NR 607 Final Exam 2025 Practice Test Bank with 350
Questions and Correct Answers with Rationales / NR
607 Diagnosis and Management in Psychiatric Mental
Health III Final Exam Prep 2025-2026 (New!)
The husband of a 68-year-old woman with major depressive episodes is concerned
about cognitive decline in his wife. Which of the following statements best
addresses his concern regarding this symptom?
-It will be important to plan for her long-term care needs
-It is normal for you to be worried about your wife
-The cognitive decline is reversible once the depression is treated
-I can prescribe a medication to enhance her memory - ANSWER-The cognitive
decline is reversible once the depression is treated
A 57-year-old man was evaluated in the ED for altered mental status. His head CT
scan is negative, white blood cells are 6,000, urinalysis negative for infection with
positive ketones, serum glucose is 120 mg/dL, sodium is 148, blood urea nitrogen
22, creatinine 1.8, and cardiac enzymes are negative. Neurology has cleared him
for an acute event, and the ED physician has cleared him for psychiatry. The
PMHNP evaluating him obtained collateral information that the patient has been in
bed for 3 days, and not eating or drinking because the voices tell him the food is
bad and the water is contaminated. What should the nurse practitioner do first?
-Order a lumbar puncture
-Order Haldol 5 mg PO x 1
-Order 1 L normal saline at 100 mL/hr
-Order hemoglobin A1C and lipid profile - ANSWER-Order 1 L normal saline at
100 mL/hr
pg. 1
,A 30-year-old man with three past psychiatric hospitalizations for schizoaffective
disorder presents for follow-up care with the PMHNP. Before discharge, the
patient received court ordered Zyprexa Relprevv 300 mg IM X 1. The patient tells
the PMHNP that he is aware that smoking can "make him need more medication."
Which stage of change is the patient in?
-Contemplation
-Maintenance
-Precontemplation
-Action
-Preparation - ANSWER-Contemplation
A 72-year-old man with a comorbid history of uncontrolled hypertension is
referred to the PMHNP for dementia secondary to depression. The mental status
exam reveals difficulty speaking fluently, inappropriate and confabulated
responses, incongruent affect, and poor judgment. A cerebrovascular accident in
which region of the brain would better explain these symptoms?
-Wernicke's area
-Broca's area
-Occipital lobe
-Parietal lobe - ANSWER-Broca's area
Which part of the limbic system has a role in long term memory?
-Hydrocephalus
-Hypothalamus
pg. 2
,-Hypoglossal nerve
-Hippocampus - ANSWER-Hippocampus
The Hippocampus has a role in long term memory.
Anxiety can arise from intrapsychic conflict among the structures of the mind.
Which structure of the mind deals with reality testing and the thinking process?
-Superego
-Defense mechanisms
-Id
-Ego - ANSWER-Ego
Neurons that only travel from the body to the brain are called:
-Sensory neurons
-Astrocytes
-Motor neurons
-Interneurons - ANSWER-Sensory neurons
When explaining the means by which neurotransmitters relate to mental illness, a
patient asks, "What is a neurotransmitter?" The best answer is:
-A nerve cell
-A fatty layer covering the axon
-The space between nerve cells
-A chemical messenger - ANSWER-A chemical messenger
pg. 3
, A 52-year-old obese man with type 2 diabetes reports dozing off while driving,
watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered
a sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each
per hour of sleep. Based on these findings, what should the PMHNP prescribe for
his condition?
-Referral to otolaryngology for rhinoplasty
-Antidepressant medications
-Referral to otolaryngology for uvuloplasty
-Continuous positive airway pressure - ANSWER-Continuous positive airway
pressure
Which of the following is an indication for monitoring of serum drug levels?
-Smoking cessation
-New diagnosis of hyperlipidemia
-Resolution of symptoms
-New diagnosis of diabetes - ANSWER-Smoking cessation
Your client Jamie asks you about a mole of her forearm. You refer her to
dermatology. As an APRN, you recognize that cancerous moles can be detected on
exam. Which of the following would not be of concern?
