ANCC IQ EXAM PREP |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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)
CORRECT 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).
Question 2
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
1
@THE STUDY VAULT
, CORRECT 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.
Question 3
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.
CORRECT 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.
Question 4
A patient with a diagnosis of schizophrenia has a history of suicidal ideation and suicide
attempts. The PMHNP should consider which antipsychotic medication that is the only
antipsychotic to reduce the risk of suicide in schizophrenia?
A) Abilify (aripriprazole)
2
@THE STUDY VAULT
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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)
CORRECT 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).
Question 2
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
1
@THE STUDY VAULT
, CORRECT 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.
Question 3
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.
CORRECT 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.
Question 4
A patient with a diagnosis of schizophrenia has a history of suicidal ideation and suicide
attempts. The PMHNP should consider which antipsychotic medication that is the only
antipsychotic to reduce the risk of suicide in schizophrenia?
A) Abilify (aripriprazole)
2
@THE STUDY VAULT
