1|Page
NU 643 ADVANCED PSYCHOPHARMACOLOGY
EXAM AND FULL TEST BANK WITH ALL
QUESTIONS AND CORRECT ANSWERS
Sara, a 35 y/o female presents to the clinic with complaints of restlessness,
fever/chills, and diarrhea. Sara's current medication list includes the following:
Prozac (fluoxetine), Natazia (estradiol/dienogestrel), and Ativan (lorazepam). Sara
also states that she takes a multivitamin and St. John's wart daily. Which of the
following adverse reactions is Sara experiencing?
a. serotonin syndrome
b. neuroleptic malignant syndrome (NMS)
c. tardive dyskinesia
d. discontinuation syndrome
a. serotonin syndrome
- remember that serotonin syndrome often causes HYPERREFLEXIA, look for
clonus
- taper off
Tom, a 22 y/o male was dx with schizophrenia and prescribed clozapine 2 weeks
ago. Upon assessment this morning, Tom's V/S are as follows: HR 116, RR 32,
101.2 (F), BP 89/62. Furthermore, Tom is oriented to person but is confused as to
where he is at and is very tense (i.e., stiff neck). Which of the following adverse
reactions is Tom experiencing?
a. serotonin syndrome
b. neuroleptic malignant syndrome (NMS)
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c. tardive dyskinesia
d. discontinuation syndrome
b. neuroleptic malignant syndrome (NMS)
- CK and WBC would be elevated
Which of the following is NOT considered treatment for NMS?
a. slowly decreasing the administering dose of the antipsychotic being used
b. administration of Dantrium (dantrolene)
c. administration of Tylenol (acetaminophen)
d. administration of Klonopin (clonazepam)
a. slowly decreasing the administering dose of the antipsychotic being used
- benzodiazepines are used for muscular rigidity (catatonic symptoms)
- IV fluids should be used for rehydration
Which of the following is defined as motor restlessness or the inability to remain
still (e.g., rocking, pacing, or constant motion of UNILATERAL limb)
a. akinesia
b. dystonia
c. pseudo-parkinson's
d. akathisia
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d. akathisia
Which of the following is defined as the ABSENCE of movement or difficulty
initiating motion and is often mistaken for laziness or disinterest?
a. akinesia
b. dystonia
c. pseudo-parkinson's
d. akathisia
a. akinesia
True or False: Atypical antipsychotics (SGAs) have a lower potential of causing
EPS symptoms and/or hyperprolactemia compared to that of typical antipsychotics
(FGAs).
True
Which of the following is true about atypical antipsychotics (SGAs)?
a. classified as serotonin-dopamine antagonist
b. results in 5HT1 and D2 partial agonism which decreases EPS S/E
c. may increase risk for metabolic syndrome
d. all of the above
d. all of the above
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- need to obtain baseline labs due to the risk of metabolic syndrome (I.e., BP, waist
circumference, CBC, CMP, and lipid panel)
- baseline labs should be repeated in 3 months (90 days)
- BMI and waist circumference should be measured monthly for the first 3 months
True or False: NPs in the state of Oklahoma can prescribe schedule II through V
drugs as a 60 day supply without refills.
False
- can prescribe schedule III-V as a 30 day supply without refills
True or False: NPs in the state of Oklahoma may NOT prescribe stimulants used
for treatment of ADHD.
True
- Amphetamines are controlled substance and are classified as schedule II drugs
- Adderall, Ritalin, Vyvanse
Which of the following is NOT included on a prescription when dispensing a
controlled substance?
a. clinician's name, address, and DEA number
b. quantity prescribed and number of refills
NU 643 ADVANCED PSYCHOPHARMACOLOGY
EXAM AND FULL TEST BANK WITH ALL
QUESTIONS AND CORRECT ANSWERS
Sara, a 35 y/o female presents to the clinic with complaints of restlessness,
fever/chills, and diarrhea. Sara's current medication list includes the following:
Prozac (fluoxetine), Natazia (estradiol/dienogestrel), and Ativan (lorazepam). Sara
also states that she takes a multivitamin and St. John's wart daily. Which of the
following adverse reactions is Sara experiencing?
a. serotonin syndrome
b. neuroleptic malignant syndrome (NMS)
c. tardive dyskinesia
d. discontinuation syndrome
a. serotonin syndrome
- remember that serotonin syndrome often causes HYPERREFLEXIA, look for
clonus
- taper off
Tom, a 22 y/o male was dx with schizophrenia and prescribed clozapine 2 weeks
ago. Upon assessment this morning, Tom's V/S are as follows: HR 116, RR 32,
101.2 (F), BP 89/62. Furthermore, Tom is oriented to person but is confused as to
where he is at and is very tense (i.e., stiff neck). Which of the following adverse
reactions is Tom experiencing?
a. serotonin syndrome
b. neuroleptic malignant syndrome (NMS)
,2|Page
c. tardive dyskinesia
d. discontinuation syndrome
b. neuroleptic malignant syndrome (NMS)
- CK and WBC would be elevated
Which of the following is NOT considered treatment for NMS?
a. slowly decreasing the administering dose of the antipsychotic being used
b. administration of Dantrium (dantrolene)
c. administration of Tylenol (acetaminophen)
d. administration of Klonopin (clonazepam)
a. slowly decreasing the administering dose of the antipsychotic being used
- benzodiazepines are used for muscular rigidity (catatonic symptoms)
- IV fluids should be used for rehydration
Which of the following is defined as motor restlessness or the inability to remain
still (e.g., rocking, pacing, or constant motion of UNILATERAL limb)
a. akinesia
b. dystonia
c. pseudo-parkinson's
d. akathisia
,3|Page
d. akathisia
Which of the following is defined as the ABSENCE of movement or difficulty
initiating motion and is often mistaken for laziness or disinterest?
a. akinesia
b. dystonia
c. pseudo-parkinson's
d. akathisia
a. akinesia
True or False: Atypical antipsychotics (SGAs) have a lower potential of causing
EPS symptoms and/or hyperprolactemia compared to that of typical antipsychotics
(FGAs).
True
Which of the following is true about atypical antipsychotics (SGAs)?
a. classified as serotonin-dopamine antagonist
b. results in 5HT1 and D2 partial agonism which decreases EPS S/E
c. may increase risk for metabolic syndrome
d. all of the above
d. all of the above
, 4|Page
- need to obtain baseline labs due to the risk of metabolic syndrome (I.e., BP, waist
circumference, CBC, CMP, and lipid panel)
- baseline labs should be repeated in 3 months (90 days)
- BMI and waist circumference should be measured monthly for the first 3 months
True or False: NPs in the state of Oklahoma can prescribe schedule II through V
drugs as a 60 day supply without refills.
False
- can prescribe schedule III-V as a 30 day supply without refills
True or False: NPs in the state of Oklahoma may NOT prescribe stimulants used
for treatment of ADHD.
True
- Amphetamines are controlled substance and are classified as schedule II drugs
- Adderall, Ritalin, Vyvanse
Which of the following is NOT included on a prescription when dispensing a
controlled substance?
a. clinician's name, address, and DEA number
b. quantity prescribed and number of refills
