NR 546 Final PRACTICE EXAM
Psychopharmacology
Which neurotransmitters are affected by monoamine oxidase inhibitors (MAOIs)? A. Dopamine,
serotonin, and norepinephrine B. Glutamate, GABA, and serotonin C. Dopamine,
acetylcholine, and norepinephrine D. Acetylcholine, GABA, and dopamine A. Dopamine,
serotonin, and norepinephrine The first-line treatment for depression is which of the following?
A. SSRI
B. FGA
C. SNRI
D. MAOI
A. SSRI
Which medication would the PMHNP first consider prescribing to a patient who is being treated
for major depressive disorder? A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
C. Escitalopram
If a person who has been diagnosed with major depressive disorder says that they "always
forget to take my pills," which of the following medications should they take? A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
C. Fluoxetine
Which of the following drugs has a black box warning about a skin rash that could be fatal? A.
Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
B. Lamotrigine
Which SSRI is thought to be the most well-tolerated? A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
D. Escitalopram
Rashida, who is given Sertraline 25mg qAM, reports a slight improvement in her symptoms of
depression and a good tolerance for the medication at a follow-up appointment four weeks later.
The PMHNP ought to take which of the following actions. A. Increase the dose of setraline. B.
Change to an SNRI. C. Change to another SSRI. D. For rest, add Trazodone qHS. A.
, Increase the dose of setraline. With a reported fall three months ago, the 66-year-old patient
with major depressive disorder and anxiety should not take which medication. A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
C. Paroxetine
Three days after receiving a new sertraline prescription, a patient experiences diarrhea and
upset stomach. Which of the following is the PMHNP's most suitable response? A. "Your
symptoms will begin to improve if you begin taking sertraline at a dose of two times as much." B.
"After 4-5 days, most side effects go away. Your body is adjusting to the increased levels of
serotonin." C. "Stop taking it right away and go to the emergency room in your area." D. "You
must take Sertraline with food or else you will continue to have GI symptoms," the manufacturer
warns. B. "After 4-5 days, most side effects go away. Your body is adjusting to the increased
levels of serotonin." During a follow-up appointment two weeks later, the patient reports that
escitalopram did not alleviate her depressive symptoms. Which of the following statements is
true about the PMHNP? A. "Let's stop taking escitalopram and start you on a stronger drug." B.
"It can take up to six weeks before you start to notice improvements in your symptoms of
depression." C. "I intend to recommend Trazodone. Take it before going to bed to help you
sleep." D. "Take two pills at a time at first." B. "It can take up to six weeks before you start to
notice improvements in your symptoms of depression." Which two neurotransmitters are
affected by duloxetine? A. norepinephrine and serotonin B. dopamine and serotonin GABA and
norepinephrine D. acetylcholine and glutamate A. norepinephrine and serotonin Awura, a
70-year-old man with major depressive disorder, claims to have lost 40 pounds in the past three
months. The PMHNP should think about including which medication in her regimen. A. quinidine
Mirtazpine B. Valproic acid Paroxetine decadron Mirtazpine B. Which of the following symptoms
is NOT a side effect of taking opioids right away? A. Sedation
B. pulmonary depression C. Immunosuppression
D. Itching
C. Immunosuppression
The PMHNP knows to give Lynee, a 72-year-old patient, half of the recommended dose of
citalopram because of the increased risk of A. agitation B. Multidrug abuse C. collapses D.
prolongation of QTc D. prolongation of QTc The first-line treatment for OCD is approved for
which of the following medication classes? A. Antipsychotics that are atypical B.
