NR 546 FINAL EXAM 2024 LATEST ACTUAL FINAL
EXAM WITH 250 QUESTIONS A ND CORRECT
ANSWERS (100% CORRECT ANSWERS) NR 546
PSYCHOPHARMACOLOGY FINAL EXAM 2024
CHAMBERLAIN UNIVERSITY (BRAND NEW!!)
A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which of the following is the most appropriate response from the
PMHNP?
- "Start doubling the dose of sertraline and your symptoms will begin to ease up".
- "Most side effects subside after 4-5 days. Your body is getting adjusted to the
- "Stop taking it immediately and go to the local emergency department".
- "You must take Sertraline with food, otherwise you will continue to experience
- "Most side effects subside after 4-5 days. Your body is getting adjusted to the
increased serotonin levels".
GI symptoms".
increased serotonin levels".Which of the following medication should be considered for a patient diagnosed with major depressive disorder who reports "always forgetting to take my pills"?
- Mirtazapine
- Fluvoxamine
- Fluoxetine
- Carbemazepine
- Fluoxetine
Which of the following medication has a black box warning of a life-threatening skin rash?
- Lithium
- Lamotrigine
- Lurasidone
- Lorazepam 1 / 4
- Lamotrigine
Which medication is considered the best tolerated SSRI?
- Venlafaxine
- Bupropion
- Setraline
- Escitalopram
- Escitalopram
During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports slight improvement in depression symptoms and tolerating medication well. Which of the following should the PMHNP do?
- Increase Setraline dose
- Switch to an SNRI
- Switch to a different SSRI
- Add Trazodone qHS for sleep.
- Increase Setraline dose
Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder and anxiety with a reported fall 3 months ago?
- Citalopram
- Setraline
- Paroxetine
- Aripiprazole
- Paroxetine
During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms with escitalopram. Which of the following statement made by the PMHNP is correct?
- "Let's discontinue escitalopram and start you on something stronger".
- "It can take up to 6 weeks before you notice improvements of depressive
- "I am going to prescibe Trazodone. Take it at night to help you sleep".
- "Start taking two pills at a time". 2 / 4
symptoms".
- "It can take up to 6 weeks before you notice improvements of depressive
symptoms".MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?
- Serotonin, Dopamine, Norepinephrine
- Serotonin, GABA, Glutamate
- Acetylcholine, Dopamine, Norepinephrine
- Dopamine, GABA, Acetylcholine
- Serotonin, Dopamine, Norepinephrine
Which of the following is considered first line treatment for depression?
A. SSRI
B. FGA
C. SNRI
D. MAOI
A. SSRI
When treating a patient for major depression disorder which medication would the PMHNP consider first?
- Depakote
- Selegiline
- Escitalopram
- Isocarboxazid
- Escitalopram
Duloxetine effects which two neurotransmitters?
- serotonin and norepinephrine
- serotonin and dopamine
- norepinephrine and GABA
- glutamate and acetylcholine
- serotonin and norepinephrine
Awura, a 70 year old patient diagnosed with major depressive disorder reports a recent 40 pound weight loss within the last 3 months. Which medication should the 3 / 4
PMHNP consider adding to her medication regimen?
- quetiapine
- mirtazpine
- valproic acid
- paroxetine
- mirtazpine
Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids?
- Sedation
- Respiratory depression
- Immunosuppression
- Itching
- Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient, the PMHNP understands to dose at 1/2 dose due to the increased risk of
- delirium
- polypharmacy
- falls
- QTc prolongation
- QTc prolongation
Which of the following medication class is approved for first line treatment for OCD?
- Atypical antipsychotics
- Benzodiazepines
C. MAOI
D. SSRI
D. SSRI
Which SSRI has a mild antihistamine effect?
- / 4