity, Pancreatitis, Teratogenicity
and Thrombocytopenia.
A 19-year-old male is referred to the PMHNP by the student
health office for alcohol use disorder. The patient states that
on one occasion he passed out much sooner than he usually
would with far less than he would usually drink. Upon further
interview, the patient reveals the time he passed out was
during a fraternity hazing in which he was butt-chugging
(receiving a beer and vodka enema). What pharmacokinetic
process was bypassed by this rectal administration route? ---
correct precise answer ---First-pass effect
An uninsured patient who was discharged from the hospital
on haloperidol 10 mg twice daily presents to the PMHNP for a
2-week follow-up medication check visit. On exam the patient
has tachypnea, tachycardia, and tremors, the skin is hot to the
touch, and is overall very rigid. What should the PMHNP do
first? --- correct precise answer ---Call 911 for transfer to the
emergency department
, Which of the following adverse drug effects is usually
temporary? --- correct precise answer ---Nausea is often a
time limited side effect during the initiation of SSRI treatment.
Gabe receives psychotherapy for performance anxiety. He has
a rare request for a medication to help with sleep. He is
required to travel for work and is requesting help. He has no
trouble with sleep latency, but wants 6 hours of sleep. Which
of the following best fits Gabe's needs? --- correct precise
answer ---Eszopiclone (Lunesta) may help with short term
insomnia related to sleep maintenance issues.
Which of the following is true about a drug with a narrow
therapeutic index? --- correct precise answer ---The plasma
concentration required for a therapeutic effect is near the
concentration that results in toxic effects.
Sunny is a 50-year -old female who presents to the clinic with
a recent ECG tracing. Her QTC is recorded at 327 ms. Mary is
on Citalopram 40 mg daily x 3 years secondary to generalized
anxiety disorder. Given this information, you decide to do
what? --- correct precise answer ---Do nothing. A QTC of 388
ms is considered normal. Persons over 60 are limited to a
daily dose of Citaloprma 20mg given the potential risk of
prolonged QTC.