NR 547 ACTUAL 2025 EXAM CURRENTLY TESTING EXAM QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Pharmacology

Download NR 547 ACTUAL 2025 EXAM CURRENTLY TESTING EXAM QUESTIONS WITH COMPLETE SOLUTIONS and more Exams Pharmacology in PDF only on Docsity!

NR 547 ACTUAL 2025 EXAM CURRENTLY TESTING EXAM QUESTIONS

WITH COMPLETE SOLUTIONS

1. A client wishing to use medication assisted treatment for opioid use disorder expresses concerns that her roommates may try to steal her medication to get high. Which medication is the most appropriate options for the client? A. Buprenorphine/naloxone B. Methadone C. Naloxone D. Buprenorphine
2. Which of the following is the best predictor for antisocial personality disorder? A. A diagnosis of ADHD at age 14 B. A diagnosis of conduct disorder at age 13 C. A diagnosis of attachment disorder at age 6 D. A diagnosis of anxiety at age 11
3. Which of the following is a tool that may be used to screen for any type of substance use disorder? A. CAGE B. DAST- 10 C. SBIRT D. CIWA-Ar
4. Which of the following would be included in the treatment plan for a client with antisocial personality disorder? A. Group therapy B. Involuntary commitment C. Reward-based therapy D. Methylphenidate
5. Which description best describes cluster A personality disorders? A. Characterized by odd, eccentric thinking or behavior B. Characterized by dramatic, overly emotional, or unpredictable thinking or behavior C. Characterized by oppositional or sadistic behavior D. Characterized by anxious, fearful thinking or behavior
6. Which^ characteristic^ is^ most^ indicative^ of^ narcissistic^ personality disorder? A. Substance use behavior B. Inability to monitor reality C. Ongoing need for admiration D. Unusual ideas of reference
7. A 25-year-old client presents with irritability, insomnia, and excessive energy. She states she has felt this way for about a week. Last month,

she reports that she felt “really down” and slept most of the time. She endorses a pattern of “ups and downs” in her mood at least half the time over the past few years. Which diagnosis is the most consistent with the client’s symptoms? A. Cyclothymia B. Bipolar II disorder C. Dysthymia D. Premenstrual dysphoric disorder

8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major depressive disorder. A. Amitriptyline 50 mg daily B. Sertraline 75 mg daily C. Citalopram 40 mg daily D. Escitalopram 10 mg daily
9. An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner? A. Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour B. Prescribe oral Lorazepam every 4 hours and reassess CIWA-Ar every hour C. Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time D. Prescribe STAT dose of oral diazepam and reassess CIWA-Ar every 4 hours
10. Inattention and a variable level of consciousness are the hallmark symptoms of which condition? A. Neurocognitive disorder due to prion disease B. Neurocognitive disorder with Lewy bodies C. Neurocognitive disorder due to Alzheimer’s disease D. Delirium
11. Which client is the best candidate for electroconvulsive therapy for major depressive disorder? A. A 25-year-old who continues to experience symptoms of depressive disorder 4 months after starting bupropion 100 mg daily B. A 45-year-old who continues to experience symptoms of major depressive disorder 6 months after switching to isocarboxazid C. A 29-year-old who continues to experience symptoms of major depressive disorder two months after adding amitriptyline to their daily regimen of paroxetine D. A 32-year-old who continues to experience symptoms of major depressive disorder six months after starting sertraline 50 mg daily

17. A client is interested in therapies to augment his medication treatment for mild major depressive disorder. What are appropriate recommendations? A. Mindfulness training and cannabidiol (CBD) supplements B. Electroconvulsive therapy and alcohol reduction C. Cognitive behavioral therapy and exercise three times a week D. Exercise daily and decreased consumption of red meat
18. A client presents with ataxia, short-term memory loss, and nystagmus. The client has a history of prolonged, heavy alcohol use. What is the most likely diagnosis? A. Unspecified alcohol-related disorder B. Wernicke encephalopathy C. Delirium tremens D. Alcohol-induced persisting dementia
19. diagnosed with major neurocognitive disorder due to Alzheimer’s disease. What pharmacologic therapy would be anticipated? A. Carbidopa-levodopa B. Amitriptyline C. Memantine D. Quetiapine
20. presents for treatment following a breakup with her girlfriend. She is dressed in a short skirt and low-cut blouse. She is very friendly dramatically providing intimate details about several past relationships. The client’s presentation is consistent with which personality disorder? A. Dependent personality disorder B. Narcissistic personality disorder C. Borderline personality disorder D. Histrionic personality disorder
21. Which statement indicates that a client understands education regarding treatment lithium? A. ‘I will discontinue my medication if I experience increased thirst or headache.” B. “I should take all my medications as prescribed and get lab work drawn as ordered.” C. “I will complete my MRI before my next follow-up appointment.” D. “I will make an appointment with an endocrinologist to evaluate my blood sugar.”
22. A 50-year-old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports that for the past several weeks she has a poor appetite and sleeps over 14 hours per

day. She notes that last month, she felt “much better” had lots of energy and didn’t need much sleep. She went on several shopping sprees that caused her checking account to be overdrawn. Which diagnosis is most consistent with the client’s symptoms? A. Histrionic personality disorder B. Bipolar II disorder C. Borderline personality disorder D. Bipolar I disorder

