NR668 Week 8: PMHNP Final Diagnostic Exam (June 2026)
A 75 year old man who lives alone has a history of alcohol use disorder is admitted to the ICU with a COPD exacerbation. He develops severe agitation, visual hallucinations, and fluctuating levels of consciousness. His current treatment includes supplemental oxygen, a corticosteroid taper, and albuterol nebulizers. Which factor is most likely contributing to his delirium, and what is the best initial approach?
A. Albuterol induced delirium; reduce albuterol dosage
B. Steroid induced delirium; initiate haloperidol
C. Hypoxia related delirium; increase oxygen supplementation
D. Alcohol withdrawal delirium; initiate benzodiazepines ✓ ✅
The cognitive processes that allows us to organize, plan, sequence and initiate tasks are collectively know as what?
A. Executive functions ✓ ✅
B. Thought content
C. Thought stream
D. Affective regulations
The spouse of your patient asks you to describe how Donepezil helps her husband who has mild Alzheimer’s disease. Which of the following is the best response?
A. Donepezil helps increase the breakdown of acetylcholine
B. Donepezil has no effect on function or cognition in Alzheimer’s disease
C. Donepezil cures Alzheimer’s dementia in clinical trials
D. Donepezil helps prevent the breakdown of acetylcholine ✓ ✅
In HIV associated neurocognitive disorder, what is an essential part of the management plan to help prevent further cognitive decline?
A. Thiamine and Vitamin B12
B. Antiretroviral therapy (ART) ✓ ✅
C. High dose corticosteroids
D. Donepezil
The most common complaint and reason the acetylcholinesterase inhibitors are sometimes discontinued is what?
A. Gastrointestinal side effects ✓ ✅
B. Constipation
C. Dizziness
D. Weight gain
Frank is a 71 year old retired house painter who dropped out of high school in the 10th grade. Frank is concerned with his self reported “memory difficulty” the past 1.5 years. He has no reported changes in activities of daily living or functional ability. He scored a 24 on the Montreal Cognitive Assessment and a 26 on the Mini Mental State Examination. He is accompanied by his daughter who acknowledges that her father is having some memory issues. Which is the most likely diagnosis given the information provided?
A. Normal aging
B. Mild Cognitive Impairment ✓ ✅
C. Major Neurocognitive Disorder
D. Pseudo Dementia
Glenn’s doctor tells him he needs to avoid carbohydrates in his diet. Glenn questions what this means. He asks the PMHNP which food fits this diet?
A. Hamburger
B. Scrambled eggs ✓ ✅
C. Tortilla
D. Egg McMuffin sandwich
Early age of symptom onset, socially inappropriate behavior and hyperorality are associated with which type of neurodegenerative disorder in an adult?
A. Alzheimer’s disease
B. Frontotemporal dementia ✓ ✅
C. Parkinson disease dementia
D. Dementia with Lewy Bodies ✓** ✅
Delirium and dementia may at times have overlapping characteristics. However, which of the following are readily associated with delirium?
A. sudden onset ✓ ✅
B. insidious onset
C. delayed onset
D. normal attention…………………………purchase this entire exam (150 questions and answers) at $99 only
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