1|Page
NR 546 FINAL EXAM VERSION 1 AND VERSION 2
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
NR 546 FINAL EXAM VERSION 1
A patient reports wanting to abstain from alcohol use. They
report a history of abusing opioids in the past, but they have not
used any in the last several months. They are concerned that
they are at risk of abusing opioids again. Which of the following
is the best pharmaceutical option for this patient?
A. diazepam
B. naltrexone
C. chlordiazepoxide
D. acamprosate - CORRECT ANSWER-B. naltrexone
A Ellie-Ann, 31 year-old patient with a history of abusing
opioids and binge drinking, reports they are not committed to
abstain from using at this time. Which medication is appropriate
for Ellie-Ann?
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A. disulfiram
B. naloxone
C. naltrexone
d. lorazepam - CORRECT ANSWER-B. naloxone
The PMHNP is treating a 27 year old patient diagnosed with
ADHD who is actively trying to get pregnant. Which medication
is most appropriate?
A. Methylphenidate
B. Lisdexamfetamine
C. Atomoxetine
D. Selegiline - CORRECT ANSWER-C. Atomoxetine
Which of the following statements best explains the monoamine
hypothesis of depression?
A. Depression is caused by a deficiency of monoamine
neurotransmission.
B. Depression is a result of chemical a chemical imbalance of
monoamine neurotransmission.
C. Depression is caused by an excess of monoamine
neurotransmission.
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D. Depression is a result from maladaptive or irrational
cognitions taking the form of distorted thoughts core beliefs and
judgments - CORRECT ANSWER-A. Depression is caused by a
deficiency of monoamine neurotransmission.
Which combination therapy is considered first line for bipolar I,
current manic episode, with depressive features?
A. Bupropion + Aripiprazole .
B. Lithium + Lamotrigine
C. Valproic Acid + Duloxetine
D. Atomoxetine + Risperidal - CORRECT ANSWER-B.
Lithium + Lamotrigine
Why should antidepressants be used in combination therapy
with mood stabilizers when treating bipolar disorder?
A. To target depression symptoms quickly and reduce rapid
cycling of bipolar depression
B. To reduce the gastrointestinal side effects caused by
antidepressants.
C. To decrease incidence of death by suicide in children and
young adults.
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D. To increase patient medication adherence. - CORRECT
ANSWER-C. To decrease incidence of death by suicide in
children and young adults.
Which of the following medication should be avoided when the
patient has anxiety because it can exacerbate anxiety?
A. Escitalopram
B. Sertraline
C. Fluvoxamine
D. Duloxetine - CORRECT ANSWER-D. Duloxetine
Which SSRI is most likely to cause discontinuation syndrome if
abruptly stopped?
A. Fluoxetine
B. Selegiline
C. Mirtazapine
D. Paroxetine - CORRECT ANSWER-D. Paroxetine
Which medication should not be prescribed to the patient with a
seizure history?
NR 546 FINAL EXAM VERSION 1 AND VERSION 2
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
NR 546 FINAL EXAM VERSION 1
A patient reports wanting to abstain from alcohol use. They
report a history of abusing opioids in the past, but they have not
used any in the last several months. They are concerned that
they are at risk of abusing opioids again. Which of the following
is the best pharmaceutical option for this patient?
A. diazepam
B. naltrexone
C. chlordiazepoxide
D. acamprosate - CORRECT ANSWER-B. naltrexone
A Ellie-Ann, 31 year-old patient with a history of abusing
opioids and binge drinking, reports they are not committed to
abstain from using at this time. Which medication is appropriate
for Ellie-Ann?
,2|Page
A. disulfiram
B. naloxone
C. naltrexone
d. lorazepam - CORRECT ANSWER-B. naloxone
The PMHNP is treating a 27 year old patient diagnosed with
ADHD who is actively trying to get pregnant. Which medication
is most appropriate?
A. Methylphenidate
B. Lisdexamfetamine
C. Atomoxetine
D. Selegiline - CORRECT ANSWER-C. Atomoxetine
Which of the following statements best explains the monoamine
hypothesis of depression?
A. Depression is caused by a deficiency of monoamine
neurotransmission.
B. Depression is a result of chemical a chemical imbalance of
monoamine neurotransmission.
C. Depression is caused by an excess of monoamine
neurotransmission.
,3|Page
D. Depression is a result from maladaptive or irrational
cognitions taking the form of distorted thoughts core beliefs and
judgments - CORRECT ANSWER-A. Depression is caused by a
deficiency of monoamine neurotransmission.
Which combination therapy is considered first line for bipolar I,
current manic episode, with depressive features?
A. Bupropion + Aripiprazole .
B. Lithium + Lamotrigine
C. Valproic Acid + Duloxetine
D. Atomoxetine + Risperidal - CORRECT ANSWER-B.
Lithium + Lamotrigine
Why should antidepressants be used in combination therapy
with mood stabilizers when treating bipolar disorder?
A. To target depression symptoms quickly and reduce rapid
cycling of bipolar depression
B. To reduce the gastrointestinal side effects caused by
antidepressants.
C. To decrease incidence of death by suicide in children and
young adults.
, 4|Page
D. To increase patient medication adherence. - CORRECT
ANSWER-C. To decrease incidence of death by suicide in
children and young adults.
Which of the following medication should be avoided when the
patient has anxiety because it can exacerbate anxiety?
A. Escitalopram
B. Sertraline
C. Fluvoxamine
D. Duloxetine - CORRECT ANSWER-D. Duloxetine
Which SSRI is most likely to cause discontinuation syndrome if
abruptly stopped?
A. Fluoxetine
B. Selegiline
C. Mirtazapine
D. Paroxetine - CORRECT ANSWER-D. Paroxetine
Which medication should not be prescribed to the patient with a
seizure history?
