NURS 6630 ACTUAL STUDY QUESTIONS AND
ANSWERS SET A+
✔✔An adult patient presents with a history of substance-use disorder and attention
deficit
hyperactivity disorder (ADHD). Which of the following treatment options is best for this
patient?
ANS: d.
Atomoxetine - ✔✔An adult patient presents with a history of substance-use disorder and
attention deficit
hyperactivity disorder (ADHD). Which of the following treatment options is best for this
patient?
ANS: d.
Atomoxetine
✔✔Which statement best describes a pharmacological approach to treating patients for
impulsive
aggression?
ANS: a.
Opioid antagonists can be used to reduce drive - ✔✔Which statement best describes a
pharmacological approach to treating patients for impulsive
aggression?
ANS: a.
Opioid antagonists can be used to reduce drive
✔✔Harold complains of pain associated with his irritable bowel syndrome with
constipation. The
PMHNP decides to prescribe a medication that prevents pain signals from reaching the
brain.
Which agent does the PMHNP prescribe?
ANS: c.
Duloxetine (CYMBALTA) - ✔✔Harold complains of pain associated with his irritable
bowel syndrome with constipation. The
,PMHNP decides to prescribe a medication that prevents pain signals from reaching the
brain.
Which agent does the PMHNP prescribe?
ANS: c.
Duloxetine (CYMBALTA)
✔✔The PMHNP understands that slow-dose extended release stimulants are most
appropriate for
which patient with ADHD?
ANS: d.
8-year-old patient - ✔✔The PMHNP understands that slow-dose extended release
stimulants are most appropriate for
which patient with ADHD?
ANS: d.
8-year-old patient
✔✔Alcohol enhances inhibition at synapses and reduces excitation at
synapses.
ANS: b.
GABA / Glutamate - ✔✔Alcohol enhances inhibition at synapses and reduces excitation
at
synapses.
ANS: b.
GABA / Glutamate
✔✔A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP
prescribe for this patient?
ANS: a.
Clonidine (CATAPRES) - ✔✔A patient addicted to heroin is receiving treatment for
detoxification. He begins to experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP
prescribe for this patient?
ANS: a.
Clonidine (CATAPRES)
✔✔A 72-year-old male patient is in the early stages of Alzheimer's disease. The
PMHNP
determines that improving memory is a key consideration in selecting a medication.
Which of
the following would be an appropriate choice?
ANS: a.
,All of these are correct - ✔✔ANS: a.
All of these are correct
✔✔Jerry presents to the clinic for his four-week follow-up after starting trazodone for
insomnia.
How does trazodone help with insomnia?
ANS: a.
Trazodone blocks alpha-1 and histamine-1 receptors at low doses - ✔✔Jerry presents
to the clinic for his four-week follow-up after starting trazodone for insomnia.
How does trazodone help with insomnia?
ANS: a.
Trazodone blocks alpha-1 and histamine-1 receptors at low doses.
✔✔Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the
PMHNP
prescribe for Mrs. Rosen to improve this condition?
Selected
Answer:
D.
All of the
above - ✔✔Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What
does the PMHNP
prescribe for Mrs. Rosen to improve this condition?
Selected
Answer:
D.
All of the
above
✔✔An elderly woman with a history of Alzheimer's disease, coronary artery disease,
and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
open reduction internal fixation. While assessing this patient, the PMHNP is made
aware
that the patient continues to experience mild to moderate pain. What is the PMHNP
most
likely to do?
Selected
Answer:
A.
Order an X-ray because it is possible that she
dislocated her hip. - ✔✔An elderly woman with a history of Alzheimer's disease,
coronary artery disease, and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
, open reduction internal fixation. While assessing this patient, the PMHNP is made
aware
that the patient continues to experience mild to moderate pain. What is the PMHNP
most
likely to do?
Selected
Answer:
A.
Order an X-ray because it is possible that she
dislocated her hip.
✔✔The PMHNP is caring for a patient who reports excessive arousal at nighttime. What
could
the PMHNP use for a time-limited duration to shift the patient's brain from a hyperactive
state to a sleep state?
Selected
Answer:
B.
Benzodiazepi - ✔✔The PMHNP is caring for a patient who reports excessive arousal at
nighttime. What could
the PMHNP use for a time-limited duration to shift the patient's brain from a hyperactive
state to a sleep state?
Selected
Answer:
B.
Benzodiazepi
✔✔A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected
Answer:
D.
Clonidine
(Catapres) - ✔✔A patient addicted to heroin is receiving treatment for detoxification. He
begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected
Answer:
D.
