ANCC 25 PRACTICE QUESTIONS
TEST LATEST 2025 REVISED EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
COMPLETE SOLUTION) ALREADY
PASSED SCORE A+
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:
A. interprets the findings as normally occurring during a rapid adolescent growth
spurt.
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.
,Laboratory findings for a patient with an alcohol use disorder indicate increased
liver function values and:
C. increased MCV and elevated triglyceride levels.
a) 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.
A new patient arrives at the office for treatment for 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:
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.
,A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental
health nurse practitioner:
a) allows the family members to stay for the appointment.
b) asks the family members and the patient to leave.
c) asks the family members to leave for the appointment.
d) speaks with the family members after the appointment.
D. a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner is responsible for initiating
quality improvement at a community mental health clinic. The effective strategy
for evaluating the clinic's services is to:
a) analyze the data from epidemiological studies.
b) conduct a root cause analysis.
c) interview patient families.
d) use a survey to elicit patient satisfaction responses.
A. e-mail drug information and resources.
, The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and
to:
a) e-mail drug information and resources.
b) encourage the patient to seek information on the internet.
c) have a phone conference with a family member.
d) refer patient to a local primary care provider.
B. considers what a reasonably prudent health care provider would do.
Any court of law that evaluates the standards of care provided by a psychiatric-
mental health nurse practitioner:
a) compares the actions to the standard of care provided by a psychiatrist.
b) considers what a reasonably prudent health care provider would do.
c) evaluates patient satisfaction data.
d) reviews the nurse practitioner's charts for similar patients.
A. a child's developmental stage will influence his or her response to catastrophic
stress.
TEST LATEST 2025 REVISED EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
COMPLETE SOLUTION) ALREADY
PASSED SCORE A+
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:
A. interprets the findings as normally occurring during a rapid adolescent growth
spurt.
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.
,Laboratory findings for a patient with an alcohol use disorder indicate increased
liver function values and:
C. increased MCV and elevated triglyceride levels.
a) 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.
A new patient arrives at the office for treatment for 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:
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.
,A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental
health nurse practitioner:
a) allows the family members to stay for the appointment.
b) asks the family members and the patient to leave.
c) asks the family members to leave for the appointment.
d) speaks with the family members after the appointment.
D. a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner is responsible for initiating
quality improvement at a community mental health clinic. The effective strategy
for evaluating the clinic's services is to:
a) analyze the data from epidemiological studies.
b) conduct a root cause analysis.
c) interview patient families.
d) use a survey to elicit patient satisfaction responses.
A. e-mail drug information and resources.
, The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and
to:
a) e-mail drug information and resources.
b) encourage the patient to seek information on the internet.
c) have a phone conference with a family member.
d) refer patient to a local primary care provider.
B. considers what a reasonably prudent health care provider would do.
Any court of law that evaluates the standards of care provided by a psychiatric-
mental health nurse practitioner:
a) compares the actions to the standard of care provided by a psychiatrist.
b) considers what a reasonably prudent health care provider would do.
c) evaluates patient satisfaction data.
d) reviews the nurse practitioner's charts for similar patients.
A. a child's developmental stage will influence his or her response to catastrophic
stress.
