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    Exam Review

    1. Which of the following medications exerts its effects by inhibiting the conversion of angiotensin I to angiotensin II, is typically used to treat hypertension or congestive heart failure, and has dry cough as a common side effect?
      A)Telmisartan (Micardis)
      B)Lisinopril (Zestril)
      C)Amlodipine (Norvasc)
      D)Furosemide (Lasix)
    2. A nurse practitioner makes a medical error in which she administers gentamycin intravenously in her clinic without checking any lab work. As a result, her patient loses hearing. Why is this considered a civil case rather than a criminal case?
      A)Nursing boards have too much power.
      B)The NP hired a very good attorney.
      C)Although the NP's act was voluntary, she did not have evil intent.
      D)The patient dropped the criminal charges.
    3. A man has been arrested for driving under the influence twice within the past year. He continues to drink alcohol and tells his friends he does not have any issues with alcohol consumption. What is this behavior an example of?
      A)Sublimation
      B)Denial
      C)Reaction formation
      D)Repression
    4. A 29-year-old pregnant woman is referred to the psychiatric-mental health nurse practitioner for medication-assisted treatment (MAT) for opioid use disorder (OUD). Which of the following will the PMHNP prescribe?
      A)Naloxone
      B)Naltrexone
      C)Buprenorphine
      D)Buprenorphine/Naloxone
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    Exam Review

    1. A 21-year-old male college student scored 2 on the CAGE screening tool. What does this score indicate?
      A)Further evaluation for alcohol use disorder is needed
      B)A negative result that does not warrant further evaluation for alcohol use disorder
      C)Mild alcohol use disorder
      D)No problems with disordered alcohol use
    2. The PMHNP is evaluating a 28-year-old female client who regularly uses cocaine on the weekends and has been reluctant to discuss quitting. Which of the following statements by the PMHNP would follow the motivational interviewing principle of focusing?
      A)I can tell it was hard for you to open up and talk about this today. I appreciate your honesty.
      B)So by getting high, you feel good and can avoid painful feelings. What are some of the downsides to using cocaine?
      C)Tell me about your cocaine use.
      D)If I heard you correctly, you feel you don't have a problem right now. You can stop anytime you want.
    3. Ethics are an important aspect of the nurse practitioner role. Ethics consists of moral duties, obligations, and responsibilities. Which of the following terms refers to the ethical principle that asserts nurses should treat everyone with equal respect?
      A)Beneficence
      B)Justice
      C)Respect
      D)Fidelity
    4. A 36-year-old female client presents to the psychiatric-mental health nurse practitioner. She has been stable for 1 year but says her buprenorphine regimen has not been working since she started a new medication prescribed by her primary care provider. Which medication most likely contributed to the decrease in buprenorphine efficacy?
      A)Carbamazepine (Tegretol)
      B)Amitriptyline (Elavil)
      C)Fluoxetine (Prozac)
      D)Erythromycin
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    Exam Review

    1. A 29-year-old woman with a history of nonsuicidal self-injury (NSSI) presents to the PMHNP for a psychiatric evaluation. The PMHNP suspects she has borderline personality disorder. She denies current suicidal ideation but reports having suicidal "feelings" in the past. Which of the following tools will the PMHNP use to determine future suicide risk?
      A)Patient Health Questionnaire 9 (PHQ-9)
      B)Suicide Behaviors Questionnaire-Revised (SBQ-R)
      C)Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD)
      D)Interpersonal Needs Questionnaire (INQ)
    2. A newly licensed and board-certified PMHNP has accepted a position at an inpatient substance use treatment facility. Because opioid withdrawal and benzodiazepine withdrawal can involve similar symptoms, distinguishing between the two can be difficult. Which of the following symptoms would aid the PMHNP in making a correct diagnosis of opioid withdrawal?
      A)Presence of nausea or vomiting
      B)Presence of frequent yawning
      C)Presence of restlessness or agitation
      D)Presence of anxiety
    3. A family is at their regular therapy session when their 16-year-old daughter, Ashley, says she is suicidal. Which of the following would be the best example of a straightforward directive delivered by their strategic therapist?
      A)"Ashley, could it be that you want to hurt yourself because your boyfriend broke up with you?"
      B)"Ashley, you seem to be saying that living is too painful."
      C)"If Ashley threatens suicide this week, I want all of you — Ashley included — to stay home. No one should leave for the entire day."
      D)"Could this be a family problem rather than just an issue for Ashley?"
    4. A 29-year-old pregnant woman is referred to the psychiatric-mental health nurse practitioner for medication-assisted treatment (MAT) for opioid use disorder (OUD). Which of the following will the PMHNP prescribe?
      A)Naloxone
      B)Naltrexone
      C)Buprenorphine
      D)Buprenorphine/Naloxone
    Page 3 of 5

