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NR546 Week 8: Final Exam (Dec-2025)
Which of the following is an approved treatment for stimulant addiction?
Answers: A – D
A. buprenorphine
B. naltrexone
C. no approved treatments ✅
D. acamprosate
A client taking a monoamine oxidase inhibitor (MAOI) has a blood pressure of 198/102 mm Hg. What assessment question will the provider initially ask this client?
Answers: A – D
A. “Do you drink grapefruit juice?”
B. “What foods have you eaten in the last 24 hours?” ✅
C. “Are you taking any antihypertensive medications?”
D. “Are you taking any SSRIs in addition to the MAOI?”
Disulfiram works by inhibiting the enzyme ________, which leads to elevated serum levels of acetaldehyde and initiation of the disulfiram–ethanol reaction.
Answers: A – D
A. aldehyde dehydrogenase ✅
B. glutathione S-transferase
C. methionine synthase
D. alcohol dehydrogenase
What is the most successful psychopharmacological approach to boost cholinergic functioning and memory in clients with Alzheimer’s disease?
Answers: A – D
A. block serotonin
B. block dopamine
C. block acetylcholinesterase ✅
D. block butyryl cholinesterase
The PMHNP diagnosed a 12-year-old client with ADHD. The client’s mother is hesitant to start any pharmacotherapy, because she heard they are all addictive. The PMHNP states the client will be started on an extended release (XR) stimulant. How does an extended release (XR) stimulant effect dopamine transporter (DAT) occupancy to decrease risk of abuse and decreasing euphoria?
Answers: A – D
A. slow onset and lower degrees of DAT ✅
B. pulsatile release of the high degrees of DAT
C. rapid and high degrees of DAT
D. slow onset and higher degrees of DAT
A pregnant client is referred to the PMHNP for evaluation of safe medication assisted therapy use in pregnancy. Which medication should not be prescribed for this client?
Answers: A – D
A. naltrexone
B. acamprosate
C. suboxone ✅
D. buprenorphine
The PMHNP prescribes rivastigmine for a client with dementia. The client reports moderate gastrointestinal side effects. What is the most appropriate course of action is to decrease GI side effects?
Answers: A – D
A. Educate the client to take medication with food.
B. Change from oral administration to a transdermal formulation. ✅
C. Switch medication to donepezil for less GI effects.
D. Educate the client that GI side effects will decrease with time.
Which medication can result in decreased lithium levels?
Answers: A – D
A. furosemide
B. caffeine ✅
C. ibuprofen
D. lisinopril…………………………………………………………..$60
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