MN 580 MIDTERM CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
• calculating ANC.
Answer: 1. add segs and bands together 2. convert percentage to decimal 3.
Multiply sum by total WBC count example: 50% segs, 2% bands. 52% ->
0.52. 0.52 x WBC of 1200 = 624 ANC
• obtaining qualitative data.
Answer: interviews focus groups observations action research
• A client who has been addicted to opioids has not used in 15 days. during
your medication management visit the client states "I'm going to die from
not having my Opanas. You need to give me something now" the PMHNP's
best response is.
Answer: I know you are feeling very uncomfortable lets take your vital signs
and talk about a trial on catapres to treat your withdrawal symptoms.
• testing.
Answer: taking the same test more than once can influence the participants
response the next time the test is taken
• 5HT2a action.
Answer: excitable, but if innervates GABA, can be inhibitory
• 6. Equity.
Answer: care without discrimination based on irrelevant factors to give
equal care for all populations
• random assignment.
Answer: each participant has equal chance of being placed into a group
• therapeutic interventions for maintaining the milieu with adolescents and
younger children.
, Answer: *Getting patients medications *setting and enforcing boundaries
*educating patients about health and tx *contributing to a supportive
environment *encouraging patient autonomy and decision making skills as
appropriate
• Leonard is an 18-year-old man who has been taking isotretinoin (Accutane)
for the treatment of acne for the past 2 months. Which of the following is
the most important question for the clinician to ask at his follow-up office
visit?.
Answer: Have you noticed any recent changes in your mood?
• observer role.
Answer: concealment: subject not aware of observation, minimizes
reactivity bias (Hawthorne effect), requires debriefing to allow refusal to
have their results used in analyses intervention: provoke actions from study
participants
• common chemo side effects.
Answer: *targets areas with rapidly dividing cells -skin (dryness, rashes,
lesions) -HEENT (oral/esophageal mucosa ulcers, hair loss) -respiratory:
interstitial lung disease -cardiac: cardiomyopathy -GI: n/v/d/c -urinary:
incontinence -musculoskeletal: fatigue -neuro: confusion, fog
• The following chromosomal syndrome is a common etiology of social and
verbal developmental delays in boys:.
Answer: Tay-Sachs disease
• research vs. QI.
Answer: research studies generate new knowledge that is generalizable to
other populations and settings QI projects use currently available knowledge
to improve health care delivery within the local setting IRB should have a
written policy and template for determining the difference between humans
subjects research and QI
• Schizophrenia nonpharmalogical treatment.
Answer: -early start of medication and psychiatry referral -CBT, group
, therapy -community programs -Assertive community treatment (ACT) team
• three levels of review for IRB.
Answer: full board: more than "minimal risk" to subjects, not covered under
review categories (ex: interventions involving physical or emotional
discomfort or sensitive data) expedited: no greater than minimal risk, fits
one of the 9 expedited review categories (ex: collection of biospecimens by
noninvasive means, research with existing documents/records collected for
non-research purposes in which subjects are identifiable) exempt: less than
"minimal risk," fits one of the 6 exempt categories (ex: research with
de-identified records, anonymous surveys)
• recruitment methods and how they may differ.
Answer: clinical trial (might be specific in dealing with patients from certain
hospitals) pre-defined clinical group marketing-based (such as public health
campaigns or social media) epidemiological preselected patients
population-based methods (DMV, random digit dialing, census) approach
people or groups
• strengths and weaknesses of quantitative research.
Answer: strengths: (1) reliability by critically analyzed, (2) short time frame
for administered survey, (3) facilitated numerical data for groups and extents
of agree or disagree from respondents weaknesses: (1) no human perception
and beliefs, (2) lack of resources for large scale research, (3) no depth
experience description
• developing EBP expertise.
Answer: conduct effective literature reviews develop critical reading skill
process 1. preliminary: skimming article abstracts, title 2. comprehensive:
understanding the purpose of the study 3. analysis: examining the study
components 4. synthesis: assessing the study's validity
• agonist.
Answer: downstream proteins are maximally phosphorylated and the genes
are maximally impacted direct: binds directly to receptor to produce effects
indirect: increases neurotransmitter so there is more to be bound to receptors
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
• calculating ANC.
