NR547 Midterm Practice Actual Exam 2026 || Most Recent Exam
2026|2027 Actual Complete Real Exam Questions And Correct
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John is a 22 year old RN who started his first job in the cardiac ICU.
After his orientation, he began his full-time position working 3 12-hour
shifts per week. On his days off, he reports excessive fatigue during the
day with periods of falling asleep while driving. He also reports difficulty
staying awake at work during his first night back to work. Which of the
following is the most likely diagnosis?
a. narcolepsy
b. hypersomnia
c. circadian rhythm sleep disorder
d. night terrors -ANSWER-c. circadian rhythm sleep disorder
A male patient reports difficulty falling asleep and early morning
awakenings. He reports excessive daytime sleepiness as a result of his
unrestful sleep. What should the PMHNP do first?
a. prescribe trazadone 100mg at bedtime
b. administer Patient Health Questionnaire (PHQ-9)
c. order a sleep study
d. have the patient complete a sleep diary -ANSWER-b. administer
Patient Health Questionnaire (PHQ-9)
a depression screening
,A male patient reports excessive daytime sleepiness for the last 2
weeks in the setting of restructuring at his job. He is unable to tell if he
is haaving more trouble falling asleep or staying asleep. Sometimes he
wakes up at 4am and is unable to fall back asleep. What should the
PMHNP do first?
a. prescribe zolpidem 10mg at bedtime as needed
b. prescribe mirtazapine 15mg at bedtime
c. request that the patient complete a sleep log
d. add an extra blanket to his bed covers -ANSWER-c. request that the
patient complete a sleep log
A patient presents with what he describes as persistent anxiety about
driving his daughter around in the car ever since she was born 8
months ago. He asks the PMHNP "what if I get into a car accident with
her in the car?" The client presents as restless and irritable and states
he feels very fatigued as he hasn't been sleeping well. Which of the
following is the best diagnosis for this patient?
a) Generalized anxiety disorder
b) Social anxiety disorder
c) A panic attack
d) Agoraphobia -ANSWER-a) Generalized anxiety disorder
Penelope presents to the office stating she occasionally experiences
palpitations, shortness of breath, shaking, and trembling. She states her
,symptoms get so severe she sometimes even has an "out of body
experience". Penelope says these symptoms started when she lost her
job last year and had to move out of her house. She states her
symptoms terrify her, and she needs help immediately. Which of the
following diagnoses is most appropriate for Penelope?
a) Panic attack
b) Specific phobia
c) Panic disorder
d) OCD -ANSWER-c) Panic disorder
A patient presents with subjective symptoms of nervousness and
worry. The PMHNP also notices the patient is jittery and reluctant to sit
still. The patient states her house burnt down last month and she has
had a hard time coping ever since. Which of the following diagnoses is
most appropriate?
a. social anxiety disorder
b. adjustment disorder
c. generalized anxiety disorder
d. general phobia -ANSWER-b. adjustment disorder
A patient presents with intense worry that has lasted over 6 months.
The PMHNP decides to perform the GAD-7 scale on the patient which
consists of 7 questions scored between 0-3. The patient scores 18
points on the scale. What can the PMHNP determine about this
patient's level of anxiety?
, a. the patient has no anxiety
b. the patient has mild anxiety
c. the patient has moderate anxiety
d. the patient has severe anxiety -ANSWER-d. the patient has severe
anxiety
A patient presents with what the PMHNP suspects is an anxiety
disorder. However, the PMHNP wants to obtain further information
before confirming a diagnosis. Which of the following would be helpful
in accurately diagnosing this client with anxiety? Select all that apply.
a) The PMHNP orders a thyroid panel
b) The PMHNP orders a toxicology screen
c) The PMHNP asks the patient if they've ever had a childhood virus
d) The PMHNP orders an EKG
e) The PMHNP asks the patient if they are currently on any antibiotics -
ANSWER-a) The PMHNP orders a thyroid panel
b) The PMHNP orders a toxicology screen
d) The PMHNP orders an EKG
The PMHNP is going to prescribe a medication for a patient newly
diagnosed with GAD. Which of the following is indicated for first-line
treatment of GAD?
a) Paroxetine
b) Buspirone
2026|2027 Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
John is a 22 year old RN who started his first job in the cardiac ICU.
