NR 607/NR607 FINAL EXAM 2025
ACTUAL EXAM TEST BANK 2
VERSIONS COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
VERSION A
A patient is diagnosed with major depressive disorder
with the most prominent feature of apathy, anhedonia,
and isolation. Which neurotransmitter is associated with
the symptoms?
-Cannibinoids
-Gamma-aminobenzoic acid (GABA)
-Serotonin
-Dopamine - ....ANSWER...Dopamine
,Penelope is a 27-year old female with schizophrenia. She
has been treated with Ripseridone. She is experiencing
galactorrhea. You recognize that this side effect of
Risperidone is a result of D2 blockade in the what?
-Mesolimbic pathway
-Nigorstriatal pathway
-Tuberoinfundibular pathway
-Mesocortical pathway -
....ANSWER...Tuberoinfundibular pathway
When the D2 receptors are blocked in the
Tuberoinundibular pathway, hyperprolactinemia may
result.
The PMHNP prescribes fluoxetine to treat depression.
Which neurotransmitter will be made readily available
in the synapse?
-Acetylcholine
-Serotonin
-Dopamine
,-Gamma-aminobenzoic acid (GABA) -
....ANSWER...Serotonin
Layne, a client of yours, has started a "Juice cleanse
diet". Layne is taking Sertraline for depression. Layne
reports that his diet includes several glasses of grapefruit
juice a day. As a PMHNP you know which of the
following?
-Grapefruit juice may decrease the serum concentration
of Sertraline.
-Grapefruit juice is a potent CYP2D6 Inhibitor
-Grapefruit juice does not influence CYP 3A4 substrates.
-Grapefruit juice may increase the serum concentration
of Sertraline. - ....ANSWER...Grapefruit juice may
increase the serum concentration of Sertraline.
Grapefruit juice is a well known CYP 3A4 inhibitor and
therefore would potentially increase the serum
concentration of Sertraline (a CYP 3A4 substrate).
Which of the following adverse drug effects is usually
temporary?
, -Tardive Dyskinesia from prolonged Haloperidol use
-Sexual dysfunction with SSRI treatment
-Alopecia associated with Valproate
-Nausea associated with SSRI - ....ANSWER...Nausea
associated with SSRI
A 60-year-old male recently underwent repair of a right
fractured hip. He developed a post-operative delirium.
He has been awake for 52 hours and ripped off his
surgical dressing. Treatment for delirium in this scenario
may include what?
-Hydroxyzine
-Tramadol
-Hanging a clock and calendar in view of the patient
-Clonazepam - ....ANSWER...Hanging a clock and
calendar in view of the patient
One would want to avoid benzodiazepines in the elderly
and especially benzodiazepines with long half lives when
treating delirium. Tramadol use has been associated
with delirium. H1 Antagonisets contribute to
anticholinergice burden, which is considered a risk factor
for delirium.
ACTUAL EXAM TEST BANK 2
VERSIONS COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
VERSION A
A patient is diagnosed with major depressive disorder
with the most prominent feature of apathy, anhedonia,
and isolation. Which neurotransmitter is associated with
the symptoms?
-Cannibinoids
-Gamma-aminobenzoic acid (GABA)
-Serotonin
-Dopamine - ....ANSWER...Dopamine
,Penelope is a 27-year old female with schizophrenia. She
has been treated with Ripseridone. She is experiencing
galactorrhea. You recognize that this side effect of
Risperidone is a result of D2 blockade in the what?
-Mesolimbic pathway
-Nigorstriatal pathway
-Tuberoinfundibular pathway
-Mesocortical pathway -
....ANSWER...Tuberoinfundibular pathway
When the D2 receptors are blocked in the
Tuberoinundibular pathway, hyperprolactinemia may
result.
The PMHNP prescribes fluoxetine to treat depression.
Which neurotransmitter will be made readily available
in the synapse?
-Acetylcholine
-Serotonin
-Dopamine
,-Gamma-aminobenzoic acid (GABA) -
....ANSWER...Serotonin
Layne, a client of yours, has started a "Juice cleanse
diet". Layne is taking Sertraline for depression. Layne
reports that his diet includes several glasses of grapefruit
juice a day. As a PMHNP you know which of the
following?
-Grapefruit juice may decrease the serum concentration
of Sertraline.
-Grapefruit juice is a potent CYP2D6 Inhibitor
-Grapefruit juice does not influence CYP 3A4 substrates.
-Grapefruit juice may increase the serum concentration
of Sertraline. - ....ANSWER...Grapefruit juice may
increase the serum concentration of Sertraline.
Grapefruit juice is a well known CYP 3A4 inhibitor and
therefore would potentially increase the serum
concentration of Sertraline (a CYP 3A4 substrate).
Which of the following adverse drug effects is usually
temporary?
, -Tardive Dyskinesia from prolonged Haloperidol use
-Sexual dysfunction with SSRI treatment
-Alopecia associated with Valproate
-Nausea associated with SSRI - ....ANSWER...Nausea
associated with SSRI
A 60-year-old male recently underwent repair of a right
fractured hip. He developed a post-operative delirium.
He has been awake for 52 hours and ripped off his
surgical dressing. Treatment for delirium in this scenario
may include what?
-Hydroxyzine
-Tramadol
-Hanging a clock and calendar in view of the patient
-Clonazepam - ....ANSWER...Hanging a clock and
calendar in view of the patient
One would want to avoid benzodiazepines in the elderly
and especially benzodiazepines with long half lives when
treating delirium. Tramadol use has been associated
with delirium. H1 Antagonisets contribute to
anticholinergice burden, which is considered a risk factor
for delirium.
