NR 546 Final PRACTICE EXAM Psychopharmacology
UPDATED ACTUAL Questions and CORRECT Answers
MAOIs (monoamine oxidase inhibitors) affect which A. Serotonin, Dopamine, Norepinephrine
neurotransmitters?
A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine
Which of the following is considered first line treatment A. SSRI
for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
When treating a patient for major depression disorder C. Escitalopram
which medication would the PMHNP consider first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
Which of the following medication should be considered C. Fluoxetine
for a patient diagnosed with major depressive disorder
who reports "always forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
Which of the following medication has a black box B. Lamotrigine
warning of a life-threatening skin rash?
A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
Which medication is considered the best tolerated SSRI? D. Escitalopram
A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
,During a 4 week follow up appointment, Rashida, who is A. Increase Setraline dose
prescribed Sertraline 25mg qAM reports slight
improvement in depression symptoms and tolerating
medication well. Which of the following should the
PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
Which medication should be avoided for the 66 year C. Paroxetine
patient diagnosed with major depressive disorder and
anxiety with a reported fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
, A patient reports upset stomach and diarrhea 3 days after B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the
taking new prescription of sertraline. Which of the increased serotonin levels".
following is the most appropriate response from the
PMHNP?
A. "Start doubling the dose of sertraline and your
symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is
getting adjusted to the increased serotonin levels".
C. "Stop taking it immediately and go to the local
emergency department".
D. "You must take Sertraline with food, otherwise you will
continue to experience GI symptoms".
During a 2 week follow up appointment, the patient B. "It can take up to 6 weeks before you notice improvements of depressive
reports no improvement in depressive symptoms with symptoms".
escitalopram. Which of the following statement made by
the PMHNP is correct?
A. "Let's discontinue escitalopram and start you on
something stronger".
B. "It can take up to 6 weeks before you notice
improvements of depressive symptoms".
C. "I am going to prescibe Trazodone. Take it at night to
help you sleep".
D. "Start taking two pills at a time".
Duloxetine effects which two neurotransmitters? A. serotonin and norepinephrine
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine
Awura, a 70 year old patient diagnosed with major B. mirtazpine
depressive disorder reports a recent 40 pound weight
loss within the last 3 months. Which medication should
the PMHNP consider adding to her medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine
Which of the following symptoms is NOT an adverse C. Immunosuppression
effect associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching
UPDATED ACTUAL Questions and CORRECT Answers
MAOIs (monoamine oxidase inhibitors) affect which A. Serotonin, Dopamine, Norepinephrine
neurotransmitters?
A. Serotonin, Dopamine, Norepinephrine
B. Serotonin, GABA, Glutamate
C. Acetylcholine, Dopamine, Norepinephrine
D. Dopamine, GABA, Acetylcholine
Which of the following is considered first line treatment A. SSRI
for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
When treating a patient for major depression disorder C. Escitalopram
which medication would the PMHNP consider first?
A. Depakote
B. Selegiline
C. Escitalopram
D. Isocarboxazid
Which of the following medication should be considered C. Fluoxetine
for a patient diagnosed with major depressive disorder
who reports "always forgetting to take my pills"?
A. Mirtazapine
B. Fluvoxamine
C. Fluoxetine
D. Carbemazepine
Which of the following medication has a black box B. Lamotrigine
warning of a life-threatening skin rash?
A. Lithium
B. Lamotrigine
C. Lurasidone
D. Lorazepam
Which medication is considered the best tolerated SSRI? D. Escitalopram
A. Venlafaxine
B. Bupropion
C. Setraline
D. Escitalopram
,During a 4 week follow up appointment, Rashida, who is A. Increase Setraline dose
prescribed Sertraline 25mg qAM reports slight
improvement in depression symptoms and tolerating
medication well. Which of the following should the
PMHNP do?
A. Increase Setraline dose
B. Switch to an SNRI
C. Switch to a different SSRI
D. Add Trazodone qHS for sleep.
Which medication should be avoided for the 66 year C. Paroxetine
patient diagnosed with major depressive disorder and
anxiety with a reported fall 3 months ago?
A. Citalopram
B. Setraline
C. Paroxetine
D. Aripiprazole
, A patient reports upset stomach and diarrhea 3 days after B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the
taking new prescription of sertraline. Which of the increased serotonin levels".
following is the most appropriate response from the
PMHNP?
A. "Start doubling the dose of sertraline and your
symptoms will begin to ease up".
B. "Most side effects subside after 4-5 days. Your body is
getting adjusted to the increased serotonin levels".
C. "Stop taking it immediately and go to the local
emergency department".
D. "You must take Sertraline with food, otherwise you will
continue to experience GI symptoms".
During a 2 week follow up appointment, the patient B. "It can take up to 6 weeks before you notice improvements of depressive
reports no improvement in depressive symptoms with symptoms".
escitalopram. Which of the following statement made by
the PMHNP is correct?
A. "Let's discontinue escitalopram and start you on
something stronger".
B. "It can take up to 6 weeks before you notice
improvements of depressive symptoms".
C. "I am going to prescibe Trazodone. Take it at night to
help you sleep".
D. "Start taking two pills at a time".
Duloxetine effects which two neurotransmitters? A. serotonin and norepinephrine
A. serotonin and norepinephrine
B. serotonin and dopamine
C. norepinephrine and GABA
D. glutamate and acetylcholine
Awura, a 70 year old patient diagnosed with major B. mirtazpine
depressive disorder reports a recent 40 pound weight
loss within the last 3 months. Which medication should
the PMHNP consider adding to her medication regimen?
A. quetiapine
B. mirtazpine
C. valproic acid
D. paroxetine
Which of the following symptoms is NOT an adverse C. Immunosuppression
effect associated with the acute use of opioids?
A. Sedation
B. Respiratory depression
C. Immunosuppression
D. Itching
