ANCC IQ DOMAINS 1-5
Psychiatric-Mental Health Nurse Questions & Correct
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ANCC IQ DOMAINS 1-5
Psychiatric-Mental Health Nurse Questions
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Complete A+ Guide For 300+ Mcqs
,Domain 1: Scientific Foundation (40 questions with rationales)
Which of the following antidepressants is associated with dose-related
cardiovascular adverse effects which require adherence to maximum
recommended dosing, unless higher doses are deemed appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
a. Sertraline (Zoloft)
Correct Answer... A
Which of the following findings would raise concern in an annual sports exam
for a 15-year-old girl?
a. Scar tissue from hymenal tear at 11 o'clock (reported biking injury)
b. Blood pressure 86/56
c. Height 67 inches, weight 102 pounds
d. Pulse 60, respirations 26
Correct Answer... C
,A week after raising the dose of risperidone (Risperdal), a patient treated
for schizophrenia presents to the clinic with reports of an acute change in
mental status, fever, and rigidity. As the treating PMHNP, you know these
symptoms areconsistent with which of the following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome
Correct Answer... A
Which of the following statements regarding disulfiram (Antabuse is correct?
a. Disulfiram should not be taken for at least 6 hours after drinking alcohol.
b. Avoid anything containing alcohol (i.e., vinegar, mouthwash, aftershave,
coughmedication) while using disulfiram and for 2 weeks after discontinuing.
c. A disulfiram-alcohol reaction can occur up to 1 week after discontinuing
disulfiram.
d. Disulfiram can lower liver function tests so monitoring is necessary.
Correct Answer... B
Which mood stabilizer is most associated with a potentially life-threatening rash?
a. Divalproex (Depakote)
b. Lamotrigine (Lamictal)
c. Lithium (Eskalith)
d. Carbamazepine (Tegretol)
Correct Answer... B
, Which of the following statements most accurately reflects the predominant risk
factors of antisocial personality disorders?
a. Gang affiliation and early substance abuse
b. Genetic predisposition of first
c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families
Correct Answer... B
A 24-year-old mother of a 2-year-old child presents to the clinic. Which of
the following facial characteristics would lead the psychiatric mental health
nursepractitioner to believe the child has fetal alcohol syndrome?
a. Large head, thick upper lip, and overdeveloped jaw
b. Small head, thin upper lip, and smooth philtrum
c. Long nose, large eyelid opening, and developed philtrum
d. High nasal bridge, plump midface, and large eyelid opening
Correct Answer... B
A client is suffering from schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing side effects
producedby dopamine antagonism in the tuberoinfundibular pathway?
a. Are you experiencing breast discharge?
b. Are you experiencing drooling?
c. Are you experiencing tremors?
d. Are you experiencing dizziness?
Correct Answer... A