1|Page
ANCC AGACNP EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 650 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| ANCC AGACNP
CERTIFICATION TEST BANK 2025 ||BRAND NEW!!
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?
Nigrostriatal
Mesolimbic pathway
Tuberoinfundibular pathway
Mesocortical pathway - Correct Answer - Tuberoinfundibular pathway
An office manager reads a recent patient satisfaction card. The patient
reported that he felt comfortable being treated by the PMHNP and that
she was respectful of his wishes and extremely knowledgeable about his
condition and medication plan. Additionally, he spoke to her
professional behavior and integrity. The manager reports to the PMHNP
and congratulates her on successfully accomplishing which ethical
principle?
Justice
Veracity
Beneficence
Role Fidelity - Correct Answer - Role Fidelity
pg. 1
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A psychiatric mental health nurse practitioner recently increased a 20-
year-old male patient's olanzapine (Zyprexa) prescription from a 5 mg to
10 mg daily dose for symptoms related to schizophrenia. During his
most recent appointment, he presented with increased delusions and
incoherent speech patterns. Which of the following assessment findings
is most concerning?
Started 600 mg Ibuprofen for muscle pain
Began eating grapefruit with breakfast every morning
Started smoking again after recent break-up with his girlfriend
Reported increased thoughts of suicide - Correct Answer - Reported
increased thoughts of suicide
Which communication method focuses on specific goals and is
fundamentally nonconfrontational with an overall objective of eliciting a
behavioral change?
Humanistic Therapy
Cognitive Behavioral Therapy
Dialectical Behavior Therapy
Motivational Interviewing - Correct Answer - Motivational Interviewing
Following two months of psychotherapy, the provider, patient, and her
parents decide it would be beneficial to initiate pharmacological
adjunctive therapy. Which of the following medications would be
appropriate for a 15-year-old female patient with a known history of
depression?
Duloxetine (Cymbalta)
Bupropion (Wellbutrin)
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Fluoxetine (Prozac)
Amitriptyline (Elavil) - Correct Answer - Fluoxetine (Prozac)
A psychiatric nurse practitioner works with a community outreach
program to treat mental health disorders within the homeless population.
Which of the following situations would the provider most likely
encounter within this group:
Schizophrenia
Depression with comorbid substance use
Generalized Anxiety Disorder
Bipolar disorder
Score0/1P - Correct Answer - Depression with comorbid substance use
It is important for the psychiatric nurse practitioner to understand the
body's response to mental health conditions. Which system is involved
in acute fear and/or anxiety?
Parasympathetic nervous system
Sympathetic nervous system
Renin-angiotensin system
Mesolimbic system - Correct Answer - Sympathetic nervous system
A patient presents with a two-year history of impulsive behavior with
self-harm tendencies. The 23-year-old male exhibits inappropriate anger
that is disproportionate to the severity of situations, leading to affective
instability. He notes relationship concerns and a need to constantly be
pg. 3
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with his partner. The psychiatric nurse practitioner identifies which
personality disorder as the most likely to cause these issues?
Narcissistic
Histrionic
Borderline
Antisocial - Correct Answer - Borderline
Becoming familiar with confidentiality standards is a priority for all
psychiatric mental health nurse practitioners. Which of the following
principles identifies a provider's "duty to warn" responsibility during an
imminent danger involving a homicidal client?
Respect for Autonomy Principle
The Principle of Evidence
Tarasoff Principle
The Harm Principle - Correct Answer - Tarasoff Principle
A PMHNP that is actively engaged in strategies designed to reduce
homelessness within the community by providing comprehensive
inpatient discharge planning, discussing housing options, and scheduling
a follow-up care appointment with a plan to contact the patient to check-
up on and remind of upcoming appointments is an example of:
Prevention
Supportive housing services
Autonomy
Integrated care - Correct Answer - Prevention
pg. 4
ANCC AGACNP EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 650 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| ANCC AGACNP
CERTIFICATION TEST BANK 2025 ||BRAND NEW!!
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?
Nigrostriatal
Mesolimbic pathway
Tuberoinfundibular pathway
Mesocortical pathway - Correct Answer - Tuberoinfundibular pathway
An office manager reads a recent patient satisfaction card. The patient
reported that he felt comfortable being treated by the PMHNP and that
she was respectful of his wishes and extremely knowledgeable about his
condition and medication plan. Additionally, he spoke to her
professional behavior and integrity. The manager reports to the PMHNP
and congratulates her on successfully accomplishing which ethical
principle?
Justice
Veracity
Beneficence
Role Fidelity - Correct Answer - Role Fidelity
pg. 1
,2|Page
A psychiatric mental health nurse practitioner recently increased a 20-
year-old male patient's olanzapine (Zyprexa) prescription from a 5 mg to
10 mg daily dose for symptoms related to schizophrenia. During his
most recent appointment, he presented with increased delusions and
incoherent speech patterns. Which of the following assessment findings
is most concerning?
Started 600 mg Ibuprofen for muscle pain
Began eating grapefruit with breakfast every morning
Started smoking again after recent break-up with his girlfriend
Reported increased thoughts of suicide - Correct Answer - Reported
increased thoughts of suicide
Which communication method focuses on specific goals and is
fundamentally nonconfrontational with an overall objective of eliciting a
behavioral change?
Humanistic Therapy
Cognitive Behavioral Therapy
Dialectical Behavior Therapy
Motivational Interviewing - Correct Answer - Motivational Interviewing
Following two months of psychotherapy, the provider, patient, and her
parents decide it would be beneficial to initiate pharmacological
adjunctive therapy. Which of the following medications would be
appropriate for a 15-year-old female patient with a known history of
depression?
Duloxetine (Cymbalta)
Bupropion (Wellbutrin)
pg. 2
,3|Page
Fluoxetine (Prozac)
Amitriptyline (Elavil) - Correct Answer - Fluoxetine (Prozac)
A psychiatric nurse practitioner works with a community outreach
program to treat mental health disorders within the homeless population.
Which of the following situations would the provider most likely
encounter within this group:
Schizophrenia
Depression with comorbid substance use
Generalized Anxiety Disorder
Bipolar disorder
Score0/1P - Correct Answer - Depression with comorbid substance use
It is important for the psychiatric nurse practitioner to understand the
body's response to mental health conditions. Which system is involved
in acute fear and/or anxiety?
Parasympathetic nervous system
Sympathetic nervous system
Renin-angiotensin system
Mesolimbic system - Correct Answer - Sympathetic nervous system
A patient presents with a two-year history of impulsive behavior with
self-harm tendencies. The 23-year-old male exhibits inappropriate anger
that is disproportionate to the severity of situations, leading to affective
instability. He notes relationship concerns and a need to constantly be
pg. 3
, 4|Page
with his partner. The psychiatric nurse practitioner identifies which
personality disorder as the most likely to cause these issues?
Narcissistic
Histrionic
Borderline
Antisocial - Correct Answer - Borderline
Becoming familiar with confidentiality standards is a priority for all
psychiatric mental health nurse practitioners. Which of the following
principles identifies a provider's "duty to warn" responsibility during an
imminent danger involving a homicidal client?
Respect for Autonomy Principle
The Principle of Evidence
Tarasoff Principle
The Harm Principle - Correct Answer - Tarasoff Principle
A PMHNP that is actively engaged in strategies designed to reduce
homelessness within the community by providing comprehensive
inpatient discharge planning, discussing housing options, and scheduling
a follow-up care appointment with a plan to contact the patient to check-
up on and remind of upcoming appointments is an example of:
Prevention
Supportive housing services
Autonomy
Integrated care - Correct Answer - Prevention
pg. 4