    Exam Review

    1. A 45-year-old man with chronic alcoholism appears in the emergency department with disorientation and confusion. A neurologic examination shows ataxia and disconjugate eye movements. What is the most appropriate treatment?
      A)Promethazine 25 mg IV prn
      B)Thiamine (vitamin B1) 100 mg PO BID
      C)Lorazepam (Ativan) 1 mg IV q 4 hr
      D)Potassium (Klor-Con M) 10 mEq PO with food once daily
    2. A 21-year-old man known to paramedics as an IV heroin user is found unconscious in the park. Paramedics are unable to revive him using naloxone or flumazenil. An autopsy determines that the man had infective endocarditis (IE). What is the pathophysiology associated with this disease?
      A)A history of rheumatic fever as a child
      B)Right-sided heart valves infected with S. aureus through repeated intravenous drug use
      C)HIV as a result of IV drug use, which made him susceptible to IE
      D)IV drug use has nothing to do with the development of IE
    3. A 39-year-old man is distressed upon being diagnosed with oral cancer. The increasing incidence of oropharyngeal cancers is primarily due to which of the following?
      A)Smoking
      B)Air pollution
      C)Human papillomavirus (HPV)
      D)Alcohol
    4. The PMHNP is giving a presentation on suicide prevention at a local high school. One of the teachers wants to know which suicide risk assessment tool is the most user-friendly for nonclinicians. What is the most appropriate response?
      A)Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD)
      B)Columbia-Suicide Severity Rating Scale (C-SSRS)
      C)Suicide Behaviors Questionnaire-Revised (SBQ-R)
      D)Interpersonal Needs Questionnaire (INQ)
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    Exam Review

    1. A 22-year-old female client with bipolar disorder is late for her medication follow-up appointment with the PMHNP. She calls the office and reports she is lost, although she has been to the office many times. When she arrives, she is manic. She expresses psychotic delusions that people are "out to get" her, and she says she will shoot if she "has to." She does not want to be hospitalized. She states, "I am more clear-headed than I have ever been." What should be the nurse practitioner's next steps?
      A)Call her mother to pick her up and take her directly home.
      B)Give the client an intramuscular injection of 10 mg of Geodon, then call her mother to pick her up.
      C)Have the mother sign a contract agreeing to administer the patient's psychiatric medications every day and return for a follow-up in 1 week.
      D)Begin the involuntary commitment process.
    2. Ethics are an important aspect of the nurse practitioner role. Ethics consists of moral duties, obligations, and responsibilities. Which of the following terms refers to the ethical principle that asserts nurses should treat everyone with equal respect?
      A)Beneficence
      B)Justice
      C)Respect
      D)Fidelity
    3. In 2010, the Institute of Medicine published the report The Future of Nursing, in which it stated: "Regulatory and institutional obstacles — including limits on nurses' scope of practice — should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care." How did the American Medical Association respond?
      A)The AMA declined to comment or respond in any way to the publication.
      B)The AMA challenged the report and stated that the physician-led team approach to care helps ensure high-quality patient care and value for healthcare spending.
      C)The AMA accepted the report in its entirety and helped implement its recommendations at the federal level.
      D)The AMA accepted the report and helped distribute it and implement it at the state level. The work is still ongoing.
    4. A 29-year-old woman with bipolar disorder scored 3 on the Suicide Behaviors Questionnaire-Revised (SBQ-R). What does this score indicate?
      A)Minimal suicide risk
      B)Moderate suicide risk
      C)High suicide risk
      D)Not suicidal
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