ANCC Cumulative Exam Questions with Complete
Solutions.
ANCC - Cumulative Test
1. Frontal lobe syndrome is associated with
a. personality changes.
b. visual hallucinations.
c. psychomotor retardation.
d. memory impairment. - .1.
Correct Answer: A. Frontal lobe syndrome influences all dimensions of the pre-frontal
cortex.
2. A 64-year-old male with a history of bipolar I disorder presents to the community
mental health center for his medication management appointment. He has been taking
Depakote ER 500 mg iii at bedtime and Ambien 10 mg as needed for sleep. Today he
states that he feels "just fine." His vital signs are: B/P 124/82, P 90, R 16, T 102. The
nurse notes bruising on his arms and abdomen and suspects:
a. decreased CPK levels.
b. serotonin syndrome.
c. neuroleptic malignant syndrome.
d. thrombocytopenia. - .2. Correct Answer: D. The patient states he feels fine and none of
the medications
prescribed should result in A, B, or C. However, increased bleeding from development of
thrombocytopenia (low platelet count) can result from use of Depakote ER.
3. A patient with a history of schizophrenia presents to the ED with acute mental status
changes. His family reports adherence to medications. Labs were drawn and a urine
sample was obtained. The urine culture showed a significantly high level of e. coli
bacteria. Which DSM-IV-TR diagnosis can the nurse anticipate?
a. Alzheimer's Dementia Not Otherwise Specified
, b. Delirium Not Otherwise Specified
c. Schizophrenia. paranoid type
d. Schizoid personality disorder - .3. Correct Answer: B. Before a psychiatric diagnosis is
made, any substance-rdated or
physical conditions must be ruled out. Because there was a rapid change in mental
stalus, and there were high levels ofe. coli in the urine, a delirium diagnosis must first be
4. The nurse anticipates that a young child diagnosed with a developmental disability
may have had:
a. variable results on Hamilton Anxiety Test.
b. normal results on PHQ12.
c. normal IOWA Connors rating scores.
d. low APGAR scores. - .4. Correct Answer: D. The only test that is directly related to a
developmental disability is
the low APGAR score.
5. A 55-year-old male whose wife was killed in an auto accident tells the nurse that he
needs some help in accepting and dealing with the sudden loss of his wife. A guideline
that would not be helpful is:
a. "Try to take care of yourself"
b. "Express how you feel."
c. "Give yourself about 6 months to grieve"
d. "Establish a daily structure and adhere to it" - .5. Correct Answer: C. The grieving
proces usually takes a year, since this allows the
person to experience all the holidays and special occasions without the deceaed
6. An implementation that supports behavioral change is
a. dialectical behavioral therapy.
b. Maslow's hierarchy of needs.
c. dream analysis and interpretation.
Solutions.
ANCC - Cumulative Test
1. Frontal lobe syndrome is associated with
a. personality changes.
b. visual hallucinations.
c. psychomotor retardation.
d. memory impairment. - .1.
Correct Answer: A. Frontal lobe syndrome influences all dimensions of the pre-frontal
cortex.
2. A 64-year-old male with a history of bipolar I disorder presents to the community
mental health center for his medication management appointment. He has been taking
Depakote ER 500 mg iii at bedtime and Ambien 10 mg as needed for sleep. Today he
states that he feels "just fine." His vital signs are: B/P 124/82, P 90, R 16, T 102. The
nurse notes bruising on his arms and abdomen and suspects:
a. decreased CPK levels.
b. serotonin syndrome.
c. neuroleptic malignant syndrome.
d. thrombocytopenia. - .2. Correct Answer: D. The patient states he feels fine and none of
the medications
prescribed should result in A, B, or C. However, increased bleeding from development of
thrombocytopenia (low platelet count) can result from use of Depakote ER.
3. A patient with a history of schizophrenia presents to the ED with acute mental status
changes. His family reports adherence to medications. Labs were drawn and a urine
sample was obtained. The urine culture showed a significantly high level of e. coli
bacteria. Which DSM-IV-TR diagnosis can the nurse anticipate?
a. Alzheimer's Dementia Not Otherwise Specified
, b. Delirium Not Otherwise Specified
c. Schizophrenia. paranoid type
d. Schizoid personality disorder - .3. Correct Answer: B. Before a psychiatric diagnosis is
made, any substance-rdated or
physical conditions must be ruled out. Because there was a rapid change in mental
stalus, and there were high levels ofe. coli in the urine, a delirium diagnosis must first be
4. The nurse anticipates that a young child diagnosed with a developmental disability
may have had:
a. variable results on Hamilton Anxiety Test.
b. normal results on PHQ12.
c. normal IOWA Connors rating scores.
d. low APGAR scores. - .4. Correct Answer: D. The only test that is directly related to a
developmental disability is
the low APGAR score.
5. A 55-year-old male whose wife was killed in an auto accident tells the nurse that he
needs some help in accepting and dealing with the sudden loss of his wife. A guideline
that would not be helpful is:
a. "Try to take care of yourself"
b. "Express how you feel."
c. "Give yourself about 6 months to grieve"
d. "Establish a daily structure and adhere to it" - .5. Correct Answer: C. The grieving
proces usually takes a year, since this allows the
person to experience all the holidays and special occasions without the deceaed
6. An implementation that supports behavioral change is
a. dialectical behavioral therapy.
b. Maslow's hierarchy of needs.
c. dream analysis and interpretation.
