NURS-6630 Final Exam Question and Answers

NURS-6630 Final Exam Question and Answers

Final Exam – Week 11

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Question 1

Patient is a 75-year-old female with a confirmed diagnosis of Alzheimer’s Disease. She is currently on Donepezil 10 mg daily. She is accompanied to your clinic today by her daughter, who informs you that her mother has recently had an increase in depressive symptoms. NURS-6630 Final Exam Question and Answers She has no history of mood disorders. She has a history of hypertension and tonic-clonic seizures, but both are controlled. Assuming this patient will be thoroughly evaluated for the diagnosis of depression, what would you recommend as initial therapy?

	A.	Amitriptyline
	B.	Doxepin
	C.	Fluoxetine
	D.	Bupropion

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Question 2

Which club drug is structurally similar to GABA?

	A.	3,4 – methylendedioxy-methamphetamine
	B.	Ketamine
	C.	γ-hydroxybutyrate
	D.	Ecstasy

 

NURS-6630 Final Exam Question and Answers Question 3

1. B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He has since had complications from the disease and is suffering from severe neuropathy. On top of that, T. B. is struggling with his mental health and was recently told he could be depressed but he had refused treatment at that time. Besides getting his blood sugar under control, what medication(s) can we use that may be useful in helping T. B.?
2. Nortriptyline
3. Venlafaxine

• Duloxetine

1. Fluoxetine

	A.	I, II, and III
	B.	I and II
	C.	II and III
	D.	IV only

 

Question 4

What baseline levels should you perform before initiating an anti-ADHD medication? NURS-6630 Final Exam Question and Answers

		Electrolytes, height, weight, white-blood cells
		ECHO, heart rate, pulse
		Height, weight, blood pressure, pulse
		Blood pressure and pulse

Question 5

Which of the following alcohol screening tools lack sensitivity to detect hazardous/problem drinking?

	A.	AUDIT
	B.	AUDIT-C
	C.	SASQ
	D.	CAGE

 

Question 6

Of the following neurotransmitters, which one(s) are known to be severely disrupted in the disease Dementia with Lewy Bodies?

1. Acetylcholine
2. Glutamate

• Dopamine

1. GABA
2. Norepinephrine

	A.	II only
	B.	III only
	C.	I and II
	D.	I and III

 

Question 7

NURS-6630 Final Exam Question and Answers If a patient is being managed for chronic pain and is not getting better after months of therapy with multiple agents (i.e., NSAIDs with opioids, muscle relaxants with NSAIDs, etc.), what should be your next step in helping the patient?

1. Add a high-dose opioid if patient is not already on the maximum dose.
2. Assess for a co-morbid psychiatric condition.

• Tell the patient you have exhausted all your options and there is nothing more you can do.

1. Refer the patient for a second opinion.

	A.	I and II
	B.	II and IV
	C.	III only
	D.	IV only

B

Question 8

Drug addiction includes many prescription medications and illegal substances. Of the drugs listed, which ones can be withdrawn abruptly WITHOUT medical intervention to prevent withdraw seizures?

	A.	Alcohol
	B.	Adderall
	C.	Lorazepam
	D.	Butalbital

 

Question 9

Select all the criteria for what is considered “At-Risk Drinking.”

1. Women: > 7 drinks in any given week
2. Men: > 4 drinks per day

• Women: > 4 drinks per day

1. Men: > 14 drinks per week

	A.	I, and II
	B.	I, II, and IV
	C.	I, II, and III
	D.	III and IV

 

 

Question 41

1. B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin? NURS-6630 Final Exam Question and Answers

	A.	Naltrexone
	B.	Acamprosate
	C.	Any benzodiazepine
	D.	Thiamine

 

Question 42

Disulfiram has been proven effective in the treatment of alcoholism, but recently it has been trialed in the management of cocaine addiction. NURS-6630 Final Exam Question and Answers What is the mechanism of action that likely helps produce these aversive effects?

	A.	Inhibition on dopamine beta-hydroxylase
	B.	Inhibition on aldehyde dehydrogenase
	C.	Inhibition on alcohol dehydrogenase
	D.	Inhibition on aldehyde reductase

 

Question 43

Which neurotransmitters are likely involved in the pathophysiology of withdrawal seizures?

1. Serotonin
2. Endorphins

• Glutamate

1. GABA
2. Dopamine

	A.	I and II
	B.	II and V
	C.	I and III
	D.	III and IV

 

Question 44

Of the following neurotransmitters, which ones play a critical role in modulating attention in ADHD?

1. Dopamine
2. Epinephrine

• GABA

1. Norepinephrine
2. Glutamate

	A.	II, III, and V
	B.	II and IV
	C.	I and IV
	D.	III only

 

Question 45

Which of the following drugs is structurally similar to tramadol; thus, its opioid-mediated analgesia can be reversed by naloxone in mice?

	A.	Venlafaxine
	B.	Ketorolac
	C.	Duloxetine
	D.	Gabapentin

 

Question 46

Which of the following psychiatric conditions is present in both domains (i.e., core psychopathology & pain-related psychological symptoms) of chronic pain that will likely lead to an outcome of disability, pain, and poor quality of life?

	A.	Major depression
	B.	Personality disorder
	C.	Anger
	D.	Anxiety

 

NURS-6630 Final Exam Question and Answers Question 47

Which features are consistent with delirium?

1. Acute onset
2. Gradual onset

• Course of disease fluctuates

1. Course of diseases does not fluctuate
2. Impaired attention
3. Normal attention

	A.	II, IV, and VI
	B.	I and III
	C.	II and IV
	D.	I, III, and V

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Question 48

NURS-6630 Final Exam Question and Answers Select the correct treatment regarding drugs involved in addiction management and their corresponding mechanism of action.

	A.	Benzodiazepines – GABA antagonist
	B.	Buprenorphine – opioid antagonist
	C.	Naltrexone – partial opiate agonist
	D.	Flumazenil – GABA antagonist

 

Question 49

Benzodiazepines can be withdrawn abruptly despite duration of therapy/abuse.

	A.	True
	B.	False

 

Question 50

Which medication(s) requires a test dose to determine accurate use of the drug (i.e., how addicted the patient truly is on a certain drug) before beginning a titration schedule to withdrawal the patient? NURS-6630 Final Exam Question and Answers

1. Butalbital
2. Lorazepam

• Hydrocodone

	A.	I only
	B.	II only
	C.	III only
	D.	I and II

NURS-6630 Final Exam Question and Answers