NUR 670 APEA PMHNP Practice Examination
75 Questions with Answers and Clinical Rationales
Includes:
• Psychiatric assessment and diagnosis
• Psychopharmacology
• Therapy approaches
• Ethics and legal concepts
• Clinical decision-making
,1. Which of the following is true about patients with binge eating disorder?
A-They are not likely to have other comorbid mental health conditions.
B-The median age of onset is 14 years.
C-They tend to have lower or average body mass index.
D-Purging is not something they exhibit as an inappropriate compensatory behavior.
Purging is not something they exhibit as an inappropriate compensatory behavior.
ANSWER: Purging is not something they exhibit as an inappropriate compensatory
behavior.
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
2. A PMHNP will treat patients who have been diagnosed with type 1 diabetes. The
PMHNP knows that some of these patients may be taking insulin glargine (Lantus). It
is important for the PMHNP to know that insulin glargine:
A-provides a basal insulin level.
B-does not cause hypoglycemia.
C-should be given at mealtime.
D-should only be given through an insulin pump.
provides a basal insulin level.
ANSWER: provides a basal insulin level.
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
3. Which antidepressant is deemed one of the safest for breastfeeding mothers, due to
the amount of medication excreted in breast milk?
A-Fluoxetine (Prozac)
B-Escitalopram (Lexapro)
C-Fluvoxamine (Luvox)
D-Sertraline (Zoloft)
Sertraline (Zoloft)
ANSWER: Sertraline (Zoloft)
,• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
4. According to the CATIE Study published in 2006, which of the following
medications is more effective than other atypical agents in controlling psychotic
symptoms in the treatment of schizophrenia?
○ A-Risperidone (Risperdal)
○ B-Ziprasidone (Geodon)
○ C-Quetiapine (Seroquel)
○ D-Clozapine (Clozaril)
Clozapine (Clozaril)
ANSWER: Clozapine (Clozaril)
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
_____________________________________________________________________
___________
5. The following patients have various risk factors for stroke. Which of the following
patients would have the lowest risk of having a stroke?
A-A45-year-old female who smokes cigarettes and takes oral contraceptives
B-A 40-year old Black male with sickle cell disease
C-A63-year old patient with atrial fibrillation and diabetes mellitus
D-A 35-year-old female diagnosed with a deep-vein thrombosis (DVT) secondary to
a calf injury
A 35-year-old female diagnosed with a deep-vein thrombosis (DVT) secondary to a
calf injury
ANSWER: A 35-year-old female diagnosed with a deep-vein thrombosis (DVT)
secondary to a calf injury
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
, _____________________________________________________________________
___________
6. Which form of schizophrenia is not only the most common, but also the most
treatable?
A-Paranoid type
B- Catatonic type
C - Disorganized type
D- Undifferentiated type
paranoid type
ANSWER: paranoid type
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
_____________________________________________________________________
___________
7. The PMHNP has a patient who has diabetes and obesity, so they must avoid any
weight gain. The PMHNP would like to prescribe a high-potency first-generation
antipsychotic that would be unlikely to cause weight gain, such as:
A-thioridazine (Mellaril).
B-chlorpromazine (Thorazine).
C-haloperidol (Haldol).
D-trifluoperazine (Stelazine)
haloperidol (Haldol)
If a patient starts taking lithium (Eskalith) for the treatment of bipolar depression, the
PMHNP should educate the patient to return to check their serum lithium level in:
A-1-2 days
B-1-2 weeks
C-4-6 weeks
D-2-3 months
1-2 weeks
ANSWER: 1-2 weeks
75 Questions with Answers and Clinical Rationales
Includes:
• Psychiatric assessment and diagnosis
• Psychopharmacology
• Therapy approaches
• Ethics and legal concepts
• Clinical decision-making
,1. Which of the following is true about patients with binge eating disorder?
A-They are not likely to have other comorbid mental health conditions.
B-The median age of onset is 14 years.
C-They tend to have lower or average body mass index.
D-Purging is not something they exhibit as an inappropriate compensatory behavior.
Purging is not something they exhibit as an inappropriate compensatory behavior.
ANSWER: Purging is not something they exhibit as an inappropriate compensatory
behavior.
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
2. A PMHNP will treat patients who have been diagnosed with type 1 diabetes. The
PMHNP knows that some of these patients may be taking insulin glargine (Lantus). It
is important for the PMHNP to know that insulin glargine:
A-provides a basal insulin level.
B-does not cause hypoglycemia.
C-should be given at mealtime.
D-should only be given through an insulin pump.
provides a basal insulin level.
ANSWER: provides a basal insulin level.
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
3. Which antidepressant is deemed one of the safest for breastfeeding mothers, due to
the amount of medication excreted in breast milk?
A-Fluoxetine (Prozac)
B-Escitalopram (Lexapro)
C-Fluvoxamine (Luvox)
D-Sertraline (Zoloft)
Sertraline (Zoloft)
ANSWER: Sertraline (Zoloft)
,• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
4. According to the CATIE Study published in 2006, which of the following
medications is more effective than other atypical agents in controlling psychotic
symptoms in the treatment of schizophrenia?
○ A-Risperidone (Risperdal)
○ B-Ziprasidone (Geodon)
○ C-Quetiapine (Seroquel)
○ D-Clozapine (Clozaril)
Clozapine (Clozaril)
ANSWER: Clozapine (Clozaril)
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
_____________________________________________________________________
___________
5. The following patients have various risk factors for stroke. Which of the following
patients would have the lowest risk of having a stroke?
A-A45-year-old female who smokes cigarettes and takes oral contraceptives
B-A 40-year old Black male with sickle cell disease
C-A63-year old patient with atrial fibrillation and diabetes mellitus
D-A 35-year-old female diagnosed with a deep-vein thrombosis (DVT) secondary to
a calf injury
A 35-year-old female diagnosed with a deep-vein thrombosis (DVT) secondary to a
calf injury
ANSWER: A 35-year-old female diagnosed with a deep-vein thrombosis (DVT)
secondary to a calf injury
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
, _____________________________________________________________________
___________
6. Which form of schizophrenia is not only the most common, but also the most
treatable?
A-Paranoid type
B- Catatonic type
C - Disorganized type
D- Undifferentiated type
paranoid type
ANSWER: paranoid type
• Rationale: This answer is correct because it reflects the evidence-based psychiatric
nursing assessment, diagnosis, treatment principle, or clinical management concept
tested in this item.
_____________________________________________________________________
___________
7. The PMHNP has a patient who has diabetes and obesity, so they must avoid any
weight gain. The PMHNP would like to prescribe a high-potency first-generation
antipsychotic that would be unlikely to cause weight gain, such as:
A-thioridazine (Mellaril).
B-chlorpromazine (Thorazine).
C-haloperidol (Haldol).
D-trifluoperazine (Stelazine)
haloperidol (Haldol)
If a patient starts taking lithium (Eskalith) for the treatment of bipolar depression, the
PMHNP should educate the patient to return to check their serum lithium level in:
A-1-2 days
B-1-2 weeks
C-4-6 weeks
D-2-3 months
1-2 weeks
ANSWER: 1-2 weeks
