NRNP 6675 Week 11 Final Exam Latest Questions and Answers (2024 / 2025) (Verified Answers), Exams of Nursing

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NRNP 6675 Week 11 Final Exam

1. A patient with major depressive disorder (MDD) is prescribed fluoxetine. The nurse practitioner knows that the following is a potential side effect of this medication: A. Dry mouth B. Weight loss C. Sedation D. Bradycardia Answer: B. Weight loss
2. When initiating lithium therapy for a patient with bipolar disorder, which laboratory value should be monitored closely? A. Blood glucose levels B. Sodium levels C. Liver enzymes D. Red blood cell count Answer: B. Sodium levels
3. A patient presents with symptoms of generalized anxiety disorder. Which of the following medications is most appropriate for first-line treatment? A. Alprazolam B. Diazepam C. Sertraline D. Propranolol Answer: C. Sertraline
4. In patients with schizophrenia, second-generation antipsychotics are often chosen over first-generation antipsychotics because:

A. They are less expensive. B. They have fewer side effects like weight gain. C. They are more effective for positive symptoms. D. They have a lower risk of extrapyramidal symptoms. Answer: D. They have a lower risk of extrapyramidal symptoms.

5. A patient reports experiencing involuntary muscle movements after starting haloperidol. The nurse practitioner recognizes this as: A. Tardive dyskinesia B. Akathisia C. Dystonia D. Neuroleptic malignant syndrome Answer: A. Tardive dyskinesia
6. Which of the following assessment tools is best for evaluating the severity of post- traumatic stress disorder (PTSD)? A. PHQ- B. GAD- C. CAPS- D. MMSE Answer: C. CAPS-
7. A patient taking clozapine reports symptoms of fever and sore throat. What is the nurse practitioner’s priority action? A. Check for agranulocytosis by ordering a complete blood count (CBC). B. Discontinue the medication immediately. C. Prescribe an antibiotic for the suspected infection. D. Increase the dose of clozapine to alleviate symptoms.

Answer: A. Check for agranulocytosis by ordering a complete blood count (CBC).

8. When treating a patient with insomnia, which of the following medications is least likely to cause dependency? A. Zolpidem B. Lorazepam C. Trazodone D. Clonazepam Answer: C. Trazodone
9. A patient with alcohol use disorder is prescribed disulfiram. The nurse practitioner should educate the patient to avoid consuming which of the following? A. Foods containing tyramine B. Foods high in fat C. Products containing alcohol D. Caffeinated beverages Answer: C. Products containing alcohol
10. The primary mechanism of action for selective serotonin reuptake inhibitors (SSRIs) is: A. Blocking the reuptake of norepinephrine. B. Increasing dopamine receptor sensitivity. C. Inhibiting serotonin reuptake in the synaptic cleft. D. Modulating GABA activity. Answer: C. Inhibiting serotonin reuptake in the synaptic cleft.
11. A patient with generalized anxiety disorder is prescribed buspirone. Which of the following is true about this medication? A. It has immediate effects on anxiety symptoms.

B. It is habit-forming. C. It does not cause sedation. D. It works by increasing dopamine levels. Answer: C. It does not cause sedation.

12. A 45-year-old male with bipolar disorder is prescribed valproic acid. Which laboratory test should be monitored regularly during treatment? A. Complete blood count (CBC) B. Kidney function tests C. Liver function tests D. Thyroid panel Answer: C. Liver function tests
13. A patient presents with symptoms of akathisia after starting risperidone. The nurse practitioner should consider prescribing: A. Diphenhydramine B. Propranolol C. Clozapine D. Buspirone Answer: B. Propranolol
14. Which of the following antidepressants is most likely to cause sedation? A. Sertraline B. Bupropion C. Mirtazapine D. Escitalopram Answer: C. Mirtazapine

15. A patient taking an MAOI presents with a hypertensive crisis. The nurse practitioner should assess the patient for recent consumption of: A. Dairy products B. Alcohol C. Tyramine-rich foods D. High-sodium foods Answer: C. Tyramine-rich foods
16. Which of the following medications is considered first-line therapy for treating ADHD in children? A. Atomoxetine B. Methylphenidate C. Guanfacine D. Clonidine Answer: B. Methylphenidate
17. In evaluating a patient on lithium therapy, a blood lithium level of 2.0 mEq/L indicates: A. A therapeutic level. B. A subtherapeutic level. C. Lithium toxicity. D. An expected level for acute mania. Answer: C. Lithium toxicity.
18. Which of the following is a contraindication for prescribing bupropion? A. History of obesity B. History of seizures C. History of depression D. History of anxiety