Clonidine
(Catapres)
✔✔The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the
ANSWERS SET A+
✔✔An adult patient presents with a history of substance-use disorder and attention
deficit
hyperactivity disorder (ADHD). Which of the following treatment options is best for this
patient?
ANS: d.
Atomoxetine - ✔✔An adult patient presents with a history of substance-use disorder and
attention deficit
hyperactivity disorder (ADHD). Which of the following treatment options is best for this
patient?
ANS: d.
Atomoxetine
✔✔Which statement best describes a pharmacological approach to treating patients for
impulsive
aggression?
ANS: a.
Opioid antagonists can be used to reduce drive - ✔✔Which statement best describes a
pharmacological approach to treating patients for impulsive
aggression?
ANS: a.
Opioid antagonists can be used to reduce drive
✔✔Harold complains of pain associated with his irritable bowel syndrome with
constipation. The
PMHNP decides to prescribe a medication that prevents pain signals from reaching the
brain.
Which agent does the PMHNP prescribe?
ANS: c.
Duloxetine (CYMBALTA) - ✔✔Harold complains of pain associated with his irritable
bowel syndrome with constipation. The
,PMHNP decides to prescribe a medication that prevents pain signals from reaching the
brain.
Which agent does the PMHNP prescribe?
ANS: c.
Duloxetine (CYMBALTA)
✔✔The PMHNP understands that slow-dose extended release stimulants are most
appropriate for
which patient with ADHD?
ANS: d.
8-year-old patient - ✔✔The PMHNP understands that slow-dose extended release
stimulants are most appropriate for
which patient with ADHD?
ANS: d.
8-year-old patient
✔✔Alcohol enhances inhibition at synapses and reduces excitation at
synapses.
ANS: b.
GABA / Glutamate - ✔✔Alcohol enhances inhibition at synapses and reduces excitation
at
synapses.
ANS: b.
GABA / Glutamate
✔✔A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP
prescribe for this patient?
ANS: a.
Clonidine (CATAPRES) - ✔✔A patient addicted to heroin is receiving treatment for
detoxification. He begins to experience
autonomic hyperactivity during the drug withdrawal period. What medication will the
PMHNP
prescribe for this patient?
ANS: a.
Clonidine (CATAPRES)
✔✔A 72-year-old male patient is in the early stages of Alzheimer's disease. The
PMHNP
determines that improving memory is a key consideration in selecting a medication.
Which of
the following would be an appropriate choice?
ANS: a.
,All of these are correct - ✔✔ANS: a.
All of these are correct
✔✔Jerry presents to the clinic for his four-week follow-up after starting trazodone for
insomnia.
How does trazodone help with insomnia?
ANS: a.
Trazodone blocks alpha-1 and histamine-1 receptors at low doses - ✔✔Jerry presents
to the clinic for his four-week follow-up after starting trazodone for insomnia.
How does trazodone help with insomnia?
ANS: a.
Trazodone blocks alpha-1 and histamine-1 receptors at low doses.
✔✔Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the
PMHNP
prescribe for Mrs. Rosen to improve this condition?
Selected
Answer:
D.
All of the
above - ✔✔Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What
does the PMHNP
prescribe for Mrs. Rosen to improve this condition?
Selected
Answer:
D.
All of the
above
✔✔An elderly woman with a history of Alzheimer's disease, coronary artery disease,
and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
open reduction internal fixation. While assessing this patient, the PMHNP is made
aware
that the patient continues to experience mild to moderate pain. What is the PMHNP
most
likely to do?
Selected
Answer:
A.
Order an X-ray because it is possible that she
dislocated her hip. - ✔✔An elderly woman with a history of Alzheimer's disease,
coronary artery disease, and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
, open reduction internal fixation. While assessing this patient, the PMHNP is made
aware
that the patient continues to experience mild to moderate pain. What is the PMHNP
most
likely to do?
Selected
Answer:
A.
Order an X-ray because it is possible that she
dislocated her hip.
✔✔The PMHNP is caring for a patient who reports excessive arousal at nighttime. What
could
the PMHNP use for a time-limited duration to shift the patient's brain from a hyperactive
state to a sleep state?
Selected
Answer:
B.
Benzodiazepi - ✔✔The PMHNP is caring for a patient who reports excessive arousal at
nighttime. What could
the PMHNP use for a time-limited duration to shift the patient's brain from a hyperactive
state to a sleep state?
Selected
Answer:
B.
Benzodiazepi
✔✔A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected
Answer:
D.
Clonidine
(Catapres) - ✔✔A patient addicted to heroin is receiving treatment for detoxification. He
begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected
Answer:
D.
Clonidine
(Catapres)
✔✔The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the
