NR 607 PSYCHOPHARMACOLOGY QUIZ
LATEST UPDATED 2025 WITH VERIFIED
ACTUAL ANSWERS
Ziprasidone and Ariprazole are two examples of antipsychotics associated with lower cardiometabolic
risk. - answer ✔✔-Which of the following antipsychotics pose the least cardiometabolic risk?
Nausea - answer ✔✔-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?
Diphenhydramine and similar medications are contraindicated in persons over 65 given their elevated
anticholinergic activity. - answer ✔✔-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?
Tachyphylaxis - answer ✔✔-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:
Hyponatremia - answer ✔✔-One of the most common electrolyte abnormalities associated with the use
of psychotropic medication is:
Prescribe the patient fluoxetine for 1 week - answer ✔✔-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?
, Pharmacokinetics - answer ✔✔-The PMHNP knows that the study of how the body absorbs, distributes,
metabolizes, and excretes a medication is known as:
Acetylcholine - answer ✔✔-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?
Olanzapine 2.5 mg PO - answer ✔✔-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?
A prodrug is a medication that is converted into a pharmacological active drug via metabolism. - answer
✔✔-Codeine is converted to morphine via CYP2D6 in the liver. This is an example of what?
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. - answer ✔✔-Which of the following statements is true?
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. - answer ✔✔-Which of the following is true regarding Benign Ethnic
Neutropenia (BEN) in regards to Clozapine treatment?
Unbound - answer ✔✔-After a drug is absorbed the substrate binds to protein for transport. Which
portion of the drug is available for therapeutic effects?
Tobacco smoking is a well known CYP1A2 inducer. - answer ✔✔-Which of the following is an example of
a drug inducer?
Eszopiclone (Lunesta) may help with short term insomnia related to sleep maintenance issues. - answer
✔✔-Gabe receives psychotherapy for performance anxiety. He has a rare request for a medication to
LATEST UPDATED 2025 WITH VERIFIED
ACTUAL ANSWERS
Ziprasidone and Ariprazole are two examples of antipsychotics associated with lower cardiometabolic
risk. - answer ✔✔-Which of the following antipsychotics pose the least cardiometabolic risk?
Nausea - answer ✔✔-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?
Diphenhydramine and similar medications are contraindicated in persons over 65 given their elevated
anticholinergic activity. - answer ✔✔-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?
Tachyphylaxis - answer ✔✔-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:
Hyponatremia - answer ✔✔-One of the most common electrolyte abnormalities associated with the use
of psychotropic medication is:
Prescribe the patient fluoxetine for 1 week - answer ✔✔-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?
, Pharmacokinetics - answer ✔✔-The PMHNP knows that the study of how the body absorbs, distributes,
metabolizes, and excretes a medication is known as:
Acetylcholine - answer ✔✔-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?
Olanzapine 2.5 mg PO - answer ✔✔-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?
A prodrug is a medication that is converted into a pharmacological active drug via metabolism. - answer
✔✔-Codeine is converted to morphine via CYP2D6 in the liver. This is an example of what?
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. - answer ✔✔-Which of the following statements is true?
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. - answer ✔✔-Which of the following is true regarding Benign Ethnic
Neutropenia (BEN) in regards to Clozapine treatment?
Unbound - answer ✔✔-After a drug is absorbed the substrate binds to protein for transport. Which
portion of the drug is available for therapeutic effects?
Tobacco smoking is a well known CYP1A2 inducer. - answer ✔✔-Which of the following is an example of
a drug inducer?
Eszopiclone (Lunesta) may help with short term insomnia related to sleep maintenance issues. - answer
✔✔-Gabe receives psychotherapy for performance anxiety. He has a rare request for a medication to
