NURS 6630 MIDTERM EXAM 5 – QUESTION AND ANSWERS

NURS 6630 MIDTERM EXAM 5 – QUESTION AND
ANSWERS

 Question 1
1 out of 1 points
During assessment a patient states “Why are you asking me about my heart, I am here for
my head”, the PMHNP’s best response is:

Selected D.
Answer: “Anxiety can cause cortisol levels to increase and when this happens
frequently it puts you at risk for comorbidities such as type 2 diabetes.”
 Question 2
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?

Selected A.
Answers: Transcription factor must bind to the regulatory region within the
cell’s nucleus.
 Question 3
1 out of 1 points
The PMNHP is assessing a 29-year-old client who takes antipsychotics that block D2
receptors. This client has begun to develop a common side effect of this medication.
What is this side effect?
Selected D.
Answer: Tardive dyskinesia

 Question 4
1 out of 1 points
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for
which possible effect?
Selected D.
Answer: All of the
above
 Question 5
1 out of 1 points
A patient is prescribed 50 mg of desvenlafaxine to take every other day for major
depressive disorder. What does the PMHNP understand about this patient?

Selected C.
Answer: The patient has severe renal
impairment.
 Question 6
1 out of 1 points
A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can

, initially cause anxiety or insomnia, what should the PMHNP do?

Selected B.
Answer: Prescribe short-acting benzodiazepine for 2 weeks, then
discontinue.
 Question 7
1 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse by the
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
Selected C.
Answer: Neurotransmitters can spread by
diffusion.
 Question 8
1 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential to
mediate the cognitive symptoms of the disease?

Selected A.
Answer: Achieving underactivity of the mesocorticol projections to the
prefrontal cortex
 Question 9
1 out of 1 points
The PMHNP spends a session with a client and notices behaviors correlating with a
potential manic episode. All of the following are possible manic symptoms the PMHNP
could observe except:
Selected D.
Answer: A low self esteem
 Question 10
1 out of 1 points
A patient who is prescribed MAO inhibitors asks about whether he can continue taking
pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper
understanding of drug-drug interactions?

Selected D.
Answer: “Decongestants should be avoided due to risk of
hypertensive crisis.”
 Question 11
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the
following statements is true regarding the action of this medication?
Selected B.
Answer: Fluoxetine inhibits the serotonin transporter (SERT).

 Question 12
1 out of 1 points
A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam (klonopin)