2024 ANCC PMHNP BOARD EXAM
REVIEW WITH ANSWERS
What are atypical antipsychotics used for? - CORRECT-
ANSWERSschizophrenia, bipolar disorder and psychosis
Clozapine can cause? - CORRECT-ANSWERSagranulocytosis (sore throat is
the key symptom and neutrophils are high range)
What can ziprasidone cause? - CORRECT-ANSWERSQT prolongation
Torsade de pointes
What side effects can atypical antipsychotics cause? - CORRECT-
ANSWERSdry mouth
urine retention
constipation
blurry vision
EPS (less than typical)
NMS (clozapine (a serotonin antagonist))
Psychosis can happen.... - CORRECT-ANSWERSpostpardum
dementia patients
Medically induced
Antipsychotics can cause - CORRECT-ANSWERSEPS and negative effects on
learning and cognitive functioning
Galactorrhea
Weight Gain
Metabolic syndrome
Tardive Dyskinesia-tremors, (movement disorders) dyskinesia, akinesia, and
lip-smacking
Orthostatic Hypotension
What education for atypical antipsychotics? - CORRECT-ANSWERSTake BP
prior giving ziprasidone
, EPS and dyskinesia symptoms
Weight Gain-lifestyle changes and diet
Metabolic Syndrome Education
Sedation
NMS (Clozapine esp) side effects include sore throat lead pipe rigidity, fever,
unstable vitals, and decreased mental status
Base labs CBC and CMP
Avoid taking Benzos and alcohol
sedation/drowniness
anticholinergic side effects-dry mouth, blurry vision, constipation, urine
retention, and tachycardia
It blocks rest and digest
a
What is a recovery Model for bi polar I disorders? - CORRECT-ANSWERSIt is to
focus on the pts feelings and experiences
What happens in the prefrontal cortex? - CORRECT-ANSWERSModulation of
Pain
A transcranial magnetic stimulator can help reduce pain
inhibits impulsive and motivational drives
structure doesn't fully mature until the mid 20s to 30s
What is a side effect of trazodone? - CORRECT-ANSWERSpriapism- painful
and persisting penile erection that occurs for more than 3 hours. It is an
emergent situation.
arcus senilis - CORRECT-ANSWERSgray-white arc or circle around the limbus
of the iris that is common with aging and if before age 40 than it is caused
by hyperlipemia.
REVIEW WITH ANSWERS
What are atypical antipsychotics used for? - CORRECT-
ANSWERSschizophrenia, bipolar disorder and psychosis
Clozapine can cause? - CORRECT-ANSWERSagranulocytosis (sore throat is
the key symptom and neutrophils are high range)
What can ziprasidone cause? - CORRECT-ANSWERSQT prolongation
Torsade de pointes
What side effects can atypical antipsychotics cause? - CORRECT-
ANSWERSdry mouth
urine retention
constipation
blurry vision
EPS (less than typical)
NMS (clozapine (a serotonin antagonist))
Psychosis can happen.... - CORRECT-ANSWERSpostpardum
dementia patients
Medically induced
Antipsychotics can cause - CORRECT-ANSWERSEPS and negative effects on
learning and cognitive functioning
Galactorrhea
Weight Gain
Metabolic syndrome
Tardive Dyskinesia-tremors, (movement disorders) dyskinesia, akinesia, and
lip-smacking
Orthostatic Hypotension
What education for atypical antipsychotics? - CORRECT-ANSWERSTake BP
prior giving ziprasidone
, EPS and dyskinesia symptoms
Weight Gain-lifestyle changes and diet
Metabolic Syndrome Education
Sedation
NMS (Clozapine esp) side effects include sore throat lead pipe rigidity, fever,
unstable vitals, and decreased mental status
Base labs CBC and CMP
Avoid taking Benzos and alcohol
sedation/drowniness
anticholinergic side effects-dry mouth, blurry vision, constipation, urine
retention, and tachycardia
It blocks rest and digest
a
What is a recovery Model for bi polar I disorders? - CORRECT-ANSWERSIt is to
focus on the pts feelings and experiences
What happens in the prefrontal cortex? - CORRECT-ANSWERSModulation of
Pain
A transcranial magnetic stimulator can help reduce pain
inhibits impulsive and motivational drives
structure doesn't fully mature until the mid 20s to 30s
What is a side effect of trazodone? - CORRECT-ANSWERSpriapism- painful
and persisting penile erection that occurs for more than 3 hours. It is an
emergent situation.
arcus senilis - CORRECT-ANSWERSgray-white arc or circle around the limbus
of the iris that is common with aging and if before age 40 than it is caused
by hyperlipemia.
