NR 546 FINAL STUDY GUIDE
QUESTIONS WITH COMPLETE
SOLUTION
Question : MAOIs (monoamine oxidase inhibitors) affect
which neurotransmitters? A. Serotonin, Dopamine, Norepinephrine B. Serotonin, GABA, Glutamate C.Acetylcholine, Dopamine, Norepinephrine D. Dopamine, GABA, Acetylcholine
CORRECT ANSWER : A. Serotonin, Dopamine,
Norepinephrine
Question : Which of the following is considered first line
treatment for depression? A. SSRI B. FGA C. SNRI D.
MAOI
CORRECT ANSWER : A. SSRI
Question : When treating a patient for major depression
disorder which medication would the PMHNP consider first?
- Depakote B. Selegiline C. Escitalopram D. Isocarboxazid
CORRECT ANSWER : C. Escitalopram
Question : Which of the following medication should be
considered for a patient diagnosed with major depressive disorder who reports "always forgetting to take my pills"? A.Mirtazapine B. Fluvoxamine C. Fluoxetine D. Carbemazepine
CORRECT ANSWER : C. Fluoxetine
Question : Which of the following medication has a black box
warning of a life-threatening skin rash? A. Lithium B.Lamotrigine C. Lurasidone D. Lorazepam
CORRECT ANSWER : B. Lamotrigine
Question : Which medication is considered the best tolerated
SSRI? A. Venlafaxine B. Bupropion C. Setraline D.Escitalopram
CORRECT ANSWER : D. Escitalopram
Question : 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? A. Increase Setraline dose B. Switch to an SNRI C.Switch to a different SSRI D. Add Trazodone qHS for sleep.
CORRECT ANSWER : A. Increase Setraline dose
Question : Which medication should be avoided for the 66
year patient diagnosed with major depressive disorder and anxiety with a reported fall 3 months ago? A. Citalopram B.Setraline C. Paroxetine D. Aripiprazole
CORRECT ANSWER : C. Paroxetine
Question : 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". B. "Most side effects subside after 4-5 days. Your body is getting adjusted to the increased serotonin levels". C. "Stop taking it immediately and go to the local emergency department". D. "You must take Sertraline with food, otherwise you will continue to experience GI symptoms".
CORRECT ANSWER : B. "Most side effects subside after
4-5 days. Your body is getting adjusted to the increased serotonin levels".
Question : 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? A. "Let's discontinue escitalopram and start you on something stronger". B. "It can take up to 6 weeks before you notice improvements of depressive symptoms". C. "I am going to prescibe Trazodone. Take it at night to help you sleep". D. "Start taking two pills at a time".
CORRECT ANSWER : B. "It can take up to 6 weeks before
you notice improvements of depressive symptoms".
Question : Duloxetine effects which two neurotransmitters?
- serotonin and norepinephrine B. serotonin and dopamine
- norepinephrine and GABA D. glutamate and acetylcholine
CORRECT ANSWER : A. serotonin and norepinephrine
Question : Awura, a 70 year old patient diagnosed with major
depressive disorder reports a recent 40 pound weight loss
