ANCC IQ EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
1. A 14-year-old patient has nonspecific complaints about pain in his or her 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:
- Interprets the findings as normally occurring during a rapid adolescent growth spurt
- Obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early
rheumatic fever
- Orders a repeat blood test
- Suspects that the patient has acute pancreatitis
CORRECT ANSWER
A: - Interprets the findings as normally occurring during a rapid adolescent growth spurt.
Question 2
1. Laboratory findings for a patient with an alcohol use disorder indicate increased liver
function values and:
- A decreased mean corpuscular volume (MCV) and normal triglyceride levels
- Elevated potassium and chloride levels
- Increased MCV and elevated triglyceride levels
- Increased urine and serum creatinine levels
CORRECT ANSWER
1
@THE STUDY VAULT
, C: - Increased MCV and elevated triglyceride levels
Question 3
1. A new patient arrives at the office for the treatment of depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (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. The nurse
practitioner's reason is that:
- Both medications are CYP450 3A4 inhibitors
- Both medications are CYP450 3A4 substrates
- One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer
- One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
CORRECT ANSWER
D: One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
(Prozac is a CYP450 3A4 inhibitor)
Simvastatin is a CYP450 3A4 substrate
Question 4
1. During a mental status examination, an 18-year-old patient reports feeling bugs crawling
under the skin. The PMHNP documents this statement as:
- A developmental disorder, and suspects cocaine use
- A hypnagogic hallucination, and suspects schizophrenia
- A hypnopompic hallucination, and suspects schizophrenia
- A perceptual disturbance, and suspects the use of cocaine
CORRECT ANSWER
D: - A perceptual disturbance, and suspects the use of cocaine
2
@THE STUDY VAULT
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
1. A 14-year-old patient has nonspecific complaints about pain in his or her 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:
- Interprets the findings as normally occurring during a rapid adolescent growth spurt
- Obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early
rheumatic fever
- Orders a repeat blood test
- Suspects that the patient has acute pancreatitis
CORRECT ANSWER
A: - Interprets the findings as normally occurring during a rapid adolescent growth spurt.
Question 2
1. Laboratory findings for a patient with an alcohol use disorder indicate increased liver
function values and:
- A decreased mean corpuscular volume (MCV) and normal triglyceride levels
- Elevated potassium and chloride levels
- Increased MCV and elevated triglyceride levels
- Increased urine and serum creatinine levels
CORRECT ANSWER
1
@THE STUDY VAULT
, C: - Increased MCV and elevated triglyceride levels
Question 3
1. A new patient arrives at the office for the treatment of depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (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. The nurse
practitioner's reason is that:
- Both medications are CYP450 3A4 inhibitors
- Both medications are CYP450 3A4 substrates
- One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer
- One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
CORRECT ANSWER
D: One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
(Prozac is a CYP450 3A4 inhibitor)
Simvastatin is a CYP450 3A4 substrate
Question 4
1. During a mental status examination, an 18-year-old patient reports feeling bugs crawling
under the skin. The PMHNP documents this statement as:
- A developmental disorder, and suspects cocaine use
- A hypnagogic hallucination, and suspects schizophrenia
- A hypnopompic hallucination, and suspects schizophrenia
- A perceptual disturbance, and suspects the use of cocaine
CORRECT ANSWER
D: - A perceptual disturbance, and suspects the use of cocaine
2
@THE STUDY VAULT