23. A client with substance use disorder is experiencing cravings an withdrawal symptoms. The client is currently receiving inpatient therapy. Which is the most appropriate diagnosis? A. Substance use disorder in early remission B. Substance use disorder with perceptual disturbance C. Substance use disorder on maintenance therapy D. Substance use disorder in a controlled environment
24. Which of the following best describes substance use disorder? A. Prolonged use and abuse of a substance B. The presence of two or more disorders at the same time C. The syndrome that results from the abrupt cessation of use of a substance D. The syndrome characterized by specific signs and symptoms of exposure to a substance
25. An inpatient client has a CIWA-Ar score of 7. What is the most appropriate action by the nurse practitioner? A. Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour B. Prescribe oral Lorazepam every 4 hours and reassess CIWA-Ar every hour C. Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time D. Prescribe STAT dose of oral diazepam and reassess CIWA-Ar every 4 hours
26. Which client is most likely to experience delirium? A. A client living at home with HIV B. A client whose spouse recently died of COVID- 19 C. A client in short-term rehab after a knee replacement D. A client admitted to the intensive care unit after his hip surgery
27. Which sign is commonly seen in clients experiencing mild alcohol withdrawal? A. Tremors B. Hypertension C. Delirium tremens

33. A client presents to the emergency department with anxiety, panic, and unpleasant hallucinations after consuming LSD. What is the most appropriate responsibility by the nurse practitioner? A. Administration of IV fluids B. Admission^ to^ the^ inpatient^ psychiatric^ unit C. Observation in the ED in a quiet, private room D. Administration of haloperidol
34. A client diagnosed with a personality disorder insists that an uncle has been reincarnated as a puppy. He believes he can communicate with the puppy through mental telepathy. He is always very cautious around mirrors because he fears that he will have bad luck if he breaks one. He has few friends because he is worried, they will try to take his puppy. The client most likely has which type of personality disorder? A. Schizoid personality disorder B. Histrionic personality disorder C. Borderline personality disorder D. Schizotypal personality disorder
35. A 77-year-old client’s adult child reports that the client has gotten lost while driving in a familiar neighborhood. The client also has several past-due notices for bills that have previously been paid on time and got “irrationally angry” when confronted about the bills. What is the most appropriate diagnosis for this client? A. Major neurocognitive disorder-severe without behavioral disturbance B. Major neurocognitive disorder with behavioral disturbance C. Major neurocognitive disorder-mild with behavioral disturbance D. Mild neurocognitive disorder with behavioral disturbance
36. Which symptoms are more likely to be present in a client with bipolar I disorder than in bipolar II disorder? A. Psychomotor agitation B. Easy distractibility C. Rating thoughts D. Delusions
37. Which statement is true regarding the treatment of personality disorders? A. Clients typically seek help early in the disease process B. Group therapy is appropriate for clients with personality disorders C. The disorders are difficult to treat and last for decades D. Medications can help change personality traits when used with psychotherapy

38. Which statement is the most accurate about the rapid cycling of type I bipolar disorder? A. Rapid cycling criteria includes having at least six manic episodes in a year B. The^ etiology^ of^ rapid^ cycling^ is^ strongly^ genetic C. External factors such as drug treatment do not cause rapid cycling D. Women have a higher rate of rapid cycling bipolar I disorder
39. Which client with delirium would most likely require pharmacotherapeutic treatment? A. A client with disturbed sleep whose night-day sleep cycle is reversed B. A client with recent onset of memory impairment C. A client who has become quiet and withdrawn D. A client who rapidly shifts from laughing to crying to anger
40. A client presents to the emergency department following a nonfatal suicide attempt. She states that her boyfriend just broke up with her due to constant moodiness, and she can’t be alone. Her forearms and thighs show thin cuts and scars at various stages of healing. What is the client’s most likely diagnosis? A. Antisocial personality disorder B. Dependent personality disorder C. Borderline personality disorder D. Narcissistic personality disorder
41. Which personality disorder is characterized by attention-seeking behavior, dramatic speech, and extreme emotionally? A. Histrionic personality disorder B. Borderline personality disorder C. Antisocial personality disorder D. Schizoid personality disorder
42. A 50-year-old client presents with depressed mood, insomnia, and anhedonia. Her partner of 24 years recently filed for divorce. What is the most appropriate diagnosis for this client? A. Adjustment disorder with depressed mood B. Major depressive disorder with melancholic features C. Major depressive disorder D. Major depressive disorder with intermittent major depressive episodes with current episode
43. The use of which substance may mimic symptoms of depressive disorder? A. Methylphenidate