{"id":118067,"date":"2023-09-02T08:22:23","date_gmt":"2023-09-02T08:22:23","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118067"},"modified":"2023-09-02T08:22:25","modified_gmt":"2023-09-02T08:22:25","slug":"nr-546-midterm-exam-2023-2024-actual-exam-test-bank-300-questions-and-correct-detailed-answers-with-rationales-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/02\/nr-546-midterm-exam-2023-2024-actual-exam-test-bank-300-questions-and-correct-detailed-answers-with-rationales-already-graded-a\/","title":{"rendered":"NR 546 MIDTERM EXAM 2023-2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+"},"content":{"rendered":"\n

NR 546 MIDTERM EXAM 2023-2024 ACTUAL EXAM
TEST BANK 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
Why is trazodone not used as a front-line antidepressant – ANSWER- Its
antidepressant that has a secondary effect of blocking histamine and
adrenergic receptors
-causes sedation and somnolence and as a result
*often used as an adjunct in therapy when a depressed patient has
difficulty sleeping
effect on neurotransmitters and side effects: Selective Serotonin
Reuptake Inhibitors (SSRIs) – ANSWER- Inhibits the reuptake of
serotonin, which can cause nausea, agitation, headache, and sexual
dysfunction
effect on neurotransmitters and side effects: Serotonin and
Norepinephrine Reuptake Inhibitors (SNRIs) – ANSWER- Inhibits the
reuptake of serotonin and norepinephrine, which can cause nausea,
sweating, insomnia, tremors, sexual dysfunction
effect on neurotransmitters and side effects: Tricyclic Antidepressants –
ANSWER- -Inhibits the reuptake of serotonin and norepinephrine,
which can cause sexual dysfunction<\/p>\n\n\n\n

-Blocks norepinephrine receptors, which can cause hypotension and
tachycardia
-Blocks histamine receptors, which can cause sedation and weight gain
-Blocks acetylcholine receptors, which can cause dry mouth,
constipation, blurred vision, and urinary retention
effect on neurotransmitters and side effects: Monoamine Oxidase
Inhibitors (MAOIs) – ANSWER- Increases norepinephrine and serotonin
by inhibiting the enzyme that inactivates it, which can cause sedation,
dizziness, sexual dysfunction, and hypertensive crisis
effect on neurotransmitters and side effects: Benzodiazepines –
ANSWER- Increases the receptor affinity for GABA, which can cause
dependence and confusion
effect on neurotransmitters and side effects: Bupropion – ANSWERInhibits the reuptake of norepinephrine and dopamine, which can cause
insomnia, dry mouth, tremors, and seizures
antagonist – ANSWER- causes a conformational change that stabilizes
the receptor in the baseline state and thus is “silent.”
-blocks the action of a neurotransmitter
agonists – ANSWER- fully stimulate G-protein-linked receptors<\/p>\n\n\n\n

partial agonists – ANSWER- stimulate receptors to a lesser degree than
an agonist or natural neurotransmitter
SSRIs, SNRIs, and tricyclic antidepressants increase levels.
_<\/em><\/strong> do not impact serotonin levels. – ANSWER- increase
serotonin levels.
Benzodiazepines do not impact serotonin levels.
Is nicotine an inducer or an inhibitor of the CYP 1A2 enzyme? –
ANSWER- inducer
Nicotine is an inducer of the CYP 1A2 enzyme. Does the PMHNP
anticipate Joshua may need a higher or lower dose of olanzapine to
achieve a therapeutic response? – ANSWER- Higher
-Nicotine is an inducer of the CYP 1A2 enzyme, so it lowers the
concentration of drugs. Therefore, a higher dose of olanzapine may be
needed to control his symptoms.
Ernesto, a 60-year-old, presents to the PMHNP with report of having
anxiety, frequent occurrences of feeling frozen in place and like his heart
is pounding out of his chest, as well as having difficulty sleeping.
The PMHNP suspects the client has an elevated level of which
neurotransmitter? – ANSWER- Norepinephrine
-responsible for the regulation of fight or flight responses and can impact
mood and sleep.<\/p>\n\n\n\n

Which of the following is the best medication class for the PMHNP to
prescribe for Ernesto to address his elevated norepinephrine levels? –
ANSWER- selective serotonin reuptake inhibitor would block the
reuptake of serotonin, leaving a larger amount of serotonin available.
Increasing the amount of serotonin would help regulate the feelings of
fear and anxiety. Reducing the occurrence of fear would help reduce the
release of norepinephrine.
A serotonin and norepinephrine reuptake inhibitor would prevent the
reuptake of norepinephrine, which would not reduce the level of
norepinephrine as needed. Benzodiazepines increase the levels of GABA
and do not impact norepinephrine. A monoamine oxidase inhibitor
would increase levels of norepinephrine.
During a follow up appointment after 4 weeks, the PMHNP should
assess for the need to add which medication to Ernesto’s treatment plan?<\/p>\n\n\n\n