NR546 Week 4: Midterm Exam (Jan-2026)

A client diagnosed with schizophrenia reports he continues to experience lack of emotion, low energy, and the inability to make friends. Which dopamine pathway is most closely associated with these symptoms?

Answers: A – D

A mesolimbic pathway
B tuberofundibular pathway
C nigrostriatal pathway
D mesocortical pathway

A client presents to the clinic requesting a benzodiazepine prescription for long-standing anxiety. Which priority assessments are necessary to ensure ethical care for the client?

Answers: A – D

A length of anxiety diagnosis and name of benzodiazepine
B history of therapy and coping mechanisms used
C substance abuse history and current medications
D family anxiety history and hospitalizations

The psychiatric mental health nurse practitioner (PMHNP) is caring for a client who is prescribed a CYP 2D6 substrate and a CYP 2D6 inhibitor. Which outcome does the PMHNP anticipate?

Answers: A – C

A no impact on the level of CYP 2D6 substrate
B elevated level of CYP 2D6 substrate
C decreased level of CYP 2D6 substrate

How does atenolol work to treat somatic anxiety effects?

Answers: A – D

A antagonizes dopamine receptor
B blocks beta adrenergic stimulation
C stimulates 5-HT2A
D modulates GABA A receptor

A client’s spouse calls the PMHNP with a concern. Her spouse has recently started an antipsychotic medication and now has a temperature of 102, is sweating, and has a rapid heart rate. What is the best response by the PMHNP?

Answers: A – D

A Tell the client to stop taking the medication and go to the emergency room.
B Tell the client to stop taking the medication and monitor from home.
C Tell the client to stop taking the medication, and you will call in a new prescription.
D Tell the client to decrease the medication dose to decrease the side effects.

The limbic system plays a role in which of the following?

A. sympathetic nervous system control
B. motor control
C. emotion and learning
D. sensation

Benzodiazepines modulate the activity of which neurotransmitter?

A. norepinephrine
B. serotonin
C. GABA
D. glutamate

A 28-year-old client was recently diagnosed with schizophrenia. He has a body mass index of 32, fasting triglycerides of 220 mg/di, and fasting glucose of 114 mg/di. Which medication would be the most appropriate choice for this client?

Answers: A – D

A quetiapine

B olanzapine

C ziprasidone

D risperidone

Which atypical antipsychotic has the greatest efficacy but the most serious side effect profile?

A. lurasidone
B. risperidone
C. clozapine
D. olanzapine……………………………………………………$60