ANCC Practice PMHNP Exam Sample
Prostate, mammogram, lung, colorectal, and cervical cancer screenings are all listed under which
medical coverage:
Medicare Part B
Medicare Part C
Medicare Part A
Medicare Part D - correct answer Medicare Part B
Which of the following populations has the highest rates of serious mental illnesses to include PTSD,
MDD, Bipolar Disorder, and schizophrenia?
College campuses
Low-income urban areas
Migrant workers
Prisoners - correct answer Prisoners
The governing body responsible for the approval of new drugs and determining when a medication can
be sold and be available to the public as either a prescription or over-the-counter option is the :
Centers for Medicare and Medicaid Services
Food and Drug Administration
Centers for Diseases Control and Prevention
World Health Organization - correct answer Food and Drug Administration
What circumstance places homeless individuals at a greater risk for experiencing violence, medication
noncompliance, and treatment resistance as compared to other populations?
Unemployment
Poverty
No obvious risk
,ANCC Practice PMHNP Exam Sample
Co-occurring disorders - correct answer Co-occurring disorders
A 22-year-old male patient is evaluated by the psychiatric mental health nurse practitioner. She notes
muscle rigidity, flat affect, slowed motor responses, and tremors. Upon further review of medications,
the provider notes that the patient is currently taking 30 milligrams of Abilify (aripiprazole) daily. The
practitioner annotates the physical signs as which class of extrapyramidal (EPS) side effects?
Acute dystonia
Akathisia
Parkinsonian symptoms
Tardive dyskinesia - correct answer Parkinsonian symptoms
The psychiatric-mental health nurse practitioner at a local health clinic is implementing a quality
improvement project to assess current clinic services available to patients. What is an effective plan for
evaluating the clinic's services:
Conduct an initial search for epidemiological studies
Conduct a patient satisfaction survey
Conduct a root cause analysis
Interview patient family members - correct answer Conduct a patient satisfaction survey
Which rating scale is commonly used for the measurement of akathisia?
HAM-A
CTS-R
BARS
MAP - correct answer BARS
The psychiatric mental health nurse practitioner understands that Maslow's Hierarchy of Needs was
developed to assist in care planning to help patients obtain their highest potential and self-fulfillment. To
, ANCC Practice PMHNP Exam Sample
achieve the highest level of potential, lower-level needs must be met. Which of the following choices are
placed in the appropriate order - from lowest level to highest level of needs?
Physiological, safety and security, love/belonging, self-esteem, and self-actualization
Love/belonging, physiological, safety and security, love/belonging, self-esteem, and self-actualization
Physiological, love/belonging, safety and security, self-esteem, and self-actualization
Safety and security, physiological, love/belonging, self-esteem, and self-actualization - correct answer
Physiological, safety and security, love/belonging, self-esteem, and self-actualization
Which of the following laboratory findings indicate an alcohol use disorder:
Increased urine, alkaline phosphatase, and serum creatinine levels
Increased liver function values and decreased MCV with normal triglyceride levels
Elevated potassium and chloride levels
Increased MCV and elevated triglyceride levels - correct answer Increased MCV and elevated triglyceride
levels
The mother of a seven-year-old patient calls to inform you that she has considered the medication
options for her child diagnosed with ADHD and would like to start methylphenidate. As the PMHNP you
understand what to be an important aspect of this care plan:
He may need additional dosing depending on how he presents later in the day
This child is too young for this medication
It is important to first assess any family history of cardiac events or illness
This is an inappropriate medication choice for this diagnosis, and he should first be started on clonidine -
correct answer It is important to first assess any family history of cardiac events or illness
A 25-year-old male presents to the mental health clinic with complaints of gynecomastia following
initiation of antipsychotic medication due to an acute psychotic episode and inpatient treatment. The
nurse practitioner understands that this is likely caused by the medication's effect on which area of the
brain?
Prostate, mammogram, lung, colorectal, and cervical cancer screenings are all listed under which
medical coverage:
Medicare Part B
Medicare Part C
Medicare Part A
Medicare Part D - correct answer Medicare Part B
Which of the following populations has the highest rates of serious mental illnesses to include PTSD,
MDD, Bipolar Disorder, and schizophrenia?
College campuses
Low-income urban areas
Migrant workers
Prisoners - correct answer Prisoners
The governing body responsible for the approval of new drugs and determining when a medication can
be sold and be available to the public as either a prescription or over-the-counter option is the :
Centers for Medicare and Medicaid Services
Food and Drug Administration
Centers for Diseases Control and Prevention
World Health Organization - correct answer Food and Drug Administration
What circumstance places homeless individuals at a greater risk for experiencing violence, medication
noncompliance, and treatment resistance as compared to other populations?
Unemployment
Poverty
No obvious risk
,ANCC Practice PMHNP Exam Sample
Co-occurring disorders - correct answer Co-occurring disorders
A 22-year-old male patient is evaluated by the psychiatric mental health nurse practitioner. She notes
muscle rigidity, flat affect, slowed motor responses, and tremors. Upon further review of medications,
the provider notes that the patient is currently taking 30 milligrams of Abilify (aripiprazole) daily. The
practitioner annotates the physical signs as which class of extrapyramidal (EPS) side effects?
Acute dystonia
Akathisia
Parkinsonian symptoms
Tardive dyskinesia - correct answer Parkinsonian symptoms
The psychiatric-mental health nurse practitioner at a local health clinic is implementing a quality
improvement project to assess current clinic services available to patients. What is an effective plan for
evaluating the clinic's services:
Conduct an initial search for epidemiological studies
Conduct a patient satisfaction survey
Conduct a root cause analysis
Interview patient family members - correct answer Conduct a patient satisfaction survey
Which rating scale is commonly used for the measurement of akathisia?
HAM-A
CTS-R
BARS
MAP - correct answer BARS
The psychiatric mental health nurse practitioner understands that Maslow's Hierarchy of Needs was
developed to assist in care planning to help patients obtain their highest potential and self-fulfillment. To
, ANCC Practice PMHNP Exam Sample
achieve the highest level of potential, lower-level needs must be met. Which of the following choices are
placed in the appropriate order - from lowest level to highest level of needs?
Physiological, safety and security, love/belonging, self-esteem, and self-actualization
Love/belonging, physiological, safety and security, love/belonging, self-esteem, and self-actualization
Physiological, love/belonging, safety and security, self-esteem, and self-actualization
Safety and security, physiological, love/belonging, self-esteem, and self-actualization - correct answer
Physiological, safety and security, love/belonging, self-esteem, and self-actualization
Which of the following laboratory findings indicate an alcohol use disorder:
Increased urine, alkaline phosphatase, and serum creatinine levels
Increased liver function values and decreased MCV with normal triglyceride levels
Elevated potassium and chloride levels
Increased MCV and elevated triglyceride levels - correct answer Increased MCV and elevated triglyceride
levels
The mother of a seven-year-old patient calls to inform you that she has considered the medication
options for her child diagnosed with ADHD and would like to start methylphenidate. As the PMHNP you
understand what to be an important aspect of this care plan:
He may need additional dosing depending on how he presents later in the day
This child is too young for this medication
It is important to first assess any family history of cardiac events or illness
This is an inappropriate medication choice for this diagnosis, and he should first be started on clonidine -
correct answer It is important to first assess any family history of cardiac events or illness
A 25-year-old male presents to the mental health clinic with complaints of gynecomastia following
initiation of antipsychotic medication due to an acute psychotic episode and inpatient treatment. The
nurse practitioner understands that this is likely caused by the medication's effect on which area of the
brain?