Answer: 1. add segs and bands together 2. convert percentage to decimal 3.
Multiply sum by total WBC count example: 50% segs, 2% bands. 52% ->
0.52. 0.52 x WBC of 1200 = 624 ANC
• obtaining qualitative data.
Answer: interviews focus groups observations action research
• A client who has been addicted to opioids has not used in 15 days. during
your medication management visit the client states "I'm going to die from
not having my Opanas. You need to give me something now" the PMHNP's
best response is.
Answer: I know you are feeling very uncomfortable lets take your vital signs
and talk about a trial on catapres to treat your withdrawal symptoms.
• testing.
Answer: taking the same test more than once can influence the participants
response the next time the test is taken
• 5HT2a action.
Answer: excitable, but if innervates GABA, can be inhibitory
• 6. Equity.
Answer: care without discrimination based on irrelevant factors to give
equal care for all populations
• random assignment.
Answer: each participant has equal chance of being placed into a group
• therapeutic interventions for maintaining the milieu with adolescents and
younger children.
, Answer: *Getting patients medications *setting and enforcing boundaries
*educating patients about health and tx *contributing to a supportive
environment *encouraging patient autonomy and decision making skills as
appropriate
• Leonard is an 18-year-old man who has been taking isotretinoin (Accutane)
for the treatment of acne for the past 2 months. Which of the following is
the most important question for the clinician to ask at his follow-up office
visit?.
Answer: Have you noticed any recent changes in your mood?
• observer role.
Answer: concealment: subject not aware of observation, minimizes
reactivity bias (Hawthorne effect), requires debriefing to allow refusal to
have their results used in analyses intervention: provoke actions from study
participants
• common chemo side effects.
Answer: *targets areas with rapidly dividing cells -skin (dryness, rashes,
lesions) -HEENT (oral/esophageal mucosa ulcers, hair loss) -respiratory:
interstitial lung disease -cardiac: cardiomyopathy -GI: n/v/d/c -urinary:
incontinence -musculoskeletal: fatigue -neuro: confusion, fog
• The following chromosomal syndrome is a common etiology of social and
verbal developmental delays in boys:.
Answer: Tay-Sachs disease
• research vs. QI.
Answer: research studies generate new knowledge that is generalizable to
other populations and settings QI projects use currently available knowledge
to improve health care delivery within the local setting IRB should have a
written policy and template for determining the difference between humans
subjects research and QI
• Schizophrenia nonpharmalogical treatment.
Answer: -early start of medication and psychiatry referral -CBT, group
, therapy -community programs -Assertive community treatment (ACT) team
• three levels of review for IRB.
Answer: full board: more than "minimal risk" to subjects, not covered under
review categories (ex: interventions involving physical or emotional
discomfort or sensitive data) expedited: no greater than minimal risk, fits
one of the 9 expedited review categories (ex: collection of biospecimens by
noninvasive means, research with existing documents/records collected for
non-research purposes in which subjects are identifiable) exempt: less than
"minimal risk," fits one of the 6 exempt categories (ex: research with
de-identified records, anonymous surveys)
• recruitment methods and how they may differ.
Answer: clinical trial (might be specific in dealing with patients from certain
hospitals) pre-defined clinical group marketing-based (such as public health
campaigns or social media) epidemiological preselected patients
population-based methods (DMV, random digit dialing, census) approach
people or groups
• strengths and weaknesses of quantitative research.
Answer: strengths: (1) reliability by critically analyzed, (2) short time frame
for administered survey, (3) facilitated numerical data for groups and extents
of agree or disagree from respondents weaknesses: (1) no human perception
and beliefs, (2) lack of resources for large scale research, (3) no depth
experience description
• developing EBP expertise.
Answer: conduct effective literature reviews develop critical reading skill
process 1. preliminary: skimming article abstracts, title 2. comprehensive:
understanding the purpose of the study 3. analysis: examining the study
components 4. synthesis: assessing the study's validity
• agonist.
Answer: downstream proteins are maximally phosphorylated and the genes
are maximally impacted direct: binds directly to receptor to produce effects
indirect: increases neurotransmitter so there is more to be bound to receptors
