NURS 6630 FINAL EXAM CERTIFICATION
EVALUATION 2026 VERIFIED QUESTIONS
ANSWERS
◉ 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? Answer: ANS: b.
All of these are correct
◉ 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? Answer: ANS: a. ADHD is often not the focus of
treatment in adults with comorbid conditions.
◉ 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? Answer: ANS: d.
All of these could potentially treat their son's symptoms.
◉ The PMHNP is assessing a patient who presents with elevated
levels of brain amyloid as noted by positron emission tomography
(PET). What other factors will the PMHNP consider before
,prescribing medication for this patient, and what medication would
the PMHNP want to avoid given these other factors? Answer: ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2
diabetes and avoid olanzapine
◉ Karen completes the Epworth sleepiness scale and scores
abnormally high. She is diagnosed with narcolepsy. The PMHNP
prescribes a wake-promoting agent that is a weak dopamine
transporter antagonist. Which medication did the PMHNP
prescribe? Answer: ANS: c.
Modafanil (PROVIGIL)
◉ You have been consulted to evaluate a patient who presents with
symptoms of dementia. The patient is experiencing memory deficit,
aphasia, apraxia, and agnosia. Which treatment option is best for
this patient? Answer: ANS: a.
Donepezil (ARICEPT)
◉ Why does the PMHNP avoid prescribing clozapine (Clozaril) as a
first-line treatment to the patient with psychosis and aggression?
Answer: ANS: c. There is too high a risk of serious adverse side
effects.
◉ The PMHNP is caring for a patient with chronic insomnia who
would benefit from taking hypnotics. The PMHNP wants to prescribe
,the patient a drug with an ultra-short half-life (1-3 hours). Which
drug will the PMHNP prescribe? Answer: ANS: d.
Triazolam (Halcion)
◉ The PMHNP prescribes gabapentin (Neurontin) for a patient's
chronic pain. How does the PMHNP anticipate the drug to work?
Answer: ANS: c.
It will bind to the alpha-2-delta ligand subunit of voltage sensitive
calcium channels.
◉ A patient with chronic back pain has been prescribed a serotonin-
norepinephrine reuptake inhibitor (SNRI). How does the PMHNP
describe the action of SNRIs on the inhibition of pain to the patient?
Answer: ANS: d.
"The SNRI can increase noradrenergic neurotransmission in the
descending spinal pathway to the dorsal horn."
◉ The PMHNP is attempting to treat a patient's chronic pain by
having the agent bind the open channel conformation of VSCCs to
block those channels with a "use-dependent" form of inhibition.
Which agent will the PMHNP most likely select? Answer: ANS: c.
Pregabalin (Lyrica)
◉ The PMHNP is assessing a patient she has been treating with the
diagnosis of chronic pain. During the assessment, the patient states
, that he has recently been having trouble getting to sleep and staying
asleep. Based on this information, what action is the PMHNP most
likely to take? Answer: ANS: a.
Order hydroxyzine (Vistaril), 50 mg PRN or as needed
◉ The PMHNP is caring for a patient on risperidone (Risperdal).
Which action made by the PMHNP exhibits proper care for this
patient? Answer: ANS: d.
Titrating the dose by increasing it every 5-7 days
◉ The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by
mouth daily, for nerve pain 6 months ago. The patient suddenly
presents to the office with the complaint that the medication is no
longer working and complains of increased pain. What action will
the PMHNP most likely take? Answer: ANS: c.
Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily.
◉ Mike wants to quit smoking. He has tried nicotine replacement
and varenicline without success. He has asked for another
medication to help him kick his habit. The PMHNP decides to try a
medication that increases dopamine by prescribing a medications
that can increase both norepinephrine and dopamine. Which
medication did the PMHNP prescribe? Answer: ANS: b.
Bupropion (ZYBAN)
EVALUATION 2026 VERIFIED QUESTIONS
ANSWERS
◉ 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? Answer: ANS: b.
