Final Exam Prep for NRNP
Final Exam NRNP 6552 week 11 Latest / NRNP
6552 Latest Final Practice Exam with 350
Questions and Correct Answers/ NRNP 6552
Advanced Nurse Practice in Reproductive
Health
Flashbacks in which the individual may act and feel as if the trauma were reoccurring
represent which of the following clinical fts of PTSD
A) Intrusive s/s
3 multiple choice options
AFAB
assigned female at birth
AMAB
assigned male at birth
_____is good for older adults with anxiety and depression?
A+ TEST BANK 1
, Final Exam Prep for NRNP
Remeron
the smaller the dose of Remeron, the more ________?
sedating
What medication decreases psychotic s/s, & ruminating thoughts?
A) Seroquel
3 multiple choice options
What medication decreases psychotic s/s, decreases peservation, decreases ruminating
thoughts while treating delusional/mixed beliefs and mood disorders/txs bipolar I disorder?
A) Zyprexa
Drug used to tx NMS?
Dantrolene + Bromocriptine mesylate
Bromocriptine is given to reverse the hypodopaminergic state and is administered orally (or
via nasogastric tube), starting with 2.5 mg 2 or 3 times daily and increasing doses by 2.5 mg
every 24 hours until a response or until reaching a maximum dose of 45 mg/d.
Dantrolene sodium uncouples the heat-generating mechanism in muscle and is the drug of
choice in treating malignant hyperthermia and neuroleptic malignant syndrome, which cause
excessive muscular heat production. The potential benefit of this drug in treating heat stroke
has been debated.
S/S of NMS occur within?
rapid onset of 24-72 hours
"cis"
matching
"Trans"
moving across the range
Blockade of muscarinic M3 is linked to?
cardio-metabolic risk
but is NOT linked to weight gain specifically
A+ TEST BANK 2
, Final Exam Prep for NRNP
Amantadine is a medication that is used to tx?
EPS
ex. 100 mg @ bedtime
Amantadine is a _______ medication primarily used to tx parkinson's disease but is alos used
to help drug-induced parkinsonism
dopaminergic agent; also is a weak NMDA antagonist (similar to Namenda)
Fewer anticholinergic SE of cognitive impairment, dry mouth & constipation?
Amantadine
Benztropine has increased amount of anticholinergic SE
Amantadine (Symmetrel)'s dopaminergic effects can theoretically worsen?
Psychosis
however @ doses used to tx EPS, this is not a normal occurance
An "analogue" of Amantadine?
Memantine (Namenda) used to tx dementia (NMDA antagonist)
When giving Amantadine to older individuals, one may need to ______ the dose of the
medication due to impaired renal function
ADJUST
Benztropine (Cogentin)
Anticholinergic medication/antihistamine that is to go-to for tx and preventing antipsychotic
induced EPS
"drys things up"
FDA approved to tx EPS and parkinson;'s disease?
Cogentin & Amantadine
Common SE of cogentin?
dry mouth, constipation, urinary retention, sedation, blurred vision
Tx of Tardive Dyskinesia?
A+ TEST BANK 3
, Final Exam Prep for NRNP
A) Deutetrtabenazine (Austedo)---FDA approved
B) Tetrabenazine (Xenzine)----off label, FDA to tx huntington's disease
C) Valbenazine
____second of the VMAT inhibitors to be approved for the tx of TD in 2017
A) Deitetrabenazine (Austedo)
reversible inhibitor of VMAT2--this prevents dopamine from being present
-this tx TD as TD s/s are likely caused by hypersensitivity to dopamine
*VERY EXPENSIVE, 1 year= 70,000+; approximately $6K/month
Tetrabenazine (Xenazine)
original VMAT inhibitor for the tx of HD
off label used for TD tx
Tetrabenazine is less expensive than deutetrabenazine
but requires more frequent dosing and may have higher likelihood to causing depression &
suicidiality
____is an anticholinergic medication FDA approved to tx EPS but requires TID dosing
Trihexyphenidyl (Artane)
*Second line tx choice due to TID dosage
*only available in PO formulations
Common SE of Artane?
anticholinergic/antihistamine
dry mouth, constipation, urinary retention, sedation, blurred vision
(Trihexyphenidyl)
Valbenazine (Ingrezza) was the first VMAT inhibitor to?
