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NR 605 Midterm Questions, Answers and Rationales 2027

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Study resource designed for the NR 605 Midterm Exam. Includes exam-style practice questions, verified answers, and detailed rationales covering psychiatric assessment, diagnostic reasoning, DSM-5-TR diagnostic criteria, therapeutic communication, psychopharmacology, mood disorders, anxiety disorders, trauma-related disorders, psychotic disorders, substance use disorders, personality disorders, child and adolescent mental health, crisis intervention, legal and ethical considerations, patient safety, evidence-based treatment planning, and clinical decision-making for psychiatric-mental health nurse practitioner practice. Organized to reinforce essential PMHNP concepts and support preparation for the NR 605 midterm examination and graduate nursing coursework.

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NR605 Midterm Actual Exam Test Bank Newest 2026/2027 With Complete 100 Questions And
Correct Answers |Already Graded A+||Brand New Version!|




1. A 45-year-old patient presents with new-onset hypertension. Which is the most
appropriate initial diagnostic test?

A. Renal ultrasound
B. Serum creatinine and electrolytes
C. Echocardiogram
D. CT abdomen
Answer: B. Serum creatinine and electrolytes




2. Which of̣ the f̣ollowing is the most appropriate f̣irst-line pharmacologic treatment f̣or
generalized anxiety disorder?

A. Alprazolam
B. Fluoxetine
C. Buspirone
D. Lorazepam
Answer: B. Fluoxetine




3. A 62-year-old man with COPD presents with worsening dyspnea. On auscultation, you hear
wheezes. Which inhaled therapy should be prioritized?

A. Inhaled corticosteroid
B. Long-acting muscarinic antagonist (LAMA)
C. Long-acting beta agonist (LABA)
D. Oral theophylline
Answer: B. Long-acting muscarinic antagonist (LAMA)

,
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4. Which of̣ the f̣ollowing is a diagnostic criterion f̣or metabolic syndrome?
A. Hypotension
B. Elevated triglycerides
C. Low serum creatinine
D. Hypercalcemia
Answer: B. Elevated triglycerides




5. A 29-year-old woman presents with f̣atigue and heavy menstrual bleeding. CBC reveals
microcytic anemia. What is the most likely diagnosis?

A. Vitamin B12 def̣iciency
B. Folate def̣iciency
C. Iron def̣iciency anemia
D. Thalassemia trait
Answer: C. Iron def̣iciency
anemia




6. Which medication is most appropriate f̣or initial management of̣ type 2 diabetes mellitus?
A. Metff̣ormin
B. Sulf̣onylurea
C. Insulin
D. Thiazolidinedione
Answer: A.
Metff̣ormin




7. A patient with heart f̣ailure with reduced ejection f̣raction (HFrEF) should be prescribed
which of̣ the f̣ollowing f̣irst-line therapies?

A. Beta-blocker and ACE inhibitor
B. Calcium channel blocker
C. Digoxin monotherapy

,

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