Description

1. Question: MAOIs (monoamine oxidase inhibitors) affect which neurotransmitters?
2. Question: Which of the following is considered first line treatment for depression?
3. Question: When treating a patient for major depression disorder which medication would the PMHNP consider first?
4. Question: Which of the following medication should be considered for a patient diagnosed with major depressive disorder who reports “always forgetting to take my pills”?
5. Question: Which of the following medication has a black box warning of a life-threatening skin rash?
6. Question: Which medication is considered the best tolerated SSRI?
7. Question: During a 4 week follow up appointment, Rashida, who is prescribed Sertraline 25mg qAM reports slight improvement in depression symptoms and tolerating medication well. Which of the following should the PMHNP do?
8. Question: Which medication should be avoided for the 66 year patient diagnosed with major depressive disorder and anxiety with a reported fall 3 months ago?
9. Question: A patient reports upset stomach and diarrhea 3 days after taking new prescription of sertraline. Which of the following is the most appropriate response from the PMHNP?
10. Question: During a 2 week follow up appointment, the patient reports no improvement in depressive symptoms with escitalopram. Which of the following statement made by the PMHNP is correct?
11. Question: Duloxetine effects which two neurotransmitters?
12. Question: 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?
13. Question: Which of the following symptoms is NOT an adverse effect associated with the acute use of opioids?
14. Question: 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
15. Question: Which of the following medication class is approved for first line treatment for OCD?
16. Question: Which SSRI has a mild antihistamine effect?
17. Question: Which medication should the PMHNP prescribe for a patient diagnosed with major depressive disorder but takes multiple medications for other chronic conditions?
18. Question: The patient reports suffering from insomnia and anxiety. Which SSRI should be prescribed?
19. Question: Tricyclic antidepressants (TCA) act as antagonists on which of the following neurotransmitters?
20. Question: Which foods should the PMHNP educate their patient to avoid while they are taking Selegiline?
21. Question: Which neurotransmitter is associated with reward and addiction?
22. Question: 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?
23. Question: Which of the following is the most appropriate response made by the PMHNP to a breastfeeding patient inquiring about a prescription for buprenorphine?
24. Question: 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?
25. Question: 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?
26. Question: 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?
27. Question: The PMHNP is treating a 27 year old patient diagnosed with ADHD who is actively trying to get pregnant. Which medication is most appropriate?
28. Question: Which of the following statements best explains the monoamine hypothesis of depression?
29. Question: Which combination therapy is considered first line for bipolar I, current manic episode, with depressive features?
30. Question: Why should antidepressants be used in combination therapy with mood stabilizers when treating bipolar disorder?
31. Question: Which of the following medication should be avoided when the patient has anxiety because it can exacerbate anxiety?
32. Question: Which SSRI is most likely to cause discontinuation syndrome if abruptly stopped?
33. Question: Which medication should not be prescribed to the patient with a seizure history?
34. Question: “Serotonin antagonist and reuptake inhibitor” describes the neurotransmitter actions for which medication?
35. Question: Which medication inhibits the reuptake of both norepinephrine and dopamine?
36. Which of the following statements made by the PMHMP is correct for patient medication education related to Trazodone?
37. Question: A patient has been admitted to the emergency department with a suspected overdose. Their EKG is noted to have a widened QRS complex. Which antidepressant does the PMHNP suspect the patient has overdosed on?
38. Question: Tricyclic antidepressants (TCA) act as reuptake inhibitors on which of the following neurotransmitters?
39. Question: Which medication is safest for 28 year old patient, diagnosed with major depressive disorder, who is actively trying to conceive?
40. Question: Which best describes serotonin syndrome?
41. Question: Which of the following medications is a serotonin norepinephrine receptor agonist?
42. Question: Which medication should the PMHNP consider prescribing for the patient diagnosed with bipolar disorder reporting suicidal ideations?
43. 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?
44. 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?
45. 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?
46. Question: Lithium levels can be decreased by which of the following?
47. 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?
48. 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?
49. Question: Which antidepressant is paired most appropriately with its mechanism of action?
50. Question: Which of the following best describes the signs and symptoms of intoxication from opiates?
51. Question: PMHNP was called to assess a patient in the emergency room who required 5 nurses to restraint them due to increased agitation. Upon assessment the PMHNP noted the patient had nystagmus. Which substance is this patient most likely intoxicated from?
52. Question: Which antidepressant is pharmacologically similar to a combination of an SSRI and buspirone?
53. Question: Which of the following statements best defines impulsivity?
54. Question: Which neural circuit is associated with reward and addiction?
55. Question: A client walked into the emergency department and tells the PMHNP that she has run out of money for herion and feels like they are about to start detoxing. Which symptoms are most associated with herion withdrawal?
56. Question: Which neurotransmitter is associated with reward and addiction?
57. A patient is suspected of overdosing from morphine. Which medication should immediately be administered?
58. Question: Zara, a 34 year old female, is currently a participant in a methadone MAT program. Zara reports she is 8 weeks pregnant and asks if she should stop methadone “cold turkey”.
59. Question: Which of the following is the best response to Zara made by the PMHNP?
60. Question: A patient newly prescribed buprenorphine could be dosed how much by day 2?
61. Question: Robert, 45 year old patient, has a history of alcohol abuse and reports he is unsure if he can abstain from alcohol at this time. Which medication is most appropriate for Robert?
62. Question: A patient prescribed disulfiram attended a Christmas party, drank a beer, and is now currently in the emergency department. Which of the following symptoms is expected?
63. Question: Which of the following anticonvulsants can be used to reduce the cravings for alcohol?
64. Question: When can a patient start taking acamprosate for alcohol abuse?
65. Question: Which opioid can cause respiratory depression if used with benzodiazepines and can be used during acute coronary syndrome or refractory ischemic chest pain?
66. Question: Which opioid is an opioid agonist but is more potent than morphine?
67. Question: Which medication is a pure opioid antagonist that is used in the treatment of acute opioid overdose?
68. Question: The PMHNP is rounding on patients on a post-surgical floor in the hospital. Upon entering a patient’s room, the PMHNP notices the patient is not responding to voice, has pinpoint pupils, and a respiration rate of 6 breaths per minute. The PMHNP suspects opioid overdose. Which action is correct at this time?
69. Question: Which of the following is not true related to the pathophysiology of attention- deficit/hyperactivity disorder (ADHD) across the lifespan?
70. Question: The PMHNP is considering treatment options for an 18-year-old man with ADHD who has a history of alcohol and marijuana abuse. Which of the following accurately explains the effects of different stimulant formulations on neuronal firing?
71. Question: Roy is a 44 year old patient presents with comorbid alcohol abuse, generalized anxiety, bipolar disorder, and ADHD. Which disorder should be treated first?
72. Question: Which of the following ADHD medications would be most appropriate for a school aged child?
73. Question: Eric, a 25 year old law student, reports ADHD symptoms and wants to start medications. Upon review of Eric’s medical history, the PMHNP learns that Eric has battled with opioid addiction his past. Which medication should the PMHNP consider prescribing first?
74. Question: “Increases norepinephrine and especially dopamine actions by blocking their reuptake” best described the mechanism of action of which of the following medications except?
75. Question: Which of the formulations of methylphenidate is best for a child who can not swallow pills?