Answer: B. History of seizures

19. A nurse practitioner is counseling a patient on discontinuing benzodiazepines. The NP explains that abrupt cessation can result in: A. Sedation B. Hypertension C. Seizures D. Bradycardia Answer: C. Seizures
20. The primary difference between delirium and dementia is: A. Dementia is an acute condition, while delirium develops over time. B. Delirium involves chronic memory impairment, while dementia involves disorganized thinking. C. Delirium is reversible, while dementia is typically irreversible. D. Dementia is associated with hallucinations, while delirium is not. Answer: C. Delirium is reversible, while dementia is typically irreversible.
21. A 30-year-old patient with schizophrenia is prescribed olanzapine. What is the most significant side effect to monitor in this patient? A. Hypoglycemia B. Weight gain and metabolic syndrome C. Extrapyramidal symptoms D. Agranulocytosis Answer: B. Weight gain and metabolic syndrome
22. A nurse practitioner is managing a patient with opioid use disorder. Which medication is the best option for opioid maintenance therapy?

A. Naloxone B. Methadone C. Clonidine D. Naltrexone Answer: B. Methadone

23. The primary indication for prescribing donepezil is: A. Parkinson's disease B. Alzheimer's disease C. Schizophrenia D. Bipolar disorder Answer: B. Alzheimer's disease
24. Which of the following medications is most effective in managing obsessive- compulsive disorder (OCD)? A. Buspirone B. Fluoxetine C. Alprazolam D. Quetiapine Answer: B. Fluoxetine
25. A nurse practitioner is treating a patient with borderline personality disorder. Which therapy is considered the gold standard for this condition? A. Cognitive-behavioral therapy (CBT) B. Dialectical behavior therapy (DBT) C. Electroconvulsive therapy (ECT) D. Psychodynamic therapy Answer: B. Dialectical behavior therapy (DBT)

26. Which of the following is the most common side effect of sertraline? A. Constipation B. Sexual dysfunction C. Increased appetite D. Hypertension Answer: B. Sexual dysfunction
27. A patient taking lamotrigine develops a rash. The nurse practitioner’s priority action is to: A. Discontinue the medication immediately. B. Lower the dose and monitor closely. C. Prescribe an antihistamine for the rash. D. Continue the medication as prescribed. Answer: A. Discontinue the medication immediately.
28. A patient diagnosed with schizophrenia is experiencing auditory hallucinations. Which of the following is the primary medication class used to manage this symptom? A. Mood stabilizers B. Antipsychotics C. Antidepressants D. Anxiolytics Answer: B. Antipsychotics
29. A nurse practitioner is monitoring a patient on carbamazepine for bipolar disorder. Which of the following laboratory tests should be performed regularly? A. Thyroid panel B. Platelet count

C. Renal function tests D. Complete blood count (CBC) Answer: D. Complete blood count (CBC)

30. A patient presents with serotonin syndrome. Which of the following is a key clinical manifestation of this condition? A. Bradycardia B. Hyporeflexia C. Muscle rigidity D. Hyperthermia Answer: D. Hyperthermia
31. Which of the following medications is most appropriate for treating acute mania in bipolar disorder? A. Haloperidol B. Fluoxetine C. Lorazepam D. Lithium Answer: D. Lithium
32. A nurse practitioner is treating a patient with generalized anxiety disorder who has a history of substance abuse. Which medication is the best choice? A. Alprazolam B. Buspirone C. Diazepam D. Zolpidem Answer: B. Buspirone

33. When prescribing antipsychotics, which of the following side effects is associated with long-term use? A. Hypertension B. Tardive dyskinesia C. Weight loss D. Hyperthermia Answer: B. Tardive dyskinesia
34. Which of the following is a contraindication for prescribing stimulants for ADHD? A. History of seizures B. History of heart disease C. History of depression D. History of migraines Answer: B. History of heart disease
35. A nurse practitioner is counseling a patient starting venlafaxine for depression. The patient should be informed about the potential for: A. Orthostatic hypotension B. Hypertension C. Hypoglycemia D. Bradycardia Answer: B. Hypertension
36. In a patient taking clozapine, agranulocytosis is a significant risk. Which of the following symptoms would most likely indicate this complication? A. Weight loss and fatigue B. Fever and sore throat C. Nausea and vomiting D. Muscle cramps

