ATI EXAM
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Exam Solution
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PMHNP ANCC exam 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (490F6)
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QUESTION 1 zm
Role of neurotransmitters in the central nervous system is to function as
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A. A communication medium
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B. A gatekeeper for transmissions
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C. A building block for amino acids
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D. An agent to break down enzymes.
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ANSWER
A. A communication medium
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QUESTION 2 zm
Primary excitatory neurotransmitter
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A. GABA
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B. Serotonin
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C. Dopamine
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D. Glutamate
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ANSWER
D. Glutamate
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QUESTION 3 zm
In completing the PMHNP assessment for Mrs. Shea, the most appropriate lab test for
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the PMHNP to order at this time is:
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A. CBC
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B. TSH
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C. Liver function tests
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D. Electrolyte panel
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ANSWER
, C. Liver function tests
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QUESTION 4 zm
A 23-year-
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old woman is brought to the ER after attempting suicide by cutting her wrists. Which
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nursing action by the PMHNP would be of highest priority initially?
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A. Assess her coping behaviors
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B. Assess her current level of suicidality
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C. Take her vital signs
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D. Assess her health history
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ANSWER
C. Take her vital signs
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QUESTION 5 zm
Which is true about pharmacologic treatment for anxiety in older adults
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A. Course of treatment is generally shorter than for younger adults
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B. Drugs that are highly oxidized are more unpredictable than drugs that are mostly c
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onjugated.
C. The therapeutic dose of SSRIs is generally lower than for young adults.
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D. Highly lipophilic drugs have a more linear elimination in older adults.
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ANSWER
B. Drugs that are highly oxidized are more unpredictable than drugs that are mostly conjugated.
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QUESTION 6 zm
Persons with OCD often use isolation as a defense mechanism. Which of the following
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examples best describes isolation as a defense mechanism?
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A. Staying in the house for days or weeks to clean
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B. Declining invites by friends or family to attend social gatherings
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C. Describing information with very little affect variation
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D. Being an introver in the work setting to prevent talking with coworkers
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ANSWER
C. Describing information with very little affect variation
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QUESTION 7 zm
In the DSM-5, how should a personality disorder be coded?
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A. Coded with the major psychiatric disorder
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B. Coded on Axis II
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Exam Solution
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PMHNP ANCC exam 2026 A+ GRADE ASSURED COMPLE
zm zm zm zm zm zm zm
TE SOLUTIONS AND VERIFIED ANSWERS (490F6)
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QUESTION 1 zm
Role of neurotransmitters in the central nervous system is to function as
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A. A communication medium
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B. A gatekeeper for transmissions
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C. A building block for amino acids
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D. An agent to break down enzymes.
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ANSWER
A. A communication medium
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QUESTION 2 zm
Primary excitatory neurotransmitter
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A. GABA
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B. Serotonin
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C. Dopamine
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D. Glutamate
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ANSWER
D. Glutamate
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QUESTION 3 zm
In completing the PMHNP assessment for Mrs. Shea, the most appropriate lab test for
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the PMHNP to order at this time is:
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A. CBC
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B. TSH
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C. Liver function tests
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D. Electrolyte panel
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ANSWER
, C. Liver function tests
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QUESTION 4 zm
A 23-year-
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old woman is brought to the ER after attempting suicide by cutting her wrists. Which
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nursing action by the PMHNP would be of highest priority initially?
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A. Assess her coping behaviors
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B. Assess her current level of suicidality
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C. Take her vital signs
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D. Assess her health history
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ANSWER
C. Take her vital signs
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QUESTION 5 zm
Which is true about pharmacologic treatment for anxiety in older adults
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A. Course of treatment is generally shorter than for younger adults
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B. Drugs that are highly oxidized are more unpredictable than drugs that are mostly c
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onjugated.
C. The therapeutic dose of SSRIs is generally lower than for young adults.
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D. Highly lipophilic drugs have a more linear elimination in older adults.
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ANSWER
B. Drugs that are highly oxidized are more unpredictable than drugs that are mostly conjugated.
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QUESTION 6 zm
Persons with OCD often use isolation as a defense mechanism. Which of the following
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examples best describes isolation as a defense mechanism?
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A. Staying in the house for days or weeks to clean
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B. Declining invites by friends or family to attend social gatherings
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C. Describing information with very little affect variation
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D. Being an introver in the work setting to prevent talking with coworkers
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ANSWER
C. Describing information with very little affect variation
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QUESTION 7 zm
In the DSM-5, how should a personality disorder be coded?
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A. Coded with the major psychiatric disorder
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B. Coded on Axis II
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