ANCC IQ Domains 1-5 Qbank answered all correctly
answered; latest updated
Domain 1: Scientific Foundation (40 questions with rationales)
As a PMHNP, you are aware of antipsychotic medication side effects. Which of
the following side effects of antipsychotic medications has an insidious, delayed-
onset typically 1 to 2 years after initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - B
In evaluating a 4-year-old, one would expect which of the following delays in
Asperger's Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
d. Social skills development - D
Which area of the brain has been implicated to modulate pain and can help explain
how transcranial magnetic stimulation can help decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex - A
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)
d. Sertraline (Zoloft) - 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 - 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 are
consistent with which of the following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome - 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, cough
medication) 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. - 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) - 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-degree family member
c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families - B
,A 37-year- hj
old patient with schizophrenia is started on a high dose of chlorpromazine (Thorazine
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). The next day, he complains of lightheadedness after standing up. Vital sign changes
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reflect a significant decrease in blood pressure and an increase in heart rate. You suspe
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ct this is secondary to the alpha 1-adrenergic blockade which is causing
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a. Orthostatic hypotension hj
b. Dry mouth hj
c. Respiratory depression hj
d. Decreased sweating - A hj hj hj
A 74-year- hj
old female presents for an evaluation. The psychiatric nurse practitioner has the patien
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t complete the mini mental status examination and clock drawing.
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The patient is unable to correctly draw the face of the clock. Which area of the brain is
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likely to have a compromised functioning?
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a. Wernicke's Area hj
b. Corpus Callosum hj
c. Left Hemisphere hj
d. Right hemisphere - D hj hj hj
Your patient comes into the office for her middle of the year appointment. She is dia
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gnosed with Bipolar I disorder. She has been maintained well for the past 3 years on
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Oxcarbazepine (Trileptal) 900 mg po QHS. Her labs are normal except for a blood su hj hj hj hj hj hj hj hj hj hj hj hj hj hj
gar of 114 and her hemoglobin A1C is 5.6. She has a normal energy level and states th
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at her mood is stable but complains of excessive urination and thirst. You suspect:
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a. Possible Diabetes 2 hj hj
b. Possible hyponatremia hj
c. Possible polydipsia hj
d. Side effects of oxcarbazepine - D hj hj hj hj hj
What is a rare but serious side effect of trazodone (Desyrel)?
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a. Confusion
b. Priapism
c. Rash
d. Tremor - B hj hj
, When studying pharmacodynamics involving receptors, you know that an inverse ago
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nist produces the following effect:
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a. Does not fully activate the receptor and causes only limited actions
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b. Causes the opposite effect of agonist, and causes the receptor to close the ion ch
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annel
c. Blocks the agonist from opening the channel, and does not activate a biological res
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ponse
d. Activates a biological response, and opens the ion channel. - B hj hj hj hj hj hj hj hj hj hj
Mr. Smith is a 56-year-
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old white male who has been successfully treated on Selegiline for over 4 years. Mr.
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Smith is going in for an elective surgical procedure. Which medication is strictly con
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traindicated with Selegiline? hj hj
a. Non-steroidal anti-inflammatory drugs (NSAIDs) hj hj hj
b. Meperidine
c. Codeine
d. Morphine - B hj hj
Patty is a 62-year- hj hj hj
old white female with Bipolar I Disorder and has been stable for 2 years on valproate a
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nd risperidone. She was recently diagnosed with shingles, and her primary care nurse
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practitioner started her on corticosteroids. As the PMHNP treating Patty, you are con
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cerned that the addition of the corticosteroids may cause
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a. Neuroleptic Malignant Syndrome hj hj
b. A hypertensive crisis
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c. A manic episode
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d. Stevens-Johnson syndrome - C hj hj hj
Which serotonin receptor antagonism makes an antipsychotic "atypical"?
