ANCC IQ Domains 1-5 Qbank answered all correctly answered; latest updated summer 2025/2026.

1



ANCC IQ Domains 1-5 Qbank answered all
correctly answered; latest updated
summer 2025/2026.
As a PMHNP, you are aware of antipsychotic medication side effects. Which of
the following side effects of antipsychotic medications has an insidious,
delayed-onset typically 1 to 2 years after initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain

In evaluating a 4-year-old, one would expect which of the following delays in
Asperger's Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
d. Social skills development

Which area of the brain has been implicated to modulate pain and can help
explain how transcranial magnetic stimulation can help decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex

Which of the following antidepressants is associated with dose-related
cardiovascular adverse effects which require adherence to maximum
recommended dosing, unless higher doses are deemed appropriate despite
risks?
a. Citalopram (Celexa)




pg. 1
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,2


b. Venlafaxine (Effexor) g



c. Mirtazapine
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(Remeron)d. Sertraline
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(Zoloft)
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Which of the following findings would raise concern in an annual sports
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examfor a 15-year-old girl?
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a. Scar tissue from hymenal tear at 11 o'clock (reported biking injury)b.
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Blood pressure 86/56
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c. Height 67 inches, weight 102
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poundsd. Pulse 60, respirations 26
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A week after raising the dose of risperidone (Risperdal), a patient treated for
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schizophrenia presents to the clinic with reports of an acute change in
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mentalstatus, fever, and rigidity. As the treating PMHNP, you know these
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symptoms are consistent with which of the following?
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a. Neuroleptic malignant syndrome
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(NMS)b. Anticholinergic withdrawal
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syndrome c. Extrapyramidal side effects
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d. Serotonin syndrome
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Which of the following statements regarding disulfiram (Antabuse is
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correct?a. Disulfiram should not be taken for at least 6 hours after drinking
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alcohol. b. Avoid anything containing alcohol (i.e., vinegar, mouthwash,
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aftershave,
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cough medication) while using disulfiram and for 2 weeks after
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discontinuing.c. A disulfiram-alcohol reaction can occur up to 1 week after
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discontinuing disulfiram.
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d. Disulfiram can lower liver function tests so monitoring is necessary.
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Which mood stabilizer is most associated with a potentially life-
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threateningrash? g



a. Divalproex (Depakote)
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b.
g Lamotrigine g



(Lamictal) c. Lithium
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(Eskalith)
g



d. Carbamazepine (Tegretol)
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pg. 2
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,3


Which of the following statements most accurately reflects the
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predominantrisk factors of antisocial personality disorders?
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a. Gang affiliation and early substance abuse
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b. Genetic predisposition of first-degree familyg g g g



memberc. Childhood abuse and trauma from domestic
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violence
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d. Lower socioeconomic status from single-parent families
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A 37-year-old patient with schizophrenia is started on a high dose of
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chlorpromazine (Thorazine). The next day, he complains of
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lightheadednessafter standing up. Vital sign changes reflect a significant
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decrease in blood pressure and an increase in heart rate. You suspect this is
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secondary to the alpha 1-adrenergic blockade which is causing
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a. Orthostatic
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hypotensionb. Dry mouth
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c. Respiratory
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depressiond. Decreased
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sweating
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A 74-year-old female presents for an evaluation. The psychiatric nurse
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practitioner has the patient complete the mini mental status examination
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andclock drawing. The patient is unable to correctly draw the face of the
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clock.
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Which area of the brain is likely to have a compromised
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functioning?a. Wernicke's Area
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b. Corpus Callosum
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c. Left Hemisphere
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d. Right
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hemisphere
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Your patient comes into the office for her middle of the year appointment. She
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is diagnosed with Bipolar I disorder. She has been maintained well for the
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past3 years on Oxcarbazepine (Trileptal) 900 mg po QHS. Her labs are normal
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except for a blood sugar of 114 and her hemoglobin A1C is 5.6. She has a
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normal energy level and states that her mood is stable but complains of
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excessive urination and thirst. You suspect:
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a. Possible Diabetes 2 g g


pg. 3
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, 4


b. Possible
hyponatremiac. Possible
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polydipsia
g



d. Side effects of oxcarbazepine
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pg. 4
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