EXAM
NUR 670 - APEA PRETEST TEST BANK NEWEST
2026/2027 ACTUAL EXAM COMPLETE 680
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Tom calls his PMHNP's office to report symptoms of sore throat, fever, malaise, and mouth sores. He also tells
the PMHNP that he recently experienced an increased number of infections. The PMHNP suspects which
condition?
A - Neuroleptic malignant syndrome
B - Serotonin syndrome
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EXAM
C - Discontinuation syndrome
D - Agranulocytosis
Agranulocytosis
A 58-year-old woman who is being treated for bipolar disorder reports a history of hypertension, diabetes and
hyperlipidemia. Which of the following medications is least appropriate for her treatment?
A - Olanzapine (Zyprexa)
B - Quetiapine (Seroquel)
C - Aripiprazole (Abilify)
D - Ziprasidone (Geodon)
Olanzapine (Zyprexa)
Decreased serotonin levels is the proposed etiologic factor in the development of:
A - multiple sclerosis.
B - Parkinson's disease.
C - migraine headaches.
D - Crohn's disease.
migraine headaches
What is the PMHNP assessing when they tell a patient, "People in glasses houses shouldn't throw stones."
A - Insight
B - Judgment
C - Intellect
D - Abstraction
Abstraction
The most common cause of seizures in the older adult is:
A - neurosyphilis.
B - vascular disease.
C - renal failure.
D - congenital abnormalities.
vascular disease.
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A patient who has been treated for major depression for the last 6 weeks complains of glossitis and
paresthesias. The most likely differential diagnosis is:
A - vitamin B12 deficiency.
B - neurosyphilis.
C - vitamin B6 deficiency
D - hypothyroidism.
vitamin B12 deficiency.
Attachment disorders are characterized by biopsychosocial pathology that results from:
A - maternal deprivation.
B - peer rejection.
C - sensorimotor deficit.
D - involvement in risk-taking behaviors.
maternal deprivation
Zach, a 19-year-old patient, started taking lurasidone (Latuda) last week to manage bipolar depression. He
reports that he began feeling restless within 3 days of initiating the medication. Symptoms have not improved.
He states he "just cannot be still." The PMHNP explains to Zach that he is experiencing what side effect?
A - Dyskinesia
B - Dystonia
C - Parkinsonism
D - Akathisia
Akathisia
Patients with schizophrenia experience anhedonia, flat affect, avolition, poor attention, and which of the
following symptoms?
A - Ataxia
B - Aphasia
C - Alogia
D - Affection
Alogia
What occurs in the "pregroup phase" of group therapy?
A - The leader considers the direction and framework of the group.
B - Members are concerned about self-disclosure and being rejected.
C - Members are resistant and may begin to exhibit testing behaviors.
D - Resistance to the group is overcome by members.
The leader considers the direction and framework of the group.
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EXAM
Which of the following statements best describes the ethical basis for clinical decisions?
A - The PMHNP's ideology should play a role in clinical decision making for patients.
B - The patient is morally obligated to let the clinician's experience and knowledge control decision making.
C - The clinician should only inform the patient about treatments they feel are best for the patient, given all
variables.
D-A clinical decision that is based on shared decision making by the provider and patient is an ethical one.
A clinical decision that is based on shared decision making by the provider and patient is an ethical one.
Which of the following classifications of medications does not have the potential to cause psychosis?
A - Muscle relaxants
B - Anticholinergics
C - Corticosteroids
D - Anticoagulants
Anticoagulants
A 42-year-old female patient reports that she was recently diagnosed with type 2 diabetes mellitus (T2DM). She
states her fasting blood sugar was 216 this morning and she is very concerned about having to take insulin. The
PMHNP's best response should be:
A - "Most type 2 diabetics never have to take insulin".
B - "It is usual to try dietary modifications and exercise first."
C - "It would be a lot easier if you start insulin as soon as possible."
D - "The value of using insulin to control type 2 diabetes is unclear."
"It is usual to try dietary modifications and exercise first."
A 53-year-old patient presents with localized tenderness over the medial epicondyle and has pain with full
extension of the elbow. The most likely causative factor of this pain is:
A-golfing.
B-sewing.
C-typing.
D-swimming.
golfing.
The PMHNP is preparing to prescribe a serotonin norepinephrine reuptake inhibitor (SNRI) for a patient with
hypertension. The SNRI that is least likely to have an effect on blood pressure is:
A - duloxetine (Cymbalta).
B - venlafaxine (Effexor).
P 4