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a. 5HT4A
b. 5HT1A
c. 5HT3A
d. 5HT2A - D hj hj
answered; latest updated
Domain 1: Scientific Foundation (40 questions with rationales)
As a PMHNP, you are aware of antipsychotic medication side effects. Which of
the following side effects of antipsychotic medications has an insidious, delayed-
onset typically 1 to 2 years after initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - B
In evaluating a 4-year-old, one would expect which of the following delays in
Asperger's Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
d. Social skills development - D
Which area of the brain has been implicated to modulate pain and can help explain
how transcranial magnetic stimulation can help decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex - A
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)
d. Sertraline (Zoloft) - 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 - 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 are
consistent with which of the following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome - 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, cough
medication) 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. - 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) - 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-degree family member
c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families - B
,A 37-year- hj
old patient with schizophrenia is started on a high dose of chlorpromazine (Thorazine
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). The next day, he complains of lightheadedness after standing up. Vital sign changes
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
reflect a significant decrease in blood pressure and an increase in heart rate. You suspe
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ct this is secondary to the alpha 1-adrenergic blockade which is causing
hj hj hj hj hj hj hj hj hj hj hj
a. Orthostatic hypotension hj
b. Dry mouth hj
c. Respiratory depression hj
d. Decreased sweating - A hj hj hj
A 74-year- hj
old female presents for an evaluation. The psychiatric nurse practitioner has the patien
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t complete the mini mental status examination and clock drawing.
hj hj hj hj hj hj hj hj hj
The patient is unable to correctly draw the face of the clock. Which area of the brain is
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
likely to have a compromised functioning?
hj hj hj hj hj hj
a. Wernicke's Area hj
b. Corpus Callosum hj
c. Left Hemisphere hj
d. Right hemisphere - D hj hj hj
Your patient comes into the office for her middle of the year appointment. She is dia
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gnosed with Bipolar I disorder. She has been maintained well for the past 3 years on
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
Oxcarbazepine (Trileptal) 900 mg po QHS. Her labs are normal except for a blood su hj hj hj hj hj hj hj hj hj hj hj hj hj hj
gar of 114 and her hemoglobin A1C is 5.6. She has a normal energy level and states th
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
at her mood is stable but complains of excessive urination and thirst. You suspect:
hj hj hj hj hj hj hj hj hj hj hj hj hj
a. Possible Diabetes 2 hj hj
b. Possible hyponatremia hj
c. Possible polydipsia hj
d. Side effects of oxcarbazepine - D hj hj hj hj hj
What is a rare but serious side effect of trazodone (Desyrel)?
hj hj hj hj hj hj hj hj hj hj
a. Confusion
b. Priapism
c. Rash
d. Tremor - B hj hj
, When studying pharmacodynamics involving receptors, you know that an inverse ago
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nist produces the following effect:
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a. Does not fully activate the receptor and causes only limited actions
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b. Causes the opposite effect of agonist, and causes the receptor to close the ion ch
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
annel
c. Blocks the agonist from opening the channel, and does not activate a biological res
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ponse
d. Activates a biological response, and opens the ion channel. - B hj hj hj hj hj hj hj hj hj hj
Mr. Smith is a 56-year-
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old white male who has been successfully treated on Selegiline for over 4 years. Mr.
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Smith is going in for an elective surgical procedure. Which medication is strictly con
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traindicated with Selegiline? hj hj
a. Non-steroidal anti-inflammatory drugs (NSAIDs) hj hj hj
b. Meperidine
c. Codeine
d. Morphine - B hj hj
Patty is a 62-year- hj hj hj
old white female with Bipolar I Disorder and has been stable for 2 years on valproate a
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nd risperidone. She was recently diagnosed with shingles, and her primary care nurse
hj hj hj hj hj hj hj hj hj hj hj hj hj
practitioner started her on corticosteroids. As the PMHNP treating Patty, you are con
hj hj hj hj hj hj hj hj hj hj hj hj
cerned that the addition of the corticosteroids may cause
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a. Neuroleptic Malignant Syndrome hj hj
b. A hypertensive crisis
hj hj
c. A manic episode
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d. Stevens-Johnson syndrome - C hj hj hj
Which serotonin receptor antagonism makes an antipsychotic "atypical"?
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a. 5HT4A
b. 5HT1A
c. 5HT3A
d. 5HT2A - D hj hj
