Midterm Exam: NR546 NR-546

Midterm Exam: NR546 / NR-546

(Latest 2025 / 2026) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Questions with Verified Answers | 100% Correct | Grade A - Chamberlain

Question:

A drug that block receptors, inhibiting a biological response, is known as

a(n):

• Partial agonist
• Inverse agonist
• Antagonist
• Agonist

Answer:

• Antagonist

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Question:

A patient who has been stable on his long-acting injectable medication tells the PMHNP that he would like to quit smoking. What is the best response?

• Good for you, can prescribe you a nicotine patch to help.
• Let us make an appointment as your medication dose may need to be

lowered.

• I will refer you to a smoking cessation support group.
• I am glad you have decided to quit smoking.

Answer:

• Let us make an appointment as your medication dose may need to be

lowered.

Question:

A patient has been taking valproic acid for mood stabilization from a manic episode but is still not sleeping through the night. His drug level was 50mcg/mL. The PMHNP notices the patient seems disoriented to time and in flapping his wrist. What should the PMHNP do next?

• Give the patient lactulose 20g PO
• Draw an ammonia level
• Increase the dose of valproic acid
• Augment with an atypical antipsychotic

Answer:

• Draw an ammonia level

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Question:

A patient who has been taking paroxetine for 3 years wants to come off due to sexual side effects. He has gradually tried to wean the dose on his own, but notices feelings of dizziness, fatigue, headaches, anxiety, and electric-like shocks in his head. These findings are most consistent with SSRI discontinuation. What would be the responsible actions by the PMHNP to make?

• Reassure the patient that the symptoms will go away eventually
• Prescribe the patient fluoxetine for 1 week
• Have the patient resume the paroxetine
• Start the patient on an antipsychotic for his somatic delusions

Answer:

• Prescribe the patient fluoxetine for 1 week

Question:

The PMHNP is monitoring a serum drug level for a medication with a 24-hour half-life. How many hours will it take to reach steady state?

• 48 hours
• 72 hours
• 96 hours
• 120 hours

Answer:

• 120 hours

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Question:

grey matter

Answer:

cerebellum, cerebrum, brain stem, and butterfly shaped portion of the central spinal cord

Question:

What is grey matter associated with?

Answer:

Learning

Question:

Frontal Lobe

Answer:

movement, intelligence, abstract thinking, the ability organize, personality, behavior, and emotional control

Question:

hippocampus

Answer:

Regulates memory (specifically long term), and anxiety

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