1
ADVANCED PRACTICE PSYCHIATRIC NURSING EXAM REVIEW-GERIATRIC
TEST QUESTIONS AND ANSWERS 2026-27 LATEST VERSION
1. A 15-year-old boy has refused to go to school for the past month. Every
morning he has a new symptom or develops one and has to be picked
up from school. When he is home, the symptoms disappear. On
weekends the symptoms never present. What is the most likely
diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor retardation, and
inattentiveness is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should be
successfully recalled in stored memory and readily remembered.
Personal identity is completely forgotten as well as previously learned skills.
Dissociative amnesia is related to neurobiological damage which prevents
memory storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that
is inconsistent with ordinary forgetting. It is potentially reversible and not
,2
associated with neurobiological damage. Loss of one's personality identity
and procedural knowledge is associated with generalized amnesia.
4. A 17-year-old girl with major depressive disorder single episode and
bulimia nervosa is unable to actively participate in psychotherapy
because she says she feels too sleepy during the day because she is
,3
unable to sleep at night. In addition, she is inattentive, irritable, finds it
difficult to concentrate, and has no desire to do anything. Which
pharmacological agent is preferred for monotherapy?
Atypical antipsychotic
Tricyclic antidepressant
Selective serotonin reuptake inhibitor
Mood stabilizer
5. John is a 39 year old business executive who works 60 plus hours a
week. He has no financial challenges but insists on staying in the office
in order to perfect the projects he is working on. His manager notes
that John is stubborn and asked John to delegate part of his upcoming
presentation to junior staff members, but John always refuses to
delegate. John is also saving his money "in case of the next pandemic"
and rarely spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work with
others, unless they adopt his exact method of doing things. John's
behavior best describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive disorder
Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated with
Citalopram for the last 5 years. Which of the following is associated
with and increased risk of serotonin syndrome?
All of these are associated with increased risk.
Triptans, Oxycodone and Tramadol
5-HTP, Valproate and Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
7. Soledad is a 32 year old female who for the last 8 months has been
overly concerned that she has been infected with the Covid-19 virus.
Her mother had the virus 6 months ago. Soledad is anxious that she is
, 4
now ill. She checks her temperature 4 times a day. She has tested
negative for Covid -19 10 times in the last 3 months. Soledad has no
overt symptoms of the virus. She frequently visits her PCP and drug
store clinic asking for repeated testing. Two years ago, she had fears of
the Zika virus and displayed similar behavior and repeated medical
care visits. What is the most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No somatic
symptoms are present. Repeated and excessive reassurance and medical
care visits are present. The preoccupation with having a serious illness has
been present for at least 6 months. There is a high level of anxiety about
personal health status.
8. A 40-year-old man who has been on olanzapine for schizophrenia has a
lipid profile indicating total cholesterol 240 mg/dL, and low-density
lipoprotein (LDL) 200 mg/dL. Which of the following is recommended?
Statin therapy
Transthoracic echocardiogram
Lifestyle modification
Serial EKGs
9. Upon awakening, a period of reduced alertness, impaired performance
and reduced vigilance associated with Hypersomnolence disorder is
better known as what?
Sleep inertia
Sleep ataxia
Nap disorder
Sleep delirium
Sleep inertia refers to a groggy period lasting minutes to hours, which
includes impaired alertness upon awakening and is specific to
hypersomonolence disorder. There is no such thing as sleep ataxia or nap
ADVANCED PRACTICE PSYCHIATRIC NURSING EXAM REVIEW-GERIATRIC
TEST QUESTIONS AND ANSWERS 2026-27 LATEST VERSION
1. A 15-year-old boy has refused to go to school for the past month. Every
morning he has a new symptom or develops one and has to be picked
up from school. When he is home, the symptoms disappear. On
weekends the symptoms never present. What is the most likely
diagnosis?
Separation anxiety
Social anxiety
Agoraphobia
Panic disorder
2. Delirium characterized by apathy, psychomotor retardation, and
inattentiveness is known as:
Hypoactive delirium
Mixed delirium
Hyperactive delirium
Mania
3. Which of the following are true regarding dissociative amnesia?
The amnesia is selective for specific events which should be
successfully recalled in stored memory and readily remembered.
Personal identity is completely forgotten as well as previously learned skills.
Dissociative amnesia is related to neurobiological damage which prevents
memory storage.
All of these statements are true.
Dissociative amnesia involves the inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that
is inconsistent with ordinary forgetting. It is potentially reversible and not
,2
associated with neurobiological damage. Loss of one's personality identity
and procedural knowledge is associated with generalized amnesia.
4. A 17-year-old girl with major depressive disorder single episode and
bulimia nervosa is unable to actively participate in psychotherapy
because she says she feels too sleepy during the day because she is
,3
unable to sleep at night. In addition, she is inattentive, irritable, finds it
difficult to concentrate, and has no desire to do anything. Which
pharmacological agent is preferred for monotherapy?
Atypical antipsychotic
Tricyclic antidepressant
Selective serotonin reuptake inhibitor
Mood stabilizer
5. John is a 39 year old business executive who works 60 plus hours a
week. He has no financial challenges but insists on staying in the office
in order to perfect the projects he is working on. His manager notes
that John is stubborn and asked John to delegate part of his upcoming
presentation to junior staff members, but John always refuses to
delegate. John is also saving his money "in case of the next pandemic"
and rarely spends money on anything fun. John is preoccupied with
perfectionism, rules, morality and ethics and is reluctant to work with
others, unless they adopt his exact method of doing things. John's
behavior best describes what?
Obsessive Compulsive Personality Disorder
Obsessive compulsive disorder
Hoarding disorder
General anxiety disorder
6. Leo is a 32-year-old male with MDD who has been treated with
Citalopram for the last 5 years. Which of the following is associated
with and increased risk of serotonin syndrome?
All of these are associated with increased risk.
Triptans, Oxycodone and Tramadol
5-HTP, Valproate and Trypophan
Yohimbe, Panax ginseng and St. John's wart
All of these drugs and herbs may contribute to serotonin syndrome.
7. Soledad is a 32 year old female who for the last 8 months has been
overly concerned that she has been infected with the Covid-19 virus.
Her mother had the virus 6 months ago. Soledad is anxious that she is
, 4
now ill. She checks her temperature 4 times a day. She has tested
negative for Covid -19 10 times in the last 3 months. Soledad has no
overt symptoms of the virus. She frequently visits her PCP and drug
store clinic asking for repeated testing. Two years ago, she had fears of
the Zika virus and displayed similar behavior and repeated medical
care visits. What is the most likely diagnosis here?
iIlness anxiety disorder
Factitious disorder by proxy
Panic disorder
Somatic symptom disorder
Soledad meets the DSM-5 criteria for illness anxiety disorder. No somatic
symptoms are present. Repeated and excessive reassurance and medical
care visits are present. The preoccupation with having a serious illness has
been present for at least 6 months. There is a high level of anxiety about
personal health status.
8. A 40-year-old man who has been on olanzapine for schizophrenia has a
lipid profile indicating total cholesterol 240 mg/dL, and low-density
lipoprotein (LDL) 200 mg/dL. Which of the following is recommended?
Statin therapy
Transthoracic echocardiogram
Lifestyle modification
Serial EKGs
9. Upon awakening, a period of reduced alertness, impaired performance
and reduced vigilance associated with Hypersomnolence disorder is
better known as what?
Sleep inertia
Sleep ataxia
Nap disorder
Sleep delirium
Sleep inertia refers to a groggy period lasting minutes to hours, which
includes impaired alertness upon awakening and is specific to
hypersomonolence disorder. There is no such thing as sleep ataxia or nap
