NURS 6630 CORRECT TEST PAPER QUESTIONS
AND ANSWERS SET A+
✔✔The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER
(Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine
(Adipex-P)? - ✔✔ANS: d.
Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax)
acts by inhibiting appetite.
✔✔The PMHNP is performing a quality assurance peer review of the chart of another
PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-
term care facility who has chronic insomnia. The chart indicates that the patient has
been receiving hypnotics on a nightly basis. What does the PMHNP find problematic
about this documentation? - ✔✔ANS: b.
Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
✔✔A 63-year-old patient presents with the following symptoms. The PMHNP
determines which set of symptoms warrant prescribing a medication? Select the answer
that is matched with an appropriate treatment. - ✔✔ANS: a.
Impairment in the ability to learn and retain new information is most problematic, and an
appropriate treatment option would be donepezil.
✔✔An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that
is secondary to cancer. Under what circumstances would the PMHNP order naloxone
(Narcan) IM/SQ? - ✔✔ANS:b.
The patient's vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8
respirations
✔✔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.
✔✔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
✔✔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 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
✔✔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.
✔✔Sandra complains of constipation after being on quetiapine (SEROQUEL) for
several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL)
to which receptor? - ✔✔ANS: b.
a1
✔✔A 71-year-old male patient comes to an appointment with his 65-year-old wife. They
are both having concerns related to her memory and ability to recognize faces. The
PMNHP is considering prescribing memantine (Namenda) based on the following
symptoms: - ✔✔ANS: b.
Amnesia, apraxia, agnosia
,✔✔Sharon is a 56-year-old female that presents to the clinic with pain after suffering a
back injury several years ago. The patient states she feels a tingling sensation in her
legs. What type of pain is Sharon likely experiencing? - ✔✔ANS: c.
Neuropathic pain
✔✔Even though both of these medications are useful in the treatment of ADHD, their
actions are different. Atomoxetine is a selective reuptake inhibitor, while
bupropion is a selective reuptake inhibitor. - ✔✔ANS: a.
Norepinephrine / norepinephrine-dopamine
✔✔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? - ✔✔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? - ✔✔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? - ✔✔Answer: B.
Benzodiazepines
✔✔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? - ✔✔Answer: D. Clonidine (Catapres)
✔✔The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the PMHNP anticipate the drug to work? - ✔✔Answer: A. It will bind to the alpha-
2-delta ligand subunit of voltage-sensitive calcium channels.
✔✔A patient with hypersexual disorder is being assessed for possible pharmacologic
treatment. Why does the PMHNP prescribe an antiandrogen for this patient? -
✔✔Answer: C. It will block testosterone.
✔✔Which statement best describes a pharmacological approach to treating patients for
impulsive aggression? - ✔✔Answer: D. Opioid antagonists can be used to reduce drive.
✔✔A 26-year-old female patient with nicotine dependence and a history of anxiety
presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the
, assessment, what does the PMHNP consider? - ✔✔Answer: A. ADHD is often not the
focus of treatment in adults with comorbid conditions.
✔✔A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP
wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from
the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP
prescribe? - ✔✔Answer: C. Duloxetine (Cymbalta)
✔✔Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start? -
✔✔Answer: All of the above could potentially treat their son's symptoms.
✔✔Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)? - ✔✔Answer: B. Signal strength output
is increased by dialing up the release of dopamine (DA) and norepinephrine (NE).
✔✔33, Mr. Peterson is obese and needs to modify his food intake. "Sometimes I think
I'm addicted to food the way some people are addicted to drugs," he says. Which
statement best describes the neurobiological parallels between food and drug
addiction? - ✔✔A. There is decreased activation of the prefrontal cortex
✔✔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? - ✔✔Answer: D. All
of the above
✔✔A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient? -
✔✔Answer: C. The medication can affect your blood pressure.
✔✔The parents of a 7-year-old patient with ADHD are concerned about the effects of
stimulants on their child. The parents prefer to start pharmacological treatment with a
non-stimulant. Which medication will the PMHNP will most likely prescribe? -
✔✔Answer: A. Strattera
✔✔The PMHNP is assessing a patient who has expressed suicidal intent and is now
stating that he is hearing voices and sees people chasing him. The PMHNP identifies
these symptoms to be associated with which of the following? - ✔✔Answer: C. "Bath
salt" intoxication
✔✔An 80-year-old female patient diagnosed with Stage II Alzheimer's has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment
given the patient's gastrointestinal problems? - ✔✔Answer: A. Donepezil (Aricept)
AND ANSWERS SET A+
✔✔The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER
(Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine
(Adipex-P)? - ✔✔ANS: d.
Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax)
acts by inhibiting appetite.
✔✔The PMHNP is performing a quality assurance peer review of the chart of another
PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-
term care facility who has chronic insomnia. The chart indicates that the patient has
been receiving hypnotics on a nightly basis. What does the PMHNP find problematic
about this documentation? - ✔✔ANS: b.
Hypnotics have prolonged half-lives that can cause drug accumulation in the elderly.
✔✔A 63-year-old patient presents with the following symptoms. The PMHNP
determines which set of symptoms warrant prescribing a medication? Select the answer
that is matched with an appropriate treatment. - ✔✔ANS: a.
Impairment in the ability to learn and retain new information is most problematic, and an
appropriate treatment option would be donepezil.
✔✔An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that
is secondary to cancer. Under what circumstances would the PMHNP order naloxone
(Narcan) IM/SQ? - ✔✔ANS:b.
The patient's vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8
respirations
✔✔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.
✔✔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
✔✔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 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
✔✔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.
✔✔Sandra complains of constipation after being on quetiapine (SEROQUEL) for
several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL)
to which receptor? - ✔✔ANS: b.
a1
✔✔A 71-year-old male patient comes to an appointment with his 65-year-old wife. They
are both having concerns related to her memory and ability to recognize faces. The
PMNHP is considering prescribing memantine (Namenda) based on the following
symptoms: - ✔✔ANS: b.
Amnesia, apraxia, agnosia
,✔✔Sharon is a 56-year-old female that presents to the clinic with pain after suffering a
back injury several years ago. The patient states she feels a tingling sensation in her
legs. What type of pain is Sharon likely experiencing? - ✔✔ANS: c.
Neuropathic pain
✔✔Even though both of these medications are useful in the treatment of ADHD, their
actions are different. Atomoxetine is a selective reuptake inhibitor, while
bupropion is a selective reuptake inhibitor. - ✔✔ANS: a.
Norepinephrine / norepinephrine-dopamine
✔✔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? - ✔✔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? - ✔✔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? - ✔✔Answer: B.
Benzodiazepines
✔✔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? - ✔✔Answer: D. Clonidine (Catapres)
✔✔The PMHNP prescribes gabapentin (Neurontin) for a patient's chronic pain. How
does the PMHNP anticipate the drug to work? - ✔✔Answer: A. It will bind to the alpha-
2-delta ligand subunit of voltage-sensitive calcium channels.
✔✔A patient with hypersexual disorder is being assessed for possible pharmacologic
treatment. Why does the PMHNP prescribe an antiandrogen for this patient? -
✔✔Answer: C. It will block testosterone.
✔✔Which statement best describes a pharmacological approach to treating patients for
impulsive aggression? - ✔✔Answer: D. Opioid antagonists can be used to reduce drive.
✔✔A 26-year-old female patient with nicotine dependence and a history of anxiety
presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the
, assessment, what does the PMHNP consider? - ✔✔Answer: A. ADHD is often not the
focus of treatment in adults with comorbid conditions.
✔✔A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP
wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from
the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP
prescribe? - ✔✔Answer: C. Duloxetine (Cymbalta)
✔✔Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start? -
✔✔Answer: All of the above could potentially treat their son's symptoms.
✔✔Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)? - ✔✔Answer: B. Signal strength output
is increased by dialing up the release of dopamine (DA) and norepinephrine (NE).
✔✔33, Mr. Peterson is obese and needs to modify his food intake. "Sometimes I think
I'm addicted to food the way some people are addicted to drugs," he says. Which
statement best describes the neurobiological parallels between food and drug
addiction? - ✔✔A. There is decreased activation of the prefrontal cortex
✔✔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? - ✔✔Answer: D. All
of the above
✔✔A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient? -
✔✔Answer: C. The medication can affect your blood pressure.
✔✔The parents of a 7-year-old patient with ADHD are concerned about the effects of
stimulants on their child. The parents prefer to start pharmacological treatment with a
non-stimulant. Which medication will the PMHNP will most likely prescribe? -
✔✔Answer: A. Strattera
✔✔The PMHNP is assessing a patient who has expressed suicidal intent and is now
stating that he is hearing voices and sees people chasing him. The PMHNP identifies
these symptoms to be associated with which of the following? - ✔✔Answer: C. "Bath
salt" intoxication
✔✔An 80-year-old female patient diagnosed with Stage II Alzheimer's has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment
given the patient's gastrointestinal problems? - ✔✔Answer: A. Donepezil (Aricept)