Answer: B. Fever and sore throat

37. A patient with PTSD is prescribed prazosin. The nurse practitioner knows this medication is effective for: A. Reducing hypervigilance B. Improving concentration C. Treating nightmares D. Decreasing flashbacks Answer: C. Treating nightmares
38. A nurse practitioner is assessing a patient on valproic acid for mood stabilization. What is the most concerning side effect to monitor? A. Rash B. Tremors C. Hepatotoxicity D. Sedation Answer: C. Hepatotoxicity
39. Which of the following medications is most appropriate for the treatment of acute alcohol withdrawal? A. Naltrexone B. Disulfiram C. Lorazepam D. Acamprosate Answer: C. Lorazepam
40. A patient taking quetiapine for bipolar disorder complains of excessive drowsiness. The nurse practitioner’s best action is to:

A. Discontinue the medication immediately. B. Reduce the dose and reassess. C. Switch to a different antipsychotic. D. Prescribe a stimulant to counteract sedation. Answer: B. Reduce the dose and reassess.

41. Which of the following medications is most effective for smoking cessation? A. Fluoxetine B. Bupropion C. Clonazepam D. Lorazepam Answer: B. Bupropion
42. A patient with anorexia nervosa is being treated with fluoxetine. The nurse practitioner explains that the medication may help by: A. Improving appetite directly. B. Reducing compulsive behaviors and anxiety. C. Increasing weight gain immediately. D. Treating comorbid psychosis. Answer: B. Reducing compulsive behaviors and anxiety.
43. Which medication is most effective for managing withdrawal symptoms in opioid use disorder? A. Methadone B. Naltrexone C. Buprenorphine D. Naloxone Answer: C. Buprenorphine

44. A 25-year-old patient presents with severe social anxiety disorder. The nurse practitioner knows the first-line treatment is: A. Clonazepam B. Sertraline C. Methylphenidate D. Propranolol Answer: B. Sertraline
45. When educating a patient on the use of naloxone, the nurse practitioner explains that it works by: A. Blocking dopamine reuptake. B. Binding to opioid receptors and reversing opioid effects. C. Stimulating serotonin release. D. Increasing norepinephrine levels. Answer: B. Binding to opioid receptors and reversing opioid effects.
46. A nurse practitioner is prescribing lithium for a patient with bipolar disorder. The patient should be educated to avoid: A. Foods rich in potassium. B. High-sodium diets. C. Dehydration. D. Excessive carbohydrate intake. Answer: C. Dehydration.
47. A patient taking aripiprazole reports feeling restless and unable to sit still. The nurse practitioner recognizes this as: A. Dystonia B. Akathisia

C. Tardive dyskinesia D. Neuroleptic malignant syndrome Answer: B. Akathisia

48. Which of the following symptoms is most characteristic of major depressive disorder? A. Persistent euphoria B. Decreased need for sleep C. Lack of interest in previously enjoyed activities D. Grandiosity Answer: C. Lack of interest in previously enjoyed activities
49. A patient with generalized anxiety disorder is prescribed hydroxyzine. This medication is chosen because: A. It is a first-line treatment for anxiety. B. It has minimal risk of dependence. C. It enhances dopamine levels. D. It reduces long-term anxiety symptoms. Answer: B. It has minimal risk of dependence.
50. In treating ADHD in adults, which medication is considered a non-stimulant option? A. Methylphenidate B. Atomoxetine C. Amphetamine salts D. Dexmethylphenidate Answer: B. Atomoxetine

51. A patient with schizophrenia reports excessive thirst and urination after starting olanzapine. The nurse practitioner’s next step is to: A. Screen for diabetes mellitus. B. Discontinue olanzapine immediately. C. Switch to haloperidol. D. Reassess for dehydration. Answer: A. Screen for diabetes mellitus.
52. The nurse practitioner is evaluating a patient for serotonin syndrome. Which of the following findings would support this diagnosis? A. Bradycardia and confusion B. Hyperreflexia and agitation C. Hypothermia and sedation D. Muscle rigidity and bradykinesia Answer: B. Hyperreflexia and agitation
53. Which of the following medications is considered a mood stabilizer? A. Fluoxetine B. Lithium C. Haloperidol D. Lorazepam Answer: B. Lithium
54. A patient taking venlafaxine reports worsening symptoms of anxiety shortly after starting treatment. The nurse practitioner should: A. Increase the dose of the medication. B. Reassure the patient that initial anxiety is common. C. Discontinue the medication immediately. D. Switch to a benzodiazepine.

Answer: B. Reassure the patient that initial anxiety is common.

