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-9
B. GAD-7
C. CAPS-5
D. MMSE
Answer: C. CAPS-5
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
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-9
B. GAD-7
C. CAPS-5
D. MMSE
Answer: C. CAPS-5
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
