ANCC IQ DOMAIN 2 CERTIFICATION EXAM | 2026–2027
PRACTICE QUESTIONS & VERIFIED ANSWERS
1. A 78 y/o cattleman referred for treatment of refractory depression by his
primary care provider reports continued thoughts of failure, lack of
purpose in life, lack of interest in ranching, fishing, hunting, or family since
losing his driver's license due to DUI six months ago. Which of the
following areas is an assessment priority?
A. Prior and current medications, dose, clinical response, side effects
B. Extent of alcohol use and motivation to reduce to safe levels
C. Thoughts of self-harm, plan, intent, access
D. Sleep patterns (early-middle-late awakening), sleep hygiene: C.
Thoughts of self-harm, plan, intent, access
,
,2. A 32 y/o Caucasian Catholic female patient presents for her therapy ses-
sion. She is upset because she and her husband have been in an
argument over finances. She does not work and stays at home to take care
of the children. She reports feeling sad and has had thoughts of hurting
herself. She has a past history of overdosing with Tylenol several years
ago. Which of the following places her at high-risk for suicide?
A. age
B. gender
C. previous suicide attempt
D. marital status: C. previous suicide attempt
3. During a follow-up medication visit with a 13 y/o male, his mother stayed
longer to ask the psychiatric mental health nurse practitioner (PMHNP) a
question. Specifically, his mother states, "the school sent home
, information about the human papillomavirus and suggested my son see
his primary care provider to get an immunization. Why did I get this
information for my son? Furthermore, he is not sexually active." Which of
the following would be the PMHNP's best response?
A. As your son's PMHNP, I cannot provide you with information about
immu- nizations
B. I understand your concern with talking to your son about
becoming sexually active. Let's address how to start the
conversation.
C. Decisions about immunizations can be difficult. The Centers for Disease
Control and Prevention recommend that all males between the ages of 11-
12, or as early as 9 years of age, receive this vaccination. What concerns
do you have?
PRACTICE QUESTIONS & VERIFIED ANSWERS
1. A 78 y/o cattleman referred for treatment of refractory depression by his
primary care provider reports continued thoughts of failure, lack of
purpose in life, lack of interest in ranching, fishing, hunting, or family since
losing his driver's license due to DUI six months ago. Which of the
following areas is an assessment priority?
A. Prior and current medications, dose, clinical response, side effects
B. Extent of alcohol use and motivation to reduce to safe levels
C. Thoughts of self-harm, plan, intent, access
D. Sleep patterns (early-middle-late awakening), sleep hygiene: C.
Thoughts of self-harm, plan, intent, access
,
,2. A 32 y/o Caucasian Catholic female patient presents for her therapy ses-
sion. She is upset because she and her husband have been in an
argument over finances. She does not work and stays at home to take care
of the children. She reports feeling sad and has had thoughts of hurting
herself. She has a past history of overdosing with Tylenol several years
ago. Which of the following places her at high-risk for suicide?
A. age
B. gender
C. previous suicide attempt
D. marital status: C. previous suicide attempt
3. During a follow-up medication visit with a 13 y/o male, his mother stayed
longer to ask the psychiatric mental health nurse practitioner (PMHNP) a
question. Specifically, his mother states, "the school sent home
, information about the human papillomavirus and suggested my son see
his primary care provider to get an immunization. Why did I get this
information for my son? Furthermore, he is not sexually active." Which of
the following would be the PMHNP's best response?
A. As your son's PMHNP, I cannot provide you with information about
immu- nizations
B. I understand your concern with talking to your son about
becoming sexually active. Let's address how to start the
conversation.
C. Decisions about immunizations can be difficult. The Centers for Disease
Control and Prevention recommend that all males between the ages of 11-
12, or as early as 9 years of age, receive this vaccination. What concerns
do you have?