55. Which neurotransmitter is primarily targeted by benzodiazepines? A. Dopamine B. GABA C. Serotonin D. Norepinephrine Answer: B. GABA
56. A nurse practitioner is starting a patient on escitalopram. The patient should be educated to monitor for which of the following in the first few weeks of therapy? A. Seizures B. Increased energy and suicidal ideation C. Blurred vision D. Weight loss Answer: B. Increased energy and suicidal ideation
57. Which of the following medications is used to treat bipolar depression but has a black box warning for Stevens-Johnson syndrome? A. Valproic acid B. Lamotrigine C. Carbamazepine D. Lithium Answer: B. Lamotrigine
58. A patient with a history of opioid use disorder is starting naltrexone. What is the most important consideration before initiating this treatment? A. Ensuring the patient has normal liver function tests

B. Ensuring the patient is opioid-free for 7-10 days C. Confirming the patient has stable renal function D. Ensuring the patient is not pregnant Answer: B. Ensuring the patient is opioid-free for 7-10 days

59. Which of the following medications is most likely to cause weight gain as a side effect? A. Bupropion B. Fluoxetine C. Olanzapine D. Lamotrigine Answer: C. Olanzapine
60. A patient reports difficulty staying awake during the day and is diagnosed with narcolepsy. The nurse practitioner prescribes: A. Modafinil B. Diazepam C. Risperidone D. Sertraline Answer: A. Modafinil61. Which of the following is the most appropriate intervention for a patient experiencing neuroleptic malignant syndrome (NMS)? A. Increase the dose of the antipsychotic medication. B. Administer dantrolene or bromocriptine. C. Encourage the patient to drink more fluids. D. Prescribe benzodiazepines for sedation. Answer: B. Administer dantrolene or bromocriptine.

62. A nurse practitioner is prescribing fluoxetine for a patient with depression. How long does it typically take for the full therapeutic effect of SSRIs to occur? A. 3-5 days B. 1-2 weeks C. 4-6 weeks D. 8-10 weeks Answer: C. 4-6 weeks
63. A patient is prescribed disulfiram for alcohol use disorder. The nurse practitioner advises the patient to avoid: A. Foods high in tyramine. B. Caffeine-containing products. C. Alcohol-containing products, including mouthwash. D. Foods high in sodium. Answer: C. Alcohol-containing products, including mouthwash.
64. When treating a patient with obsessive-compulsive disorder (OCD), which of the following medications is considered first-line? A. Clonazepam B. Sertraline C. Lithium D. Methylphenidate Answer: B. Sertraline
65. A 7-year-old child with ADHD is starting treatment with methylphenidate. Which side effect should parents be instructed to monitor? A. Weight gain B. Drowsiness C. Loss of appetite

D. Increased salivation Answer: C. Loss of appetite

66. Which of the following is the best treatment for acute dystonia caused by antipsychotics? A. Lorazepam B. Diphenhydramine C. Haloperidol D. Olanzapine Answer: B. Diphenhydramine
67. A patient with bipolar disorder is started on valproic acid. Which of the following symptoms should prompt immediate discontinuation of the medication? A. Nausea and vomiting B. Elevated liver enzymes C. Mild tremor D. Sedation Answer: B. Elevated liver enzymes
68. Which of the following medications is most appropriate for the treatment of PTSD-related nightmares? A. Zolpidem B. Propranolol C. Prazosin D. Clonazepam Answer: C. Prazosin

69. A patient is prescribed clozapine for treatment-resistant schizophrenia. Which lab value must be monitored regularly? A. White blood cell (WBC) count B. Hemoglobin A1c C. Potassium D. Creatinine Answer: A. White blood cell (WBC) count
70. A patient with social anxiety disorder is prescribed propranolol. The nurse practitioner explains that this medication is primarily used to: A. Reduce heart rate and physical symptoms of anxiety. B. Treat cognitive symptoms of anxiety. C. Improve mood stability. D. Prevent panic attacks. Answer: A. Reduce heart rate and physical symptoms of anxiety.
71. A nurse practitioner prescribes buspirone for generalized anxiety disorder. The patient should be informed that: A. It is effective for acute anxiety relief. B. It may take 2-4 weeks to achieve its full effect. C. It carries a high risk of dependence. D. It interacts with foods high in tyramine. Answer: B. It may take 2-4 weeks to achieve its full effect.
72. Which of the following medications is used for acute agitation in schizophrenia? A. Lorazepam IM B. Risperidone PO C. Haloperidol IM D. Lithium PO

Answer: C. Haloperidol IM

73. A nurse practitioner is counseling a patient who is starting naltrexone for alcohol use disorder. The patient should be informed that this medication works by: A. Blocking the euphoric effects of alcohol. B. Reducing alcohol cravings. C. Inducing an aversive reaction when alcohol is consumed. D. Enhancing dopamine levels in the brain. Answer: B. Reducing alcohol cravings.
74. Which of the following side effects is most commonly associated with second- generation antipsychotics? A. Extrapyramidal symptoms B. Weight gain and metabolic syndrome C. Agranulocytosis D. Seizures Answer: B. Weight gain and metabolic syndrome
75. A patient is taking lithium for bipolar disorder. Which symptom is a sign of lithium toxicity? A. Diarrhea and tremor B. Increased appetite and sweating C. Constipation and fatigue D. Insomnia and hyperactivity Answer: A. Diarrhea and tremor
76. A patient with insomnia has been prescribed zolpidem. What is the most important patient education point?