Benzodiazepines
C. MAOI
D. SSRI
D. SSRI
Which SSRI has a mild effect on the immune system? A. Paroxetine
B. Fluoxetine
C. Citalopram
D. Sertraline
C. Citalopram
If a patient has been diagnosed with major depressive disorder but takes multiple medications
for other chronic conditions, which medication should the PMHNP prescribe? A. Sertraline
Psychopharmacology
Which neurotransmitters are affected by monoamine oxidase inhibitors (MAOIs)? A. Dopamine,
serotonin, and norepinephrine B. Glutamate, GABA, and serotonin C. Dopamine,
acetylcholine, and norepinephrine D. Acetylcholine, GABA, and dopamine A. Dopamine,
serotonin, and norepinephrine The first-line treatment for depression is which of the following?
A. SSRI
B. FGA
C. SNRI
D. MAOI
A. SSRI
Which medication would the PMHNP first consider prescribing to a patient who is being treated
for major depressive disorder? A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
C. Escitalopram
If a person who has been diagnosed with major depressive disorder says that they "always
forget to take my pills," which of the following medications should they take? A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
C. Fluoxetine
Which of the following drugs has a black box warning about a skin rash that could be fatal? A.
Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
B. Lamotrigine
Which SSRI is thought to be the most well-tolerated? A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
D. Escitalopram
Rashida, who is given Sertraline 25mg qAM, reports a slight improvement in her symptoms of
depression and a good tolerance for the medication at a follow-up appointment four weeks later.
The PMHNP ought to take which of the following actions. A. Increase the dose of setraline. B.
Change to an SNRI. C. Change to another SSRI. D. For rest, add Trazodone qHS. A.
, Increase the dose of setraline. With a reported fall three months ago, the 66-year-old patient
with major depressive disorder and anxiety should not take which medication. A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
C. Paroxetine
Three days after receiving a new sertraline prescription, a patient experiences diarrhea and
upset stomach. Which of the following is the PMHNP's most suitable response? A. "Your
symptoms will begin to improve if you begin taking sertraline at a dose of two times as much." B.
"After 4-5 days, most side effects go away. Your body is adjusting to the increased levels of
serotonin." C. "Stop taking it right away and go to the emergency room in your area." D. "You
must take Sertraline with food or else you will continue to have GI symptoms," the manufacturer
warns. B. "After 4-5 days, most side effects go away. Your body is adjusting to the increased
levels of serotonin." During a follow-up appointment two weeks later, the patient reports that
escitalopram did not alleviate her depressive symptoms. Which of the following statements is
true about the PMHNP? A. "Let's stop taking escitalopram and start you on a stronger drug." B.
"It can take up to six weeks before you start to notice improvements in your symptoms of
depression." C. "I intend to recommend Trazodone. Take it before going to bed to help you
sleep." D. "Take two pills at a time at first." B. "It can take up to six weeks before you start to
notice improvements in your symptoms of depression." Which two neurotransmitters are
affected by duloxetine? A. norepinephrine and serotonin B. dopamine and serotonin GABA and
norepinephrine D. acetylcholine and glutamate A. norepinephrine and serotonin Awura, a
70-year-old man with major depressive disorder, claims to have lost 40 pounds in the past three
months. The PMHNP should think about including which medication in her regimen. A. quinidine
Mirtazpine B. Valproic acid Paroxetine decadron Mirtazpine B. Which of the following symptoms
is NOT a side effect of taking opioids right away? A. Sedation
B. pulmonary depression C. Immunosuppression
D. Itching
C. Immunosuppression
The PMHNP knows to give Lynee, a 72-year-old patient, half of the recommended dose of
citalopram because of the increased risk of A. agitation B. Multidrug abuse C. collapses D.
prolongation of QTc D. prolongation of QTc The first-line treatment for OCD is approved for
which of the following medication classes? A. Antipsychotics that are atypical B.
Benzodiazepines
C. MAOI
D. SSRI
D. SSRI
Which SSRI has a mild effect on the immune system? A. Paroxetine
B. Fluoxetine
C. Citalopram
D. Sertraline
C. Citalopram
If a patient has been diagnosed with major depressive disorder but takes multiple medications
for other chronic conditions, which medication should the PMHNP prescribe? A. Sertraline
