ANCC Review Questions (PMHNP IQ)
2026 Exam Questions and Answers |
100% Solved
What direct-acting dopamine receptor agonist is recommended to be used
in the treatments of neuroleptic malignant syndrome (NMS) fo help lower
the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
,D) trihexyphenidyl (Artane) - 🧠 ANSWER ✔✔A) Bromocriptine (Parlodel) is
the recommended direct acting dopamine receptor agonist to help
decrease the dopamine blockade. Danrolene (Dantrium) is a muscle
relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Artane) are
anticholinergic medications used for extrapyramidal side effects (EPS).
Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical
procedure. Which medication is strictly contraindicated with Selegiline?
A) Non-steroidal anti-inflammatory drugs (NSAIDS)
B) Codeine
C) Morphine
D) Meperidine - 🧠 ANSWER ✔✔D) Meperidine is strictly prohibited when a
patient is treated on a monoamine oxidase inhibitor (MAOI) due to the risk
of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to
take which of the following actions?
, A) Consult with hematologist to determine appropriate antibiotic regimen
and monitor closely.
B) Institute twice-weekly complete blood count with differentials and
monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and
monitor closely.
D) Institute daily complete blood count with differentials and monitor
closely. - 🧠 ANSWER ✔✔B) Institute twice-weekly complete blood count
with differentials and monitor closely.
The recommended cut-points for discontinuation of clozapine are WBC of
2,000 to 3,000 or granulocytes of 1,000 to 1,500 for agranulocytosis and
severely compromised immune system. At a WBC of 4,000, the
recommendation is to closely monitor CBC with differential twice a week
while patient may continue clozapine in the absence of any other signs or
symptoms.
A patient with a diagnosis of schizophrenia has a history of suicidal ideation
and suicide attempts. The PMHNP should consider which antipsychotic
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
2026 Exam Questions and Answers |
100% Solved
What direct-acting dopamine receptor agonist is recommended to be used
in the treatments of neuroleptic malignant syndrome (NMS) fo help lower
the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
,D) trihexyphenidyl (Artane) - 🧠 ANSWER ✔✔A) Bromocriptine (Parlodel) is
the recommended direct acting dopamine receptor agonist to help
decrease the dopamine blockade. Danrolene (Dantrium) is a muscle
relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Artane) are
anticholinergic medications used for extrapyramidal side effects (EPS).
Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical
procedure. Which medication is strictly contraindicated with Selegiline?
A) Non-steroidal anti-inflammatory drugs (NSAIDS)
B) Codeine
C) Morphine
D) Meperidine - 🧠 ANSWER ✔✔D) Meperidine is strictly prohibited when a
patient is treated on a monoamine oxidase inhibitor (MAOI) due to the risk
of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to
take which of the following actions?
, A) Consult with hematologist to determine appropriate antibiotic regimen
and monitor closely.
B) Institute twice-weekly complete blood count with differentials and
monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and
monitor closely.
D) Institute daily complete blood count with differentials and monitor
closely. - 🧠 ANSWER ✔✔B) Institute twice-weekly complete blood count
with differentials and monitor closely.
The recommended cut-points for discontinuation of clozapine are WBC of
2,000 to 3,000 or granulocytes of 1,000 to 1,500 for agranulocytosis and
severely compromised immune system. At a WBC of 4,000, the
recommendation is to closely monitor CBC with differential twice a week
while patient may continue clozapine in the absence of any other signs or
symptoms.
A patient with a diagnosis of schizophrenia has a history of suicidal ideation
and suicide attempts. The PMHNP should consider which antipsychotic
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
