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NR 607 Psychopharmacology Exam 2025/2026 – 60 Verified Questions & Answers | SSRIs, Antipsychotics, Side Effects, CYP450, Withdrawal, Lithium

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This document provides 60 clinically relevant and verified exam questions with answers for the NR 607 Psychopharmacology assessment, academic year 2025/2026. Topics include pharmacokinetics vs. pharmacodynamics, SSRIs, SNRIs, MAOIs, drug metabolism (CYP450 pathways), serotonin syndrome, EPS vs. NMS, withdrawal syndromes, lithium safety, antipsychotic-induced side effects, and herbal interactions. Ideal for PMHNP, MSN, DNP, and FNP students enrolled in psychopharmacology, advanced psych med management, psychiatric nursing, and clinical psychopharmacology courses. Keywords: SSRIs, SNRIs, MAOIs, psychotropic side effects, serotonin syndrome, NMS, tachyphylaxis, EPS, akathisia, hyponatremia, withdrawal symptoms, fluoxetine, paroxetine, CYP450 metabolism, pharmacokinetics, pharmacodynamics, lithium labs, QT prolongation, anticholinergic risk, inverse agonist, prodrug, psychosis treatment, fluoxetine discontinuation, clozapine, kava toxicity

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Institution
NR 607 Psychopharmacology
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NR 607 Psychopharmacology

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Uploaded on
July 22, 2025
Number of pages
8
Written in
2024/2025
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Exam (elaborations)
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Questions & answers

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NR 607 Psychopharmacology 2025/2026
Exam Questions and Answers | 100%
Solved



Which of the following antipsychotics pose the least cardiometabolic risk? - 🧠

ANSWER ✔✔Ziprasidone and Ariprazole are two examples of antipsychotics

associated with lower cardiometabolic risk.

A 16-year-old boy with a history of substance use disorder reports fatigue, apathy,

and anhedonia almost every day and his mother reports increasing irritability and

raging behavior. The boy says he smokes marijuana daily just to feel good and is

unwilling to give it up. The mother wants some sort of medication to help him feel

better so that he stops smoking marijuana. The PMHNP agrees to prescribe

fluoxetine 20 mg daily. What is the most common side effect associated with this

medication? - 🧠 ANSWER ✔✔Nausea


Keenan is an 72-year-old male admitted to the hospital with a diagnosis of

delirium. Medications with anticholinergic side effects are known to cause

delirium. Which of the following medications are most suspect in contributing to



1
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, delirium? - 🧠 ANSWER ✔✔Diphenhydramine and similar medications are

contraindicated in persons over 65 given their elevated anticholinergic activity.

A patient who had previously reported feeling much better on her antidepressant

suddenly says the "drug seems to have stopped working. This is known as: - 🧠

ANSWER ✔✔Tachyphylaxis


One of the most common electrolyte abnormalities associated with the use of

psychotropic medication is: - 🧠 ANSWER ✔✔Hyponatremia


A patient who has been taking paroxetine for 3 years wants to come off due to

sexual side effects. He had gradually tried to wean the dose on his own but noticed

a feelings of dizziness, fatigue, headaches, anxiety, and electric-like shocks in his

head. These findings are most consistent with SSRI discontinuation. What would

be a reasonable action for the PMHNP to take? - 🧠 ANSWER ✔✔Prescribe the

patient fluoxetine for 1 week

The PMHNP knows that the study of how the body absorbs, distributes,

metabolizes, and excretes a medication is known as: - 🧠 ANSWER

✔✔Pharmacokinetics


The PMHNP in the ED is evaluating a 68-year-old woman who was recently

diagnosed with mild cognitive impairment and cannot remember the name of the

2
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
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