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NURS6630 Final Exam: Walden University
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?
A. Strattera B. Concerta C. Daytrana D. Adderall
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing
practices when she prescribes the following dose:
A. The child will be prescribed 2.5 mg. B. The child will be prescribed a 10-mg tablet. C.
The child’s dose will increase by 2.5 mg every other week. D. The child will take 10–40
mg, daily.
An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.”
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely to
prescribe?
A. Methylphenidate (Ritalin, Concerta) B. Clonidine (Catapres) C. Bupropion
(Wellbutrin) D. Desipramine (Norpramin)
A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity
disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the
PMHNP determines that which of the following medications may be beneficial in
augmenting stimulant medication?
A. Bupropion (Wellbutrin) B. Methylphenidate (Ritalin, Concerta) C. Guanfacine ER
(Intuniv) D. Atomoxetine (Strattera)
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?
Methylphenidate Amphetamine salts Atomoxetine All of the above could potentially treat
their son’s symptoms.
A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken.
What does the PMHNP understand regarding the drug’s dosing profile?
,2
A. The patient should take the medication at lunch. B. The patient will have one or two
doses a day. C. The patient will take a pill every 17 hours. D. The dosing should be done in
the morning and at night.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that
this medication is effective in treating which condition(s) in this patient?
A. Migraines B. Bipolar disorder and depression C. Pregnancy-induced depression D. Upper back
pain
, 3
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?
A. ADHD is often not the focus of treatment in adults with comorbid conditions. B.
ADHD should always be treated first when comorbid conditions exist. C. Nicotine has no
reported impact on ADHD symptoms. D. Symptoms are often easy to treat with
stimulants, given the lack of comorbidity with other conditions.
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and
a drastic change in mood before the start of her menstrual cycle. The patient states that she
has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most
likely do?
A. Prescribe Estrin FE 24 birth control B. Prescribe ibuprofen (Motrin), 800 mg every 8
hours as needed for pain C. Prescribe desvenlafaxine (Pristiq), 50 mg daily D. Prescribe
risperidone (Risperdal), 2 mg TID
A 43-year-old male patient is seeking clarification about treating attention deficit
hyperactivity disorder (ADHD) in adults and how it differs from treating children, since his
son is on medication to treat ADHD. The PMHNP conveys a major difference is which of
the following?
A. Stimulant prescription is more common in adults. B. Comorbid conditions are more
common in children, impacting the use of stimulants in children. C. Atomoxetine
(Strattera) use is not advised in children. D. Comorbidities are more common in
adults,impacting the prescription of additional agents.
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic
stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and
hypertension. His physical assessment is unremarkable with the exception of peripheral
edema bilaterally to his lower extremities and a chief complaint of pain with numbness and
tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin
(Sinequan). What is the next action that must be taken by the PMHNP?
A. Orders liver function tests. B. Educate the patient on avoiding grapefruits when taking
this medication. C. Encourage this patient to keep fluids to 1500 ml/day until the
swellingsubsides. D. Order a BUN/Creatinine test.
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?
NURS6630 Final Exam: Walden University
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?
A. Strattera B. Concerta C. Daytrana D. Adderall
The PMHNP is meeting with the parents of an 8-year-old patient who is receiving an initial
prescription for D-amphetamine. The PMHNP demonstrates appropriate prescribing
practices when she prescribes the following dose:
A. The child will be prescribed 2.5 mg. B. The child will be prescribed a 10-mg tablet. C.
The child’s dose will increase by 2.5 mg every other week. D. The child will take 10–40
mg, daily.
An 8-year-old patient presents with severe hyperactivity, described as “ants in his pants.”
Based on self-report from the patient, his parents, and his teacher; attention deficit
hyperactivity disorder (ADHD) is suspected. What medication is the PMNHP most likely to
prescribe?
A. Methylphenidate (Ritalin, Concerta) B. Clonidine (Catapres) C. Bupropion
(Wellbutrin) D. Desipramine (Norpramin)
A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity
disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the
PMHNP determines that which of the following medications may be beneficial in
augmenting stimulant medication?
A. Bupropion (Wellbutrin) B. Methylphenidate (Ritalin, Concerta) C. Guanfacine ER
(Intuniv) D. Atomoxetine (Strattera)
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?
Methylphenidate Amphetamine salts Atomoxetine All of the above could potentially treat
their son’s symptoms.
A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken.
What does the PMHNP understand regarding the drug’s dosing profile?
,2
A. The patient should take the medication at lunch. B. The patient will have one or two
doses a day. C. The patient will take a pill every 17 hours. D. The dosing should be done in
the morning and at night.
An 18-year-old female with a history of frequent headaches and a mood disorder is
prescribed topiramate (Topamax), 25 mg by mouth daily. The PMHNP understands that
this medication is effective in treating which condition(s) in this patient?
A. Migraines B. Bipolar disorder and depression C. Pregnancy-induced depression D. Upper back
pain
, 3
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?
A. ADHD is often not the focus of treatment in adults with comorbid conditions. B.
ADHD should always be treated first when comorbid conditions exist. C. Nicotine has no
reported impact on ADHD symptoms. D. Symptoms are often easy to treat with
stimulants, given the lack of comorbidity with other conditions.
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and
a drastic change in mood before the start of her menstrual cycle. The patient states that she
has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most
likely do?
A. Prescribe Estrin FE 24 birth control B. Prescribe ibuprofen (Motrin), 800 mg every 8
hours as needed for pain C. Prescribe desvenlafaxine (Pristiq), 50 mg daily D. Prescribe
risperidone (Risperdal), 2 mg TID
A 43-year-old male patient is seeking clarification about treating attention deficit
hyperactivity disorder (ADHD) in adults and how it differs from treating children, since his
son is on medication to treat ADHD. The PMHNP conveys a major difference is which of
the following?
A. Stimulant prescription is more common in adults. B. Comorbid conditions are more
common in children, impacting the use of stimulants in children. C. Atomoxetine
(Strattera) use is not advised in children. D. Comorbidities are more common in
adults,impacting the prescription of additional agents.
The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic
stress disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and
hypertension. His physical assessment is unremarkable with the exception of peripheral
edema bilaterally to his lower extremities and a chief complaint of pain with numbness and
tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin
(Sinequan). What is the next action that must be taken by the PMHNP?
A. Orders liver function tests. B. Educate the patient on avoiding grapefruits when taking
this medication. C. Encourage this patient to keep fluids to 1500 ml/day until the
swellingsubsides. D. Order a BUN/Creatinine test.
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?
