2
NR 607 Psychopharmacology Exam questions with accurate
|| || || || || || ||
detailed answers ||
Which of the following antipsychotics pose the least cardiometabolic risk? - ✔✔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? - ✔✔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 delirium? - ✔✔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: - ✔✔Tachyphylaxis
|| || || || || || || || || || || ||
One of the most common electrolyte abnormalities associated with the use of psychotropic
|| || || || || || || || || || || || ||
medication is: - ✔✔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? - ✔✔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: - ✔✔Pharmacokinetics
|| || || || || || ||
, 2
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 medication that she has recently
|| || || || || || || || || || || || || ||
started 1 week ago. The patient is complaining of increased heart rate, sweating, and muscle
|| || || || || || || || || || || || || || ||
spasms progressively worsening for the last 3 days. Which neurotransmitter is associated with this
|| || || || || || || || || || || || ||
adverse effect? - ✔✔Acetylcholine
|| || || ||
A 79-year-old female with no past psychiatric history is admitted with new onset auditory
|| || || || || || || || || || || || || ||
hallucinations. The patient states her most bothersome symptom is the voices, which have kept || || || || || || || || || || || || || ||
her from sleeping through the night for the last 3 weeks, and as a result, she is tired and irritable.
|| || || || || || || || || || || || || || || || || || || ||
Which medication should the PMHNP order for bedtime for sleep? - ✔✔Olanzapine 2.5 mg PO
|| || || || || || || || || || || || || ||
Codeine is converted to morphine via CYP2D6 in the liver. This is an example of what? - ✔✔A
|| || || || || || || || || || || || || || || || || ||
prodrug is a medication that is converted into a pharmacological active drug via metabolism.
|| || || || || || || || || || || || ||
Which of the following statements is true? - ✔✔TD may result from metocloprmaide use. Lip
|| || || || || || || || || || || || || || ||
smacking is a symptom of TD that results from blocking D2 receptors in the Nigrostriatal
|| || || || || || || || || || || || || || ||
pathway. EPS can occur immediately after starting an antipsychotic or any time there after.
|| || || || || || || || || || || || ||
Which of the following is true regarding Benign Ethnic Neutropenia (BEN) in regards to
|| || || || || || || || || || || || || ||
Clozapine treatment? - ✔✔BEN is more commonly observed in African descent, middle eastern
|| || || || || || || || || || || || ||
and other non-Caucasian groups with darker skin. It is more common in men and patients with
|| || || || || || || || || || || || || || || ||
BEN are not at an increased risk of clozapine related neutropenia.
|| || || || || || || || || ||
After a drug is absorbed the substrate binds to protein for transport. Which portion of the drug is
|| || || || || || || || || || || || || || || || || ||
available for therapeutic effects? - ✔✔Unbound || || || || ||
Which of the following is an example of a drug inducer? - ✔✔Tobacco smoking is a well known
|| || || || || || || || || || || || || || || || || ||
CYP1A2 inducer. ||
Gabe receives psychotherapy for performance anxiety. He has a rare request for a medication to
|| || || || || || || || || || || || || || ||
help with sleep. He is required to travel for work and is requesting help. He has no trouble with
|| || || || || || || || || || || || || || || || || || ||
sleep latency, but wants 6 hours of sleep. Which of the following best fits Gabe's needs? -
|| || || || || || || || || || || || || || || || ||
NR 607 Psychopharmacology Exam questions with accurate
|| || || || || || ||
detailed answers ||
Which of the following antipsychotics pose the least cardiometabolic risk? - ✔✔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? - ✔✔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 delirium? - ✔✔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: - ✔✔Tachyphylaxis
|| || || || || || || || || || || ||
One of the most common electrolyte abnormalities associated with the use of psychotropic
|| || || || || || || || || || || || ||
medication is: - ✔✔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? - ✔✔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: - ✔✔Pharmacokinetics
|| || || || || || ||
, 2
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 medication that she has recently
|| || || || || || || || || || || || || ||
started 1 week ago. The patient is complaining of increased heart rate, sweating, and muscle
|| || || || || || || || || || || || || || ||
spasms progressively worsening for the last 3 days. Which neurotransmitter is associated with this
|| || || || || || || || || || || || ||
adverse effect? - ✔✔Acetylcholine
|| || || ||
A 79-year-old female with no past psychiatric history is admitted with new onset auditory
|| || || || || || || || || || || || || ||
hallucinations. The patient states her most bothersome symptom is the voices, which have kept || || || || || || || || || || || || || ||
her from sleeping through the night for the last 3 weeks, and as a result, she is tired and irritable.
|| || || || || || || || || || || || || || || || || || || ||
Which medication should the PMHNP order for bedtime for sleep? - ✔✔Olanzapine 2.5 mg PO
|| || || || || || || || || || || || || ||
Codeine is converted to morphine via CYP2D6 in the liver. This is an example of what? - ✔✔A
|| || || || || || || || || || || || || || || || || ||
prodrug is a medication that is converted into a pharmacological active drug via metabolism.
|| || || || || || || || || || || || ||
Which of the following statements is true? - ✔✔TD may result from metocloprmaide use. Lip
|| || || || || || || || || || || || || || ||
smacking is a symptom of TD that results from blocking D2 receptors in the Nigrostriatal
|| || || || || || || || || || || || || || ||
pathway. EPS can occur immediately after starting an antipsychotic or any time there after.
|| || || || || || || || || || || || ||
Which of the following is true regarding Benign Ethnic Neutropenia (BEN) in regards to
|| || || || || || || || || || || || || ||
Clozapine treatment? - ✔✔BEN is more commonly observed in African descent, middle eastern
|| || || || || || || || || || || || ||
and other non-Caucasian groups with darker skin. It is more common in men and patients with
|| || || || || || || || || || || || || || || ||
BEN are not at an increased risk of clozapine related neutropenia.
|| || || || || || || || || ||
After a drug is absorbed the substrate binds to protein for transport. Which portion of the drug is
|| || || || || || || || || || || || || || || || || ||
available for therapeutic effects? - ✔✔Unbound || || || || ||
Which of the following is an example of a drug inducer? - ✔✔Tobacco smoking is a well known
|| || || || || || || || || || || || || || || || || ||
CYP1A2 inducer. ||
Gabe receives psychotherapy for performance anxiety. He has a rare request for a medication to
|| || || || || || || || || || || || || || ||
help with sleep. He is required to travel for work and is requesting help. He has no trouble with
|| || || || || || || || || || || || || || || || || || ||
sleep latency, but wants 6 hours of sleep. Which of the following best fits Gabe's needs? -
|| || || || || || || || || || || || || || || || ||