be approved for the tx of TD in 2017
A+ TEST BANK 4
Final Exam NRNP 6552 week 11 Latest / NRNP
6552 Latest Final Practice Exam with 350
Questions and Correct Answers/ NRNP 6552
Advanced Nurse Practice in Reproductive
Health
Flashbacks in which the individual may act and feel as if the trauma were reoccurring
represent which of the following clinical fts of PTSD
A) Intrusive s/s
3 multiple choice options
AFAB
assigned female at birth
AMAB
assigned male at birth
_____is good for older adults with anxiety and depression?
A+ TEST BANK 1
, Final Exam Prep for NRNP
Remeron
the smaller the dose of Remeron, the more ________?
sedating
What medication decreases psychotic s/s, & ruminating thoughts?
A) Seroquel
3 multiple choice options
What medication decreases psychotic s/s, decreases peservation, decreases ruminating
thoughts while treating delusional/mixed beliefs and mood disorders/txs bipolar I disorder?
A) Zyprexa
Drug used to tx NMS?
Dantrolene + Bromocriptine mesylate
Bromocriptine is given to reverse the hypodopaminergic state and is administered orally (or
via nasogastric tube), starting with 2.5 mg 2 or 3 times daily and increasing doses by 2.5 mg
every 24 hours until a response or until reaching a maximum dose of 45 mg/d.
Dantrolene sodium uncouples the heat-generating mechanism in muscle and is the drug of
choice in treating malignant hyperthermia and neuroleptic malignant syndrome, which cause
excessive muscular heat production. The potential benefit of this drug in treating heat stroke
has been debated.
S/S of NMS occur within?
rapid onset of 24-72 hours
"cis"
matching
"Trans"
moving across the range
Blockade of muscarinic M3 is linked to?
cardio-metabolic risk
but is NOT linked to weight gain specifically
A+ TEST BANK 2
, Final Exam Prep for NRNP
Amantadine is a medication that is used to tx?
EPS
ex. 100 mg @ bedtime
Amantadine is a _______ medication primarily used to tx parkinson's disease but is alos used
to help drug-induced parkinsonism
dopaminergic agent; also is a weak NMDA antagonist (similar to Namenda)
Fewer anticholinergic SE of cognitive impairment, dry mouth & constipation?
Amantadine
Benztropine has increased amount of anticholinergic SE
Amantadine (Symmetrel)'s dopaminergic effects can theoretically worsen?
Psychosis
however @ doses used to tx EPS, this is not a normal occurance
An "analogue" of Amantadine?
Memantine (Namenda) used to tx dementia (NMDA antagonist)
When giving Amantadine to older individuals, one may need to ______ the dose of the
medication due to impaired renal function
ADJUST
Benztropine (Cogentin)
Anticholinergic medication/antihistamine that is to go-to for tx and preventing antipsychotic
induced EPS
"drys things up"
FDA approved to tx EPS and parkinson;'s disease?
Cogentin & Amantadine
Common SE of cogentin?
dry mouth, constipation, urinary retention, sedation, blurred vision
Tx of Tardive Dyskinesia?
A+ TEST BANK 3
, Final Exam Prep for NRNP
A) Deutetrtabenazine (Austedo)---FDA approved
B) Tetrabenazine (Xenzine)----off label, FDA to tx huntington's disease
C) Valbenazine
____second of the VMAT inhibitors to be approved for the tx of TD in 2017
A) Deitetrabenazine (Austedo)
reversible inhibitor of VMAT2--this prevents dopamine from being present
-this tx TD as TD s/s are likely caused by hypersensitivity to dopamine
*VERY EXPENSIVE, 1 year= 70,000+; approximately $6K/month
Tetrabenazine (Xenazine)
original VMAT inhibitor for the tx of HD
off label used for TD tx
Tetrabenazine is less expensive than deutetrabenazine
but requires more frequent dosing and may have higher likelihood to causing depression &
suicidiality
____is an anticholinergic medication FDA approved to tx EPS but requires TID dosing
Trihexyphenidyl (Artane)
*Second line tx choice due to TID dosage
*only available in PO formulations
Common SE of Artane?
anticholinergic/antihistamine
dry mouth, constipation, urinary retention, sedation, blurred vision
(Trihexyphenidyl)
Valbenazine (Ingrezza) was the first VMAT inhibitor to?
be approved for the tx of TD in 2017
A+ TEST BANK 4