-A mole that is not elevated
-All of the above
-A dark mole
-A mole that is 5 mm in size - ANSWER-All of the above
pg. 4
Questions and Correct Answers with Rationales / NR
607 Diagnosis and Management in Psychiatric Mental
Health III Final Exam Prep 2025-2026 (New!)
The husband of a 68-year-old woman with major depressive episodes is concerned
about cognitive decline in his wife. Which of the following statements best
addresses his concern regarding this symptom?
-It will be important to plan for her long-term care needs
-It is normal for you to be worried about your wife
-The cognitive decline is reversible once the depression is treated
-I can prescribe a medication to enhance her memory - ANSWER-The cognitive
decline is reversible once the depression is treated
A 57-year-old man was evaluated in the ED for altered mental status. His head CT
scan is negative, white blood cells are 6,000, urinalysis negative for infection with
positive ketones, serum glucose is 120 mg/dL, sodium is 148, blood urea nitrogen
22, creatinine 1.8, and cardiac enzymes are negative. Neurology has cleared him
for an acute event, and the ED physician has cleared him for psychiatry. The
PMHNP evaluating him obtained collateral information that the patient has been in
bed for 3 days, and not eating or drinking because the voices tell him the food is
bad and the water is contaminated. What should the nurse practitioner do first?
-Order a lumbar puncture
-Order Haldol 5 mg PO x 1
-Order 1 L normal saline at 100 mL/hr
-Order hemoglobin A1C and lipid profile - ANSWER-Order 1 L normal saline at
100 mL/hr
pg. 1
,A 30-year-old man with three past psychiatric hospitalizations for schizoaffective
disorder presents for follow-up care with the PMHNP. Before discharge, the
patient received court ordered Zyprexa Relprevv 300 mg IM X 1. The patient tells
the PMHNP that he is aware that smoking can "make him need more medication."
Which stage of change is the patient in?
-Contemplation
-Maintenance
-Precontemplation
-Action
-Preparation - ANSWER-Contemplation
A 72-year-old man with a comorbid history of uncontrolled hypertension is
referred to the PMHNP for dementia secondary to depression. The mental status
exam reveals difficulty speaking fluently, inappropriate and confabulated
responses, incongruent affect, and poor judgment. A cerebrovascular accident in
which region of the brain would better explain these symptoms?
-Wernicke's area
-Broca's area
-Occipital lobe
-Parietal lobe - ANSWER-Broca's area
Which part of the limbic system has a role in long term memory?
-Hydrocephalus
-Hypothalamus
pg. 2
,-Hypoglossal nerve
-Hippocampus - ANSWER-Hippocampus
The Hippocampus has a role in long term memory.
Anxiety can arise from intrapsychic conflict among the structures of the mind.
Which structure of the mind deals with reality testing and the thinking process?
-Superego
-Defense mechanisms
-Id
-Ego - ANSWER-Ego
Neurons that only travel from the body to the brain are called:
-Sensory neurons
-Astrocytes
-Motor neurons
-Interneurons - ANSWER-Sensory neurons
When explaining the means by which neurotransmitters relate to mental illness, a
patient asks, "What is a neurotransmitter?" The best answer is:
-A nerve cell
-A fatty layer covering the axon
-The space between nerve cells
-A chemical messenger - ANSWER-A chemical messenger
pg. 3
, A 52-year-old obese man with type 2 diabetes reports dozing off while driving,
watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered
a sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each
per hour of sleep. Based on these findings, what should the PMHNP prescribe for
his condition?
-Referral to otolaryngology for rhinoplasty
-Antidepressant medications
-Referral to otolaryngology for uvuloplasty
-Continuous positive airway pressure - ANSWER-Continuous positive airway
pressure
Which of the following is an indication for monitoring of serum drug levels?
-Smoking cessation
-New diagnosis of hyperlipidemia
-Resolution of symptoms
-New diagnosis of diabetes - ANSWER-Smoking cessation
Your client Jamie asks you about a mole of her forearm. You refer her to
dermatology. As an APRN, you recognize that cancerous moles can be detected on
exam. Which of the following would not be of concern?
-A mole that is not elevated
-All of the above
-A dark mole
-A mole that is 5 mm in size - ANSWER-All of the above
pg. 4
