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
/
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
/
