Question 1
1 out of 1 points
Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP
prescribe for Mrs. Rosen to improve
... [Show More] this condition?
Selected
Answer:
D.
All of the
above
Question 2
0 out of 1 points
An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and
myocardial infarction had a fall at home 3 months ago that resulted in her receiving an
open reduction internal fixation. While assessing this patient, the PMHNP is made aware
that the patient continues to experience mild to moderate pain. What is the PMHNP most
likely to do?
Selected
Answer:
A.
Order an X-ray because it is possible that she
dislocated her hip.
Question 3
1 out of 1 points
The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could
the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive
state to a sleep state?
Selected
Answer:
B.
Benzodiazepi
NURS 6630 FINAL EXAM, WALDEN
nes
Question 4
1 out of 1 points
A patient addicted to heroin is receiving treatment for detoxification. He begins to
experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP
prescribe for this patient?
Selected
Answer:
D.
Clonidine
(Catapres)
Question 5
1 out of 1 points
The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the
PMHNP anticipate the drug to work?
Selected
Answer:
A.
It will bind to the alpha-2-delta ligand subunit of voltage-sensitive
calcium channels.
Question 6
1 out of 1 points
A patient with hypersexual disorder is being assessed for possible pharmacologic
treatment. Why does the PMHNP prescribe an antiandrogen for this patient?
Selected
Answer:
C.
It will block
testosterone.
Question 7
1 out of 1 points
Which statement best describes a pharmacological approach to treating patients for
impulsive aggression?
Selected
Answer:
D.
Opioid antagonists can be used to
reduce drive.
Question 8
1 out of 1 points
A 26-year-old female patient with nicotine dependence and a history of anxiety presents
with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the
assessment, what does the PMHNP consider?
Selected
Answer:
A.
ADHD is often not the focus of treatment in adults with
comorbid conditions.
Question 9
1 out of 1 points
A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants
to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the
pain to be ignored and no longer perceived as painful. Which drug will the PMHNP
prescribe?
Selected
Answer:
C.
Duloxetine
(Cymbalta)
Question 10
1 out of 1 points
Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder
(ADHD) medication for their son. Which medication would the PMHNP start?
Selected
Answer:
All of the above could potentially treat their
son’s symptoms.
Question 11
1 out of 1 points
Which of the following is a true statement regarding the use of stimulants to treat
attention deficit hyperactivity disorder (ADHD)?
Selected
Answer:
B.
Signal strength output is increased by dialing up the release of
dopamine (DA) and norepinephrine (NE).
Question 12
1 out of 1 points
Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of
33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m
addicted to food the way some people are addicted to drugs,” he says. Which statement
best describes the neurobiological parallels between food and drug addiction?
Selected
Answer:
A.
There is decreased activation of the
prefrontal cortex.
Question 13
1 out of 1 points
A 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNP
determines that improving memory is a key consideration in selecting a medication.
Which of the following would be an appropriate choice?
Selected
Answer:
D.
All of the
above
Question 14
1 out of 1 points
A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What
should the PMHNP include when discussing the side effects with the patient?
Selected
Answer:
C.
The medication can affect your blood
pressure.
Question 15
1 out of 1 points
The parents of a 7-year-old patient with ADHD are concerned about the effects of
stimulants on their child. The parents prefer to start pharmacological treatment with a
non-stimulant. Which medication will the PMHNP will most likely prescribe?
Selected
Answer:
A.
Stratt
era
Question 16
1 out of 1 points
The PMHNP is assessing a patient who has expressed suicidal intent and is now stating
that he is hearing voices and sees people chasing him. The PMHNP identifies these
symptoms to be associated with which of the following?
Selected
Answer:
C.
“Bath salt”
intoxication
Question 17
1 out of 1 points
An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of
irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment
given the patient’s gastrointestinal problems?
Selected
Answer:
A.
Donepezil
(Aricept)
Question 18
1 out of 1 points
A 63-year-old patient presents with the following symptoms. The PMHNP determines
which set of symptoms warrant prescribing a medication? Select the answer that is
matched with an appropriate treatment.
Selected
Answer:
B.
Impairment in the ability to learn and retain new information is most
problematic, and an appropriate treatment option would be donepezil.
Question 19
1 out of 1 points
The PMHNP is caring for a patient with chronic insomnia who is worried about
pharmacological treatment because the patient does not want to experience
dependence. Which pharmacological treatment approach will the PMHNP likely select for
this patient for a limited duration, while searching and correcting the underlying
pathology associated with the insomnia?