After his orientation, he began his full-time position working 3 12-hour
shifts per week. On his days off, he reports excessive fatigue during the
day with periods of falling asleep while driving. He also reports difficulty
staying awake at work during his first night back to work. Which of the
following is the most likely diagnosis?
a. narcolepsy
b. hypersomnia
c. circadian rhythm sleep disorder
d. night terrors -ANSWER-c. circadian rhythm sleep disorder
A male patient reports difficulty falling asleep and early morning
awakenings. He reports excessive daytime sleepiness as a result of his
unrestful sleep. What should the PMHNP do first?
a. prescribe trazadone 100mg at bedtime
b. administer Patient Health Questionnaire (PHQ-9)
c. order a sleep study
d. have the patient complete a sleep diary -ANSWER-b. administer
Patient Health Questionnaire (PHQ-9)
a depression screening
,A male patient reports excessive daytime sleepiness for the last 2
weeks in the setting of restructuring at his job. He is unable to tell if he
is haaving more trouble falling asleep or staying asleep. Sometimes he
wakes up at 4am and is unable to fall back asleep. What should the
PMHNP do first?
a. prescribe zolpidem 10mg at bedtime as needed
b. prescribe mirtazapine 15mg at bedtime
c. request that the patient complete a sleep log
d. add an extra blanket to his bed covers -ANSWER-c. request that the
patient complete a sleep log
A patient presents with what he describes as persistent anxiety about
driving his daughter around in the car ever since she was born 8
months ago. He asks the PMHNP "what if I get into a car accident with
her in the car?" The client presents as restless and irritable and states
he feels very fatigued as he hasn't been sleeping well. Which of the
following is the best diagnosis for this patient?
a) Generalized anxiety disorder
b) Social anxiety disorder
c) A panic attack
d) Agoraphobia -ANSWER-a) Generalized anxiety disorder
Penelope presents to the office stating she occasionally experiences
palpitations, shortness of breath, shaking, and trembling. She states her
,symptoms get so severe she sometimes even has an "out of body
experience". Penelope says these symptoms started when she lost her
job last year and had to move out of her house. She states her
symptoms terrify her, and she needs help immediately. Which of the
following diagnoses is most appropriate for Penelope?
a) Panic attack
b) Specific phobia
c) Panic disorder
d) OCD -ANSWER-c) Panic disorder
A patient presents with subjective symptoms of nervousness and
worry. The PMHNP also notices the patient is jittery and reluctant to sit
still. The patient states her house burnt down last month and she has
had a hard time coping ever since. Which of the following diagnoses is
most appropriate?
a. social anxiety disorder
b. adjustment disorder
c. generalized anxiety disorder
d. general phobia -ANSWER-b. adjustment disorder
A patient presents with intense worry that has lasted over 6 months.
The PMHNP decides to perform the GAD-7 scale on the patient which
consists of 7 questions scored between 0-3. The patient scores 18
points on the scale. What can the PMHNP determine about this
patient's level of anxiety?
, a. the patient has no anxiety
b. the patient has mild anxiety
c. the patient has moderate anxiety
d. the patient has severe anxiety -ANSWER-d. the patient has severe
anxiety
A patient presents with what the PMHNP suspects is an anxiety
disorder. However, the PMHNP wants to obtain further information
before confirming a diagnosis. Which of the following would be helpful
in accurately diagnosing this client with anxiety? Select all that apply.
a) The PMHNP orders a thyroid panel
b) The PMHNP orders a toxicology screen
c) The PMHNP asks the patient if they've ever had a childhood virus
d) The PMHNP orders an EKG
e) The PMHNP asks the patient if they are currently on any antibiotics -
ANSWER-a) The PMHNP orders a thyroid panel
b) The PMHNP orders a toxicology screen
d) The PMHNP orders an EKG
The PMHNP is going to prescribe a medication for a patient newly
diagnosed with GAD. Which of the following is indicated for first-line
treatment of GAD?
a) Paroxetine
b) Buspirone
