Question 1
0 out of 0 points
When completing this exam, did you comply with Walden
University’s Code of
Conduct including the expectations for
... [Show More] academic integrity?
Selected
Answer:
Yes
Question 2
1 out of 1 points
NURS 6630N-9 WEEK 11 FINAL EXAM
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:
d.
All of these could potentially treat their son’s
symptoms.
Question 3
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:
d.
It will block testosterone.
Question 4
1 out of 1 points
Sandra complains of constipation after being on
quetiapine (SEROQUEL) for several weeks. Constipation
is likely caused by the binding of quetiapine (SEROQUEL)
to which receptor?
Selected
Answer:
a.
M1
Question 5
1 out of 1 points
The PMHNP understands that varenicline (CHANTIX) is
an effective way to assist patients with smoking cessation.
Why is this medication effective for these patients?
Selected
Answer:
a.
Varenicline is a selective nicotinic acetylcholine
receptor partial agonist
Question 6
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:
b.
Donepezil (Aricept)
Question 7
1 out of 1 points
Molly is a 52-year-old female that has a diagnosis of
fibromyalgia. She complains of fatigue and cognitive
difficulties. Which medication is the PMHNP most likely to
prescribe?
Selected Answer:
b.
Milnacipran (SAVELLA)
Question 8
1 out of 1 points
A 71-year-old male patient comes to an appointment with
his 65-year-old wife. They are both having concerns
related to her memory and ability to recognize faces. The
PMNHP is considering prescribing memantine (Namenda)
based on the following symptoms:
Selected Answer:
a.
Amnesia, apraxia, agnosia
Question 9
1 out of 1 points
A PMHNP supervisor is discussing with a nursing student
how stimulants and noradrenergic agents assist with
ADHD symptoms. What is the appropriate response?
Selected Answer:
c.
All of these are correct
Question 10
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:
c.
Triazolam (Halcion)
Question 11
1 out of 1 points
The novel neurotransmitter adenosine is responsible for
the sleep-wake cycle by increasing throughout the day
and diminishing during night. Which of the follow is an
antagonist of adenosine?
d.
Answer:
Caffeine
Question 12
1 out of 1 points
An 18-year-old female with a history of frequent
headaches and a mood disorder is prescribed topiramate
(Topamax), 25 mg by mouth daily. The PMHNP
understands that this medication is effective in treating
which condition(s) in this patient?
Selected
Answer:
d.
Migraines
Question 13
1 out of 1 points
The PMHNP is selecting a medication treatment option for
a patient who is exhibiting psychotic behaviors with poor
impulse control and aggression. Of the available
treatments, which can help temper some of the adverse
effects or symptoms that are normally caused by D2
antagonism?
Selected Answer:
b. Second-generation, atypical antipsychotics
Question 14
1 out of 1 points
An adult patient presents with a history of substance-use
disorder and attention deficit hyperactivity disorder
(ADHD). Which of the following treatment options is best
for this patient?
Selected Answer:
a. Atomoxetine
Question 15
1 out of 1 points
A patient is being prescribed bupropion and is concerned
about the side effects. What will the PMHNP tell the
patient regarding bupropion?
Selected Answer:
d. It can cause cardiac arrhythmias.
Question 16
1 out of 1 points
Which statement best describes a pharmacological
approach to treating patients for impulsive aggression?
Selected
Answer:
a. Opioid antagonists can be used to reduce drive.
Question 17
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:
d.
Imipramine
(Tofranil)
Question 18
1 out of 1 points
The PMHNP is assessing a patient who presents with
elevated
levels of brain amyloid as noted by positron emission
tomography (PET). What other factors will the PMHNP
consider before prescribing medication for this patient, and
what medication would the PMHNP want to avoid given
these
other factors?
Selected
Answer:
d.
ApoE4 genotype and avoid antihistamines if
possible and Type 2 diabetes and avoid olanzapine
Question 19
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 nonstimulant. Which medication will the PMHNP will most
likely
prescribe?
Selected
Answer:
d.
Stratt
era
Question 20
1 out of 1 points
Insomnia is caused by excessive nighttime arousal. The
PMHNP is likely to prescribe which of the following to treat
insomnia?
Selected
Answer:
b.
A positive allosteric modulator of GABA-A
receptors
Question 21
1 out of 1 points
Why does the PMHNP avoid prescribing clozapine
(Clozaril) as
a first-line treatment to the patient with psychosis and
aggression?
Selected
Answer:
b.
There is too high a risk of serious adverse
side effects.
Question 22
1 out of 1 points
Heather is admitted for opioid withdrawals and
detoxification.
The PMHNP decides to prescribe an alpha-2 adrenergic
agonist to reduce the symptoms of autonomic
hyperactivity
during withdrawal and aid in the detoxification process.
Which medication did the PMHNP prescribe?
Selected
Answer:
a.
Clonidi
ne
Question 23
1 out of 1 points
A patient’s daughter calls your office with concerns that
her
mother is having significant gastrointestinal side effects.
You
review the patient’s chart and realize she is having side
effects from donepezil (ARICEPT). What is the mechanism
of
the gastrointestinal disturbances?
Selected
Answer:
d.
Donepezil blocks acetylcholinesterase in the
peripheral acetylcholine [Show Less]