NR 546 FINAL EXAM VERSION 1 AND VERSION 2

• | P a g e

NR 546 FINAL EXAM VERSION 1 AND VERSION 2

NEWEST 2025 ACTUAL EXAM COMPLETE

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

NR 546 FINAL EXAM VERSION 1

A patient reports wanting to abstain from alcohol use. They report a history of abusing opioids in the past, but they have not used any in the last several months. They are concerned that they are at risk of abusing opioids again. Which of the following is the best pharmaceutical option for this patient?

• diazepam
• naltrexone
• chlordiazepoxide
• acamprosate - CORRECT ANSWER -B. naltrexone

A Ellie-Ann, 31 year-old patient with a history of abusing opioids and binge drinking, reports they are not committed to abstain from using at this time. Which medication is appropriate for Ellie-Ann?

• / 4

• | P a g e

• disulfiram
• naloxone
• naltrexone
• lorazepam - CORRECT ANSWER -B. naloxone

The PMHNP is treating a 27 year old patient diagnosed with ADHD who is actively trying to get pregnant. Which medication is most appropriate?

• Methylphenidate
• Lisdexamfetamine
• Atomoxetine
• Selegiline - CORRECT ANSWER -C. Atomoxetine

Which of the following statements best explains the monoamine hypothesis of depression?

• Depression is caused by a deficiency of monoamine

neurotransmission.

• Depression is a result of chemical a chemical imbalance of

monoamine neurotransmission.

• Depression is caused by an excess of monoamine

neurotransmission. 2 / 4

• | P a g e

• Depression is a result from maladaptive or irrational

cognitions taking the form of distorted thoughts core beliefs and judgments - CORRECT ANSWER -A. Depression is caused by a deficiency of monoamine neurotransmission.

Which combination therapy is considered first line for bipolar I, current manic episode, with depressive features?

• Bupropion + Aripiprazole .
• Lithium + Lamotrigine
• Valproic Acid + Duloxetine
• Atomoxetine + Risperidal - CORRECT ANSWER -B.

Lithium + Lamotrigine

Why should antidepressants be used in combination therapy with mood stabilizers when treating bipolar disorder?

• To target depression symptoms quickly and reduce rapid

cycling of bipolar depression

• To reduce the gastrointestinal side effects caused by

antidepressants.

• To decrease incidence of death by suicide in children and

young adults. 3 / 4

• | P a g e

• To increase patient medication adherence. - CORRECT

ANSWER-C. To decrease incidence of death by suicide in children and young adults.

Which of the following medication should be avoided when the patient has anxiety because it can exacerbate anxiety?

• Escitalopram
• Sertraline
• Fluvoxamine
• Duloxetine - CORRECT ANSWER -D. Duloxetine

Which SSRI is most likely to cause discontinuation syndrome if abruptly stopped?

• Fluoxetine
• Selegiline
• Mirtazapine
• Paroxetine - CORRECT ANSWER -D. Paroxetine

Which medication should not be prescribed to the patient with a seizure history?

• / 4