A. Take the medication in the morning. B. Avoid driving the next morning if feeling drowsy. C. Consume with a high-fat meal to improve absorption. D. Use the medication daily for long-term management. Answer: B. Avoid driving the next morning if feeling drowsy.

77. A patient is started on bupropion for depression. The nurse practitioner knows this medication is contraindicated in patients with: A. Generalized anxiety disorder B. A history of seizures C. Hypertension D. Diabetes mellitus Answer: B. A history of seizures
78. A patient on antipsychotic therapy develops a fever, altered mental status, and muscle rigidity. The nurse practitioner suspects: A. Tardive dyskinesia B. Serotonin syndrome C. Neuroleptic malignant syndrome D. Acute dystonia Answer: C. Neuroleptic malignant syndrome
79. Which of the following medications is first-line for opioid use disorder maintenance treatment? A. Naltrexone B. Buprenorphine-naloxone C. Methadone D. Naloxone

Answer: B. Buprenorphine-naloxone

80. A nurse practitioner is evaluating a patient for major depressive disorder. Which of the following is a diagnostic criterion? A. Euphoria lasting more than two weeks B. Significant weight loss or gain C. Persistent impulsivity D. Excessive daytime sleepiness Answer: B. Significant weight loss or gain
81. A nurse practitioner is treating a patient with schizophrenia who has a history of nonadherence to oral medications. The best treatment option would be: A. Olanzapine orally disintegrating tablets. B. Clozapine tablets. C. Haloperidol long-acting injectable. D. Risperidone syrup. Answer: C. Haloperidol long-acting injectable.
82. A patient reports frequent panic attacks. The nurse practitioner decides to prescribe alprazolam for short-term use. What is the primary concern with this medication? A. It can cause weight gain. B. It has a high risk of dependency. C. It has delayed onset of action. D. It worsens panic attacks. Answer: B. It has a high risk of dependency.
83. Which of the following is a priority teaching point for a patient starting on valproic acid for bipolar disorder?

A. Take the medication on an empty stomach. B. Avoid alcohol completely. C. Monitor for symptoms of hyperglycemia. D. Report any signs of liver dysfunction immediately. Answer: D. Report any signs of liver dysfunction immediately.

84. A patient with PTSD is experiencing flashbacks and intrusive thoughts. Which medication class is considered first-line for this symptom? A. Antipsychotics B. Benzodiazepines C. SSRIs D. Beta-blockers Answer: C. SSRIs
85. The nurse practitioner is monitoring a patient on carbamazepine for mood stabilization. Regular monitoring of which lab test is required? A. Serum potassium B. White blood cell count C. Liver function tests D. Thyroid function tests Answer: B. White blood cell count
86. Which of the following medications is commonly used for smoking cessation? A. Paroxetine B. Bupropion C. Haloperidol D. Lorazepam Answer: B. Bupropion

87. A nurse practitioner is prescribing propranolol for performance anxiety. The correct dosing regimen is: A. Daily dosing for generalized use. B. A single dose 1-2 hours before a performance. C. Every 6 hours to maintain blood levels. D. Nightly to improve sleep and anxiety. Answer: B. A single dose 1-2 hours before a performance.
88. A patient taking sertraline reports increased restlessness, sweating, and tremors after adding St. John’s Wort. The nurse practitioner suspects: A. Withdrawal syndrome. B. Neuroleptic malignant syndrome. C. Serotonin syndrome. D. Stevens-Johnson syndrome. Answer: C. Serotonin syndrome.
89. Which of the following is the mechanism of action for buspirone? A. Enhancing GABA activity. B. Partial agonism of serotonin 5-HT1A receptors. C. Dopamine reuptake inhibition. D. Blocking norepinephrine release. Answer: B. Partial agonism of serotonin 5-HT1A receptors.
90. A patient with bipolar I disorder is experiencing acute mania. The nurse practitioner prescribes: A. Sertraline B. Lamotrigine C. Lithium