All of these are correct
◉ 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? Answer: ANS: a. ADHD is often not the focus of
treatment in adults with comorbid conditions.
◉ 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? Answer: ANS: d.
All of these could potentially treat their son's symptoms.
◉ The PMHNP is assessing a patient who presents with elevated
levels of brain amyloid as noted by positron emission tomography
(PET). What other factors will the PMHNP consider before
,prescribing medication for this patient, and what medication would
the PMHNP want to avoid given these other factors? Answer: ANS: b.
ApoE4 genotype and avoid antihistamines if possible and Type 2
diabetes and avoid olanzapine
◉ Karen completes the Epworth sleepiness scale and scores
abnormally high. She is diagnosed with narcolepsy. The PMHNP
prescribes a wake-promoting agent that is a weak dopamine
transporter antagonist. Which medication did the PMHNP
prescribe? Answer: ANS: c.
Modafanil (PROVIGIL)
◉ You have been consulted to evaluate a patient who presents with
symptoms of dementia. The patient is experiencing memory deficit,
aphasia, apraxia, and agnosia. Which treatment option is best for
this patient? Answer: ANS: a.
Donepezil (ARICEPT)
◉ Why does the PMHNP avoid prescribing clozapine (Clozaril) as a
first-line treatment to the patient with psychosis and aggression?
Answer: ANS: c. There is too high a risk of serious adverse side
effects.
◉ The PMHNP is caring for a patient with chronic insomnia who
would benefit from taking hypnotics. The PMHNP wants to prescribe
,the patient a drug with an ultra-short half-life (1-3 hours). Which
drug will the PMHNP prescribe? Answer: ANS: d.
Triazolam (Halcion)
◉ The PMHNP prescribes gabapentin (Neurontin) for a patient's
chronic pain. How does the PMHNP anticipate the drug to work?
Answer: ANS: c.
It will bind to the alpha-2-delta ligand subunit of voltage sensitive
calcium channels.
◉ A patient with chronic back pain has been prescribed a serotonin-
norepinephrine reuptake inhibitor (SNRI). How does the PMHNP
describe the action of SNRIs on the inhibition of pain to the patient?
Answer: ANS: d.
"The SNRI can increase noradrenergic neurotransmission in the
descending spinal pathway to the dorsal horn."
◉ The PMHNP is attempting to treat a patient's chronic pain by
having the agent bind the open channel conformation of VSCCs to
block those channels with a "use-dependent" form of inhibition.
Which agent will the PMHNP most likely select? Answer: ANS: c.
Pregabalin (Lyrica)
◉ The PMHNP is assessing a patient she has been treating with the
diagnosis of chronic pain. During the assessment, the patient states
, that he has recently been having trouble getting to sleep and staying
asleep. Based on this information, what action is the PMHNP most
likely to take? Answer: ANS: a.
Order hydroxyzine (Vistaril), 50 mg PRN or as needed
◉ The PMHNP is caring for a patient on risperidone (Risperdal).
Which action made by the PMHNP exhibits proper care for this
patient? Answer: ANS: d.
Titrating the dose by increasing it every 5-7 days
◉ The PMHNP prescribed a patient lamotrigine (Lamictal), 25 mg by
mouth daily, for nerve pain 6 months ago. The patient suddenly
presents to the office with the complaint that the medication is no
longer working and complains of increased pain. What action will
the PMHNP most likely take? Answer: ANS: c.
Increase the dose of lamotrigine (Lamictal) to 25 mg twice daily.
◉ Mike wants to quit smoking. He has tried nicotine replacement
and varenicline without success. He has asked for another
medication to help him kick his habit. The PMHNP decides to try a
medication that increases dopamine by prescribing a medications
that can increase both norepinephrine and dopamine. Which
medication did the PMHNP prescribe? Answer: ANS: b.
Bupropion (ZYBAN)
