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NRNP 6540 FINAL EXAM 2024/2025 ACCURATE SPRING-SUMMER QUARTER COMPLETE EXAM CITED AND REFERENCED EXAM (GUARANTEED PASS) (2024/2025 with rationales guaranteed a+
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NRNP 6540
NRNP 6540 FINAL EXAM 2024 ACCURATE
SPRING-SUMMER QUARTER COMPLETE
EXAM CITED AND REFERENCED EXAM
(GUARANTEED PASS) (2024/2025 with
rationales guaranteed a+
1. A 65-year-old male patient presents to the clinic with complaints of low mood,
fatigue, and lack of interest in activities. He re...
NRNP 6540 FINAL
EXAM 2024
ACCURATE SPRING-
SUMMER QUARTER
COMPLETE EXAM
CITED AND
REFERENCED EXAM
(GUARANTEED PASS)
(2024/2025 with
rationales
guaranteed a+
,1|Page
NRNP 6540 FINAL EXAM 2024 ACCURATE
SPRING-SUMMER QUARTER COMPLETE
EXAM CITED AND REFERENCED EXAM
(GUARANTEED PASS) (2024/2025 with
rationales guaranteed a+
1. A 65-year-old male patient presents to the clinic with complaints of low mood,
fatigue, and lack of interest in activities. He reports having difficulty sleeping,
decreased appetite, and weight loss. Which of the following is the most likely
diagnosis?
a) Generalized anxiety disorder
b) Major depressive disorder
c) Bipolar disorder
d) Schizophrenia
Rationale:
The patient is presenting with typical symptoms of major depressive disorder (MDD), including
low mood, fatigue, sleep disturbances, decreased appetite, and weight loss. These symptoms are
commonly seen in MDD, particularly when there is a chronic, ongoing course. Generalized
anxiety disorder is characterized by excessive worry, not mood disturbance alone. Bipolar
disorder typically includes manic or hypomanic episodes, and schizophrenia involves psychosis
and disorganized thinking.
2. Which of the following is the primary action of selective serotonin reuptake
inhibitors (SSRIs) in the treatment of depression?
a) Increase the release of serotonin
b) Block the reuptake of serotonin into the presynaptic neuron
c) Decrease dopamine levels
d) Increase norepinephrine production
,2|Page
Rationale:
SSRIs primarily work by inhibiting the reuptake of serotonin into the presynaptic neuron,
increasing the availability of serotonin in the synaptic cleft. This action enhances serotonergic
neurotransmission, which is thought to be beneficial in the treatment of depression and anxiety.
3. A patient with schizophrenia presents with auditory hallucinations, claiming
they hear voices telling them to hurt themselves. The nurse recognizes this as an
example of:
a) Delusion
b) Hallucination
c) Disorganized thinking
d) Paranoia
Rationale:
Auditory hallucinations are false perceptions of sound, such as hearing voices that aren’t actually
there. Delusions are false beliefs, often paranoid in nature, but do not involve sensory
perceptions. Disorganized thinking refers to speech or thought patterns that are incoherent or
fragmented. Paranoia refers to irrational distrust or suspicion of others.
4. Which of the following is a common side effect of the antipsychotic medication
clozapine?
a) Weight loss
b) Tardive dyskinesia
c) Agranulocytosis
d) Insomnia
Rationale:
Clozapine, an atypical antipsychotic, is associated with agranulocytosis, a potentially life-
threatening reduction in white blood cell count, which requires regular monitoring of blood
counts. Weight gain, sedation, and metabolic changes are also common side effects, but
agranulocytosis is the most serious and specific adverse effect of clozapine.
5. Which of the following medications is commonly used to treat acute mania in
patients with bipolar disorder?
a) Fluoxetine
b) Lithium
, 3|Page
c) Olanzapine
d) Diazepam
Rationale:
Lithium is a mood stabilizer often used to treat acute manic episodes in bipolar disorder. While
other medications such as fluoxetine (an SSRI) and olanzapine (an atypical antipsychotic) can
also be used, lithium is considered one of the first-line treatments for acute mania. Diazepam is a
benzodiazepine and is not typically used for treating mania, but rather for anxiety or agitation.
6. A nurse is assessing a patient who is experiencing panic attacks. Which of the
following is most likely to be a physical manifestation of a panic attack?
a) Feelings of unreality
b) Trembling and shortness of breath
c) Persistent sadness
d) Overwhelming worry about future events
Rationale:
Panic attacks often include physical symptoms such as trembling, shortness of breath, chest pain,
palpitations, and a sense of impending doom. Feelings of unreality or detachment
(depersonalization) may also occur, but the hallmark of a panic attack is the acute onset of
physical symptoms, rather than prolonged emotional states like sadness or worry.
7. A 30-year-old patient presents to the clinic with complaints of being easily
irritated, feeling tense, and having difficulty sleeping. The nurse suspects
generalized anxiety disorder (GAD). Which of the following is a common
treatment for GAD?
a) Cognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs)
b) Electroconvulsive therapy (ECT) and lithium
c) Antipsychotics and benzodiazepines
d) Stimulant medications and mood stabilizers
Rationale:
Cognitive-behavioral therapy (CBT) is one of the most effective psychotherapeutic approaches
for treating generalized anxiety disorder (GAD). SSRIs are also commonly used as first-line
pharmacologic treatment for anxiety disorders. Benzodiazepines may be prescribed for short-
term relief of symptoms, but SSRIs are preferred for long-term treatment. Antipsychotics and
mood stabilizers are not used to treat GAD.
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