Selected
Answer:
D.
Non-benzodiazepine
hypnotics
Question 20
1 out of 1 points
The PMHNP is performing a quality assurance peer review of the chart of another PMHNP.
Upon review, the PMHNP reviews the chart of an older adult patient in long-term care
facility who has chronic insomnia. The chart indicates that the patient has been receiving
hypnotics on a nightly basis. What does the PMHNP find problematic about this
documentation?
Selected
Answer:
B.
Hypnotics have prolonged half-lives that can cause drug
accumulation in the elderly.
Question 21
1 out of 1 points
The PMHNP is evaluating a 30-year-old female patient who states that she notices pain
and a drastic change in mood before the start of her menstrual cycle. The patient states
that she has tried diet and lifestyle changes but nothing has worked. What will the
PMHNP most likely do?
Selected
Answer:
C.
Prescribe desvenlafaxine (Pristiq), 50
mg daily
Question 22
1 out of 1 points
The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does
the PMHNP select that may be effective for managing this patient’s pain?
Selected
Answer:
C.
Imipramine
(Tofranil)
Question 23
1 out of 1 points
The PMHNP is assessing a patient she has been treating with the diagnosis of chronic
pain. During the assessment, the patient states that he has recently been having trouble
getting to sleep and staying asleep. Based on this information, what action is the PMHNP
most likely to take?
Selected
Answer:
A.
Order hydroxyzine (Vistaril), 50 mg PRN or
as needed
Question 24
1 out of 1 points
The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an
initial prescription that has a half-life of approximately 1–2 hours. What is the most
appropriate prescription for the PMHNP to make?
Selected
Answer:
A.
Triazolam
(Halcion)
Question 25
1 out of 1 points
A patient with gambling disorder and no other psychiatric comorbidities is being treated
with pharmacological agents. Which drug is the PMHNP most likely to prescribe?
Selected
Answer:
D.
Naltrexo
ne
Question 26
1 out of 1 points
The PMHNP has been asked to provide an in-service training to include attention to the
use of antipsychotics to treat Alzheimer’s. What does the PMHNP convey to staff?
Selected
Answer:
D.
Both “A” & “C.”
Question 27
1 out of 1 points
A 14-year-old patient is prescribed Strattera and asks when the medicine should be
taken. What does the PMHNP understand regarding the drug’s dosing profile?
Selected
Answer:
B.
The patient will have one or two
doses a day.
Question 28
1 out of 1 points
Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the
following conditions?
Selected
Answer:
A.
Alcoholis
m
Question 29
1 out of 1 points
Kevin is an adolescent who has been diagnosed with kleptomania. His parents are
interested in seeking pharmacological treatment. What does the PMHNP tell the parents
regarding his treatment options?
Selected
Answer:
A.
“Naltrexone may be an appropriate option
to discuss.”
Question 30
1 out of 1 points
The PMHNP is caring for a patient with chronic insomnia who would benefit from taking
hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-short half-life
(1–3 hours). Which drug will the PMHNP prescribe?
Selected
Answer:
C.
Triazolam
(Halcion)
Question 31
1 out of 1 points
A patient recovering from shingles presents with tenderness and sensitivity to the upper
back. He states it is bothersome to put a shirt on most days. This patient has end stage
renal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that he
does not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What
will be the PMHNP’s priority?
Selected
Answer:
C.
Prescribe
lidocaine 5%
Question 32
1 out of 1 points
The PMHNP wants to use a symptom-based approach to treating a patient with
fibromyalgia. How does the PMHNP go about treating this patient?
Selected
Answer:
C.
Matching the patient’s symptoms with the malfunctioning brain circuits
and neurotransmitters that might mediate those symptoms
Question 33
1 out of 1 points
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily.
Prior to prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to:
Selected
Answer:
A.
Evaluate the patient’s willingness to abstain
from alcohol
Question 34
1 out of 1 points
A 9-year-old female patient presents with symptoms of both attention deficit
hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her
symptoms, the PMHNP determines that which of the following medications may be
beneficial in augmenting stimulant medication?
Selected
Answer:
C.
Guanfacine ER
(Intuniv)
Question 35
1 out of 1 points
An adult patient presents with a history of alcohol addiction and attention deficit
hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which
of the following medications may be the best treatment option?
Selected
Answer:
C.
Atomoxetine
(Strattera)
Question 36
1 out of 1 points
The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER
(Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine
(Adipex-P)?
Selected
Answer:
B.
Phentermine (Adipex-P) works by suppressing app [Show Less]