ANCC Psychiatric-Mental Health Nurse
Practitioner Sample Questions
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1. An 18-year-old patient diagnosed B. "Let's discuss the risks of potentially changing
with bipolar disorder wants to enter your medications."
a research study that will test an
experimental drug. The psychiatric-
mental health nurse practitioner's
initial response is,:
A. "All drug treatments are too risky
for you at this time in your illness."
B. "Let's discuss the risks of
potentially changing your
medications."
C. "We will have to see if you meet
the inclusion criteria for this research
study."
D. "You will have only a small chance
of receiving the experimental drug."
,2. A 14-year-old patient has A. interprets the findings as normally occurring
nonspecific reports of pain in their during a rapid adolescent growth spurt.
legs. The physical examination is
unremarkable. Laboratory results are
within normal limits except for a
markedly elevated alkaline
phosphatase level. The psychiatric-
mental health nurse practitioner:
A. interprets the findings as normally
occurring during a rapid adolescent
growth spurt.
B. obtains a rheumatoid profile
because elevated alkaline
phosphatase is a sign of early
rheumatic fever.
C. orders a repeat blood test.
D. suspects that the patient has acute
pancreatitis.
3. Laboratory findings for a patient C. increased MCV and elevated triglyceride levels.
with an alcohol use disorder indicate
increased liver function values and:
A. decreased mean corpuscular
volume (MCV) and normal
triglyceride levels.
B. elevated potassium and chloride
levels.
C. increased MCV and elevated
triglyceride levels.
D. increased urine and serum
creatinine levels.
, 4. A new patient arrives at the office D. One medication is a CYP450 3A4 substrate and
for treatment for depression. The one is a CYP450 3A4 inhibitor.
patient reports taking simvastatin
(Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the
psychiatric-mental health nurse
practitioner eliminates fluoxetine
hydrochloride (Prozac), based on the
knowledge that the combination can
lead to increased plasma levels of
the statin, resulting in an increased
risk of muscle damage and
rhabdomyolysis. What is the nurse
practitioner's rationale?
A. Both medications are CYP450 3A4
inhibitors.
B. Both medications are CYP450 3A4
substrates.
C. One medication is a CYP450 3A4
substrate and one is a CYP450 3A4
inducer.
D. One medication is a CYP450 3A4
substrate and one is a CYP450 3A4
inhibitor.
Practitioner Sample Questions
Leave the first rating
Save
Terms in this set (25) Hide definitions
1. An 18-year-old patient diagnosed B. "Let's discuss the risks of potentially changing
with bipolar disorder wants to enter your medications."
a research study that will test an
experimental drug. The psychiatric-
mental health nurse practitioner's
initial response is,:
A. "All drug treatments are too risky
for you at this time in your illness."
B. "Let's discuss the risks of
potentially changing your
medications."
C. "We will have to see if you meet
the inclusion criteria for this research
study."
D. "You will have only a small chance
of receiving the experimental drug."
,2. A 14-year-old patient has A. interprets the findings as normally occurring
nonspecific reports of pain in their during a rapid adolescent growth spurt.
legs. The physical examination is
unremarkable. Laboratory results are
within normal limits except for a
markedly elevated alkaline
phosphatase level. The psychiatric-
mental health nurse practitioner:
A. interprets the findings as normally
occurring during a rapid adolescent
growth spurt.
B. obtains a rheumatoid profile
because elevated alkaline
phosphatase is a sign of early
rheumatic fever.
C. orders a repeat blood test.
D. suspects that the patient has acute
pancreatitis.
3. Laboratory findings for a patient C. increased MCV and elevated triglyceride levels.
with an alcohol use disorder indicate
increased liver function values and:
A. decreased mean corpuscular
volume (MCV) and normal
triglyceride levels.
B. elevated potassium and chloride
levels.
C. increased MCV and elevated
triglyceride levels.
D. increased urine and serum
creatinine levels.
, 4. A new patient arrives at the office D. One medication is a CYP450 3A4 substrate and
for treatment for depression. The one is a CYP450 3A4 inhibitor.
patient reports taking simvastatin
(Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the
psychiatric-mental health nurse
practitioner eliminates fluoxetine
hydrochloride (Prozac), based on the
knowledge that the combination can
lead to increased plasma levels of
the statin, resulting in an increased
risk of muscle damage and
rhabdomyolysis. What is the nurse
practitioner's rationale?
A. Both medications are CYP450 3A4
inhibitors.
B. Both medications are CYP450 3A4
substrates.
C. One medication is a CYP450 3A4
substrate and one is a CYP450 3A4
inducer.
D. One medication is a CYP450 3A4
substrate and one is a CYP450 3A4
inhibitor.