2025 NURS 7375 ANCC Final Exam and
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Domain 1
Which of the following statements reflect the current understanding of DA
pathways and clinical symptoms in schizophrenia? CORRECT ANSWER>> -
Symptoms are related to DA deficit in the cerebral cortex; + are related to DA
excess in the substantia nigra and VTA
Which of the following findings would raise concern in a pre-school wellness
exam for a 5 yo girl? CORRECT ANSWER>>
Height 43 in, weight 55 lbs (she is overwt)
A 24 yo mother of a 2 yo child presents to the clinic. Which of the following facial
characteristics would lead to the PMHNP to believe child has Fetal ETOH
syndrome? CORRECT ANSWER>> Small head, thin upper lip, smooth philtrum.
Patty is a 62 yo female with BPDO I and has been stable for 2 yrs on valproate
and risperidone. She recently diagnosed with shingles, and her PCM started her
on corticosteroids. As the PMHNP treating Patty, you are concerned the addition
of steroids may cause: Manic episode.
Which mood stabilizer is most associated with potentially life threatening rash?
CORRECT ANSWER>>
Lamotrigine (Lamictal)
Which of the following statements most accurately reflects the predominant risk
factors for ASD? CORRECT ANSWER>>
Genetic of a first degree family member.
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A 17yo female presents reporting anhedonia, decreased energy & hopelessness
for the past 2 yrs. She denies ETOH, smoking or using illegal substances. Her
physical exam results are WNL and she denies SI. As her PMHNP, you decide to
prescribe bupropion. Which of the following is a contraindication for
bupropion? CORRECT ANSWER>> Bulimia
You have a 17 yo female who suffers from BPDO. The pt has a hx of impulsive
acting out and promiscuity. You make a decision to add folic acid .8 mg to her
medication regimen of lamotrigine 200 mg Q HS and quetiapine XR 50 mg 1 PO
QHS. Why is this important? CORRECT ANSWER>> FA supports neural tube
development during the 1st month a woman is pregnant.
Which of the following medications has a unique mechanism of action that is
both DA and NE - RI? CORRECT ANSWER>>
Bupropion (Wellbutrin)
Which of the following pts with GAD is most likely to be a 2C19 poor metabolizer
and have an exaggerated response to diazepam 5 mg TID with increased
sedation, CNS & cognitive SE? CORRECT ANSWER>> 40 yo Asian male
Which of the following findings would raise concern in an annual sports exam for
a 15 yo girl? CORRECT ANSWER>> Ht 67 in, wt 102 inch (under)
You are on call for your service. You arrive at the ED to find a 22 yo male
complaining of having trouble with his eyes. His vitals are stable. He is 5’7”,
weighs 140 lbs & his labs are WNL. He states he has been taking Abilify for the
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last 2 months for BPDO. He had the dose raised to 15 mg po QAM 4 days ago to
manage a manic episode. He states that 1 and 2 times a day for the past 2 days
his eyes roll up for 10- 15 m, he is able to open his eyes but he is not able to
focus his eyes on you. His eyes are rolled upward about 2/3rds of the way
towards his upper eyelid. After exam, you decide to: Discontinue the Abilify and
give Cogentin 1mg IM. Have him return to his provider for a different medication
for his BPDO the next day.
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What direct acting DA agonist is recommended to be used in the treatment of
NMS to help lower the DA receptor blockade? CORRECT ANSWER>>
Bromocriptine (Parlodel)
A 43 yo male is treated for BPDO I on lithium. Which of the following
hematologic changes are associated with lithium? CORRECT ANSWER>>
Luekocytosis
Which of the following antidepressants is associated with dose-related
cardiovascular adverse effects which require adherence to maximum
recommended dosing, unless high doses are deemed appropriate despite risks?
CORRECT ANSWER>> Citalopram (40 mg/day due to heart changes)
A client is suffering from schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing SE produced by DA
antagonism in the tuberoinfundibular pathway? CORRECT ANSWER>> Breast
discharge
When studying pharmacodynamics involving receptors, you know that inverse
agonists produce:
Opposite effect of an agonist, and causes the receptor to close the ion channel.
