Final Exam: NR546 / NR-546 (Latest
2025 / 2026 Update) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Practice Questions and Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
Which medication should the PMHNP consider prescribing for the patient diagnosed with bipolar disorder reporting suicidal ideations?
- Valproic acid
- Lithium
- Escitalopram
- Ziprazadone
Answer:
- Lithium
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Question:
For the past week, Amiee who is prescribed lithium reports using NSAIDs to treat tension headache. Which of the following should the PMHNP anticipate?
- decreased levels of lithium
- QTC prolongation
- elevated levels of lithium
- mild diffuse rash throughout body
Answer:
- elevated levels of lithium
Question:
The PMHNP increased their patient's lithium dose from 300mg daily to 600mg daily. When should the patient's lithium level be monitored next?
- 3 months for 1 year after dosage change
- Next follow up appointment in 6 months
- Within the next 14 days
- 5 days after dosage change
Answer:
- 5 days after dosage change
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Question:
Rebecca presents for treatment of moderate depression. Her medical history includes the use of four medications for comorbid physical diagnoses. Which medication is least likely to interact with other prescriptions?
A.Fluoxetine
- Duloxetine
- Paroxetine
- Escitalopram
Answer:
- Escitalopram
Question:
Lithium levels can be decreased by which of the following?
- Aripiprazole
- Grapefruit
- ACE inhibitors
- Coffee
Answer:
- Coffee
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Question:
Patient presents to the ED with the following symptoms: tachycardia,
hypertension, and mydriasis. Floor staff reports the patient is constantly making sexual advances towards them. Which substance is this patient most likely intoxicated from?
- Marijuana
- Benzodiazepines
- Methamphetamine
- Cocaine
Answer:
- Methamphetamine
Question:
PMHNP was called to assess a patient in the emergency room who reports bruxism. Which recreational stimulant is this patient most likely withdrawing from?
- Marijuana
B. MDMA
- Methamphetamines
- Methylphenidate
Answer:
B. MDMA
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