NURS6630 Final Exam (2025/2026)
100%VERIFIED|Comprehensive|Complete QUESTIONS
AND ANSWERS | GRADED A+.
A patient recovering from shingles presents with
tenderness and sensitivity to the upper back. He states it
is bothersome to put a shirt on most days. This patient has
end stage renal disease (ESRD) and is scheduled to have
hemodialysis tomorrow but states that he does not know
how he can lie in a recliner for 3 hours feeling this
uncomfortable. What will be the PMHNP's priority? -
ANSWER-ANS: b.
Prescribe lidocaine 5%
,The PMHNP is assessing a female patient who has been
taking lamotrigine (Lamictal) for migraine prophylaxis.
After discovering that the patient has reached the
maximum dose of this medication, the PMHNP decides to
change the patient's medication to zonisamide (Zonegran).
In addition to evaluating this patient's day-to-day activities,
what should the PMHNP ensure that this patient
understands? - ANSWER-ANS: a.
This medication has unwanted side effects such as
sedation, lack of coordination, and drowsiness.
A patient is being prescribed bupropion and is concerned
about the side effects. What will the PMHNP tell the
patient regarding bupropion? - ANSWER-ANS: b.
It can cause cardiac arrhythmias.
,The PMHNP wants to use a symptom-based approach to
treating a patient with fibromyalgia. How does the PMHNP
go about treating this patient? - ANSWER-ANS: d.
Matching the patient's symptoms with the malfunctioning
brain circuits and neurotransmitters that might mediate
those symptoms.
A patient diagnosed with obsessive compulsive disorder
has been taking a high-dose SSRI and is participating in
therapy twice a week. He reports an inability to carry out
responsibilities due to consistent interferences of his
obsessions and compulsions. The PMHNP knows that the
next step would be which of the following? - ANSWER-
ANS: b.
, Decrease his SSRI and add buspirone (Buspar).
The PMHNP understands that bupropion (Wellbutrin) is an
effective way to assist patients with smoking cessation.
Why is this medication effective for these patients? -
ANSWER-ANS:b.
Bupropion (Wellbutrin) blocks dopamine reuptake,
enabling more availability of dopamine.
The PMHNP is assessing a 49-year-old male with a
history of depression, post-traumatic stress disorder
(PTSD), alcoholism with malnutrition, diabetes mellitus
type 2, and hypertension. His physical assessment is
unremarkable with the exception of peripheral edema
bilaterally to his lower extremities and a chief complaint of
100%VERIFIED|Comprehensive|Complete QUESTIONS
AND ANSWERS | GRADED A+.
A patient recovering from shingles presents with
tenderness and sensitivity to the upper back. He states it
is bothersome to put a shirt on most days. This patient has
end stage renal disease (ESRD) and is scheduled to have
hemodialysis tomorrow but states that he does not know
how he can lie in a recliner for 3 hours feeling this
uncomfortable. What will be the PMHNP's priority? -
ANSWER-ANS: b.
Prescribe lidocaine 5%
,The PMHNP is assessing a female patient who has been
taking lamotrigine (Lamictal) for migraine prophylaxis.
After discovering that the patient has reached the
maximum dose of this medication, the PMHNP decides to
change the patient's medication to zonisamide (Zonegran).
In addition to evaluating this patient's day-to-day activities,
what should the PMHNP ensure that this patient
understands? - ANSWER-ANS: a.
This medication has unwanted side effects such as
sedation, lack of coordination, and drowsiness.
A patient is being prescribed bupropion and is concerned
about the side effects. What will the PMHNP tell the
patient regarding bupropion? - ANSWER-ANS: b.
It can cause cardiac arrhythmias.
,The PMHNP wants to use a symptom-based approach to
treating a patient with fibromyalgia. How does the PMHNP
go about treating this patient? - ANSWER-ANS: d.
Matching the patient's symptoms with the malfunctioning
brain circuits and neurotransmitters that might mediate
those symptoms.
A patient diagnosed with obsessive compulsive disorder
has been taking a high-dose SSRI and is participating in
therapy twice a week. He reports an inability to carry out
responsibilities due to consistent interferences of his
obsessions and compulsions. The PMHNP knows that the
next step would be which of the following? - ANSWER-
ANS: b.
, Decrease his SSRI and add buspirone (Buspar).
The PMHNP understands that bupropion (Wellbutrin) is an
effective way to assist patients with smoking cessation.
Why is this medication effective for these patients? -
ANSWER-ANS:b.
Bupropion (Wellbutrin) blocks dopamine reuptake,
enabling more availability of dopamine.
The PMHNP is assessing a 49-year-old male with a
history of depression, post-traumatic stress disorder
(PTSD), alcoholism with malnutrition, diabetes mellitus
type 2, and hypertension. His physical assessment is
unremarkable with the exception of peripheral edema
bilaterally to his lower extremities and a chief complaint of