Which CYP enzyme is implicated as a tobacco inducer when an individual is
treated with clozapine? CORRECT ANSWER>>
1A2
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Domain 1
Which of the following statements reflect the current understanding of DA
pathways and clinical symptoms in schizophrenia? CORRECT ANSWER>> -
Symptoms are related to DA deficit in the cerebral cortex; + are related to DA
excess in the substantia nigra and VTA
Which of the following findings would raise concern in a pre-school wellness
exam for a 5 yo girl? CORRECT ANSWER>>
Height 43 in, weight 55 lbs (she is overwt)
A 24 yo mother of a 2 yo child presents to the clinic. Which of the following facial
characteristics would lead to the PMHNP to believe child has Fetal ETOH
syndrome? CORRECT ANSWER>> Small head, thin upper lip, smooth philtrum.
Patty is a 62 yo female with BPDO I and has been stable for 2 yrs on valproate
and risperidone. She recently diagnosed with shingles, and her PCM started her
on corticosteroids. As the PMHNP treating Patty, you are concerned the addition
of steroids may cause: Manic episode.
Which mood stabilizer is most associated with potentially life threatening rash?
CORRECT ANSWER>>
Lamotrigine (Lamictal)
Which of the following statements most accurately reflects the predominant risk
factors for ASD? CORRECT ANSWER>>
Genetic of a first degree family member.
NURS 7375 ANCC practice Exam Questions and
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A 17yo female presents reporting anhedonia, decreased energy & hopelessness
for the past 2 yrs. She denies ETOH, smoking or using illegal substances. Her
physical exam results are WNL and she denies SI. As her PMHNP, you decide to
prescribe bupropion. Which of the following is a contraindication for
bupropion? CORRECT ANSWER>> Bulimia
You have a 17 yo female who suffers from BPDO. The pt has a hx of impulsive
acting out and promiscuity. You make a decision to add folic acid .8 mg to her
medication regimen of lamotrigine 200 mg Q HS and quetiapine XR 50 mg 1 PO
QHS. Why is this important? CORRECT ANSWER>> FA supports neural tube
development during the 1st month a woman is pregnant.
Which of the following medications has a unique mechanism of action that is
both DA and NE - RI? CORRECT ANSWER>>
Bupropion (Wellbutrin)
Which of the following pts with GAD is most likely to be a 2C19 poor metabolizer
and have an exaggerated response to diazepam 5 mg TID with increased
sedation, CNS & cognitive SE? CORRECT ANSWER>> 40 yo Asian male
Which of the following findings would raise concern in an annual sports exam for
a 15 yo girl? CORRECT ANSWER>> Ht 67 in, wt 102 inch (under)
You are on call for your service. You arrive at the ED to find a 22 yo male
complaining of having trouble with his eyes. His vitals are stable. He is 5’7”,
weighs 140 lbs & his labs are WNL. He states he has been taking Abilify for the
NURS 7375 ANCC practice Exam Questions and
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Update 2022-2023.
,2025 NURS 7375 ANCC Final Exam and
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last 2 months for BPDO. He had the dose raised to 15 mg po QAM 4 days ago to
manage a manic episode. He states that 1 and 2 times a day for the past 2 days
his eyes roll up for 10- 15 m, he is able to open his eyes but he is not able to
focus his eyes on you. His eyes are rolled upward about 2/3rds of the way
towards his upper eyelid. After exam, you decide to: Discontinue the Abilify and
give Cogentin 1mg IM. Have him return to his provider for a different medication
for his BPDO the next day.
NURS 7375 ANCC practice Exam Questions and
Answers Rated A+ Guaranteed Success Latest
Update 2022-2023.
, 2025 NURS 7375 ANCC Final Exam and
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What direct acting DA agonist is recommended to be used in the treatment of
NMS to help lower the DA receptor blockade? CORRECT ANSWER>>
Bromocriptine (Parlodel)
A 43 yo male is treated for BPDO I on lithium. Which of the following
hematologic changes are associated with lithium? CORRECT ANSWER>>
Luekocytosis
Which of the following antidepressants is associated with dose-related
cardiovascular adverse effects which require adherence to maximum
recommended dosing, unless high doses are deemed appropriate despite risks?
CORRECT ANSWER>> Citalopram (40 mg/day due to heart changes)
A client is suffering from schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing SE produced by DA
antagonism in the tuberoinfundibular pathway? CORRECT ANSWER>> Breast
discharge
When studying pharmacodynamics involving receptors, you know that inverse
agonists produce:
Opposite effect of an agonist, and causes the receptor to close the ion channel.
Which CYP enzyme is implicated as a tobacco inducer when an individual is
treated with clozapine? CORRECT ANSWER>>
1A2
NURS 7375 ANCC practice Exam Questions and
Answers Rated A+ Guaranteed Success Latest
Update 2022-2023.
