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NR 546 PSYCHOPHARM FINAL EXAM REVIEW
NEWEST 2025 ACTUAL EXAM| COMPLETE 150 REAL
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) ALREADY GRADED A+ ||
BRAND NEW!!
Duloxetine effects which two neurotransmitters?
- serotonin and norepinephrine
- serotonin and dopamine
- norepinephrine and GABA
- glutamate and acetylcholine – Correct Answer - A. serotonin and
norepinephrine
Awura, a 70 year old patient diagnosed with major depressive disorder reports a recent 40 pound weight loss within the last 3 months. Which medication should the PMHNP consider adding to her medication regimen?
- quetiapine
- mirtazpine
- valproic acid
- paroxetine – Correct Answer - B. mirtazpine
Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids? 1 / 4
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- Sedation
- Respiratory depression
- Immunosuppression
- Itching – Correct Answer - C. Immunosuppression
When dosing citalopram for Lynee, a 72 year old patient, the PMHNP understands to dose at 1/2 dose due to the increased risk of
- delirium
- polypharmacy
- falls
- QTc prolongation – Correct Answer - D. QTc prolongation
Which of the following medication class is approved for first line treatment for OCD?
- Atypical antipsychotics
- Benzodiazepines
C. MAOI
- SSRI – Correct Answer - D. SSRI
Which SSRI has a mild antihistamine effect?
- Paroxetine
- Fluoxetine
- Citalopram
- Sertraline – Correct Answer - C. Citalopram 2 / 4
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pg. 3 Which medication should the PMHNP prescribe for a patient diagnosed with major depressive disorder but takes multiple medications for other chronic conditions?
- Sertraline
- Escitalopram
- Buspirone
- Clonazepam – Correct Answer - B. Escitalopram
The patient reports suffering from insomnia and anxiety. Which SSRI should be prescribed?
- Paroxetine
- Duloxetine
- Fluoxetine
- Venlafaxine – Correct Answer - A. Paroxetine
Tricyclic antidepressants (TCA) act as antagonists on which of the following neurotransmitters?
- Acetylcholine and Dopamine
- Histamine and Acetylcholine
- Dopamine and Histamine
- Serotonin and Norepinephrine – Correct Answer - B. Histamine and
Acetylcholine
Which foods should the PMHNP educate their patient to avoid while they are taking Selegiline? 3 / 4
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- Nuts, milk and wheat
- Aged wine, cheeses, and meats
- Green leafy vegetables and tomatoes
- Grapefruit and grapefruit juice – Correct Answer - B. Aged wine,
cheeses, and meats
Which neurotransmitter is associated with reward and addiction?
- Norepinephrine
B. GABA
- Dopamine
- Histamine – Correct Answer - C. Dopamine
Emily, a 22 year old female, reports she is 4 weeks pregnant and wants to get clean from heroin. Which medication is most appropriate for Emily?
- Buprenorphine/ Naloxone
- Naltrexone
- Buprenorphine
- Methadone – Correct Answer - D. Methadone
Keaton presents to the ED and reports daily drinking of 18 beers for nearly 20 years. Keaton reports a history of withdrawal seizures when he stops drinking. Which medication should the PMHNP order?
- disulfiram
- topiramate
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