Georgette Review Exam Questions with Correct
Answers, ANCC Review Manual PMHNP 2025
Questions with Correct Answers | 100% pass
When many answers are remarkably similar, they are usually
_____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
Normal ALT
5-35
What drugs can increase ALT
acetaminophen, aspirin, carbamazepine, OC, propranolol
Normal AST
5-40
What drugs can increase ALT
Antihypertensives, cholinergics, salicylates, OC
GGT is often used to determine what
Evaluate pt with known or suspected ETOH abuse
Validity
Extent to which a particular screening tool actually identifies the disorder for which it is
used
Reliability
Extent to which a particular screening tool consistently identifies the disorder for which
it is used
,Sensitivity
Proportion of actual positives that are correctly identified as such
Specificity
proportion of true negatives that are correctly identified
CAGE
Cut down
Annoy you about it
Guilty
Eye Opener
(AID-Altered to Include Drugs)
CRAFFT Administered by clincian
Alcohol/Drug use in adolescents
Car driven by someone high or intoxicated
Use to Relax
Alone
Forget when using
Family/Friends tell you to stop
Trouble
HAM-A Hamilton Anxiety
Most commonly used anxiety rating scale
14-17 mild
18-24 moderate
25-30 severe
BPRS
most widely used
evaluation of sx severity over time
used at PFP
PANSS
positive and negative syndrome scale
psychosis and schizophrenia usage
CIWA
severity of EtOH withdrawal syndrome
COWS
,severity of opiate withdrawal syndrome
Most psychotropic meds are_______and_______
lipophilic, highly protein bound
Steady state
point at which the amount of drug eliminated between doses is approximately equal to
the dose administered
Drugs are usually administered once every 1/2 life to achieve steady state
How many half lives does it take to achieve steady state and to completely
eliminate a drug
5 for each
What inhibits p450 and therefore increases toxicity
BUPROPRION
Clomipramine
cimetidine
clarithromycin
diltiazem
CYMBALTA
erythromycin
grapefruit juice
ketoconazole
NEFAZODONE
SSRIS
What induces p450 and leads to subtherapeutic levels
CARBAMAZEPINE
St Johns Wort
Phenytoin
Phenobarbital
TOBACCO
Agonist effect
Drug binds to receptors and activates a biological response
Inverse agonist effect
Drug causes the opposite effect of agonist
Partial agonist effect
, Drug does not fully activate the receptors
Antagonist effect
Drug binds to the receptor but does not activate a biological response
Excitatory response
Depolarization
Involves OPENING of sodium and calcium channels with these ions going INTO the cell
Inhibitory response
Repolarization
Involves the OPENING of chloride channels with chloride going into the cell and
potassium leaving or both
Schedule I--most dangerous
Nonmedicinal substances
High abuse potential
Research only
Not legally available
Heroin/MJ
Schedule II-Dangerous
Medicinal drugs in use
High potential for abuse/dependency
Written prescription allowed
No telephone or refills allowed
Morphine, Codeine, Fentanyl, Methadone, Dilaudid, Oxycodone
Schedule III-Less dangerous
Less abuse potential
Telephone if followed by written
Renewed every 6 mths
Limit of 5 refills
Appetite suppressants, butalbital, testosterone
Schedule IV-less dangerous
Darvon, benzos, librium, ambien, temazepam, lunesta
Schedule V-least dangerous
Robitussin with codeine, imodium, buprenorphine
Answers, ANCC Review Manual PMHNP 2025
Questions with Correct Answers | 100% pass
When many answers are remarkably similar, they are usually
_____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
Normal ALT
5-35
What drugs can increase ALT
acetaminophen, aspirin, carbamazepine, OC, propranolol
Normal AST
5-40
What drugs can increase ALT
Antihypertensives, cholinergics, salicylates, OC
GGT is often used to determine what
Evaluate pt with known or suspected ETOH abuse
Validity
Extent to which a particular screening tool actually identifies the disorder for which it is
used
Reliability
Extent to which a particular screening tool consistently identifies the disorder for which
it is used
,Sensitivity
Proportion of actual positives that are correctly identified as such
Specificity
proportion of true negatives that are correctly identified
CAGE
Cut down
Annoy you about it
Guilty
Eye Opener
(AID-Altered to Include Drugs)
CRAFFT Administered by clincian
Alcohol/Drug use in adolescents
Car driven by someone high or intoxicated
Use to Relax
Alone
Forget when using
Family/Friends tell you to stop
Trouble
HAM-A Hamilton Anxiety
Most commonly used anxiety rating scale
14-17 mild
18-24 moderate
25-30 severe
BPRS
most widely used
evaluation of sx severity over time
used at PFP
PANSS
positive and negative syndrome scale
psychosis and schizophrenia usage
CIWA
severity of EtOH withdrawal syndrome
COWS
,severity of opiate withdrawal syndrome
Most psychotropic meds are_______and_______
lipophilic, highly protein bound
Steady state
point at which the amount of drug eliminated between doses is approximately equal to
the dose administered
Drugs are usually administered once every 1/2 life to achieve steady state
How many half lives does it take to achieve steady state and to completely
eliminate a drug
5 for each
What inhibits p450 and therefore increases toxicity
BUPROPRION
Clomipramine
cimetidine
clarithromycin
diltiazem
CYMBALTA
erythromycin
grapefruit juice
ketoconazole
NEFAZODONE
SSRIS
What induces p450 and leads to subtherapeutic levels
CARBAMAZEPINE
St Johns Wort
Phenytoin
Phenobarbital
TOBACCO
Agonist effect
Drug binds to receptors and activates a biological response
Inverse agonist effect
Drug causes the opposite effect of agonist
Partial agonist effect
, Drug does not fully activate the receptors
Antagonist effect
Drug binds to the receptor but does not activate a biological response
Excitatory response
Depolarization
Involves OPENING of sodium and calcium channels with these ions going INTO the cell
Inhibitory response
Repolarization
Involves the OPENING of chloride channels with chloride going into the cell and
potassium leaving or both
Schedule I--most dangerous
Nonmedicinal substances
High abuse potential
Research only
Not legally available
Heroin/MJ
Schedule II-Dangerous
Medicinal drugs in use
High potential for abuse/dependency
Written prescription allowed
No telephone or refills allowed
Morphine, Codeine, Fentanyl, Methadone, Dilaudid, Oxycodone
Schedule III-Less dangerous
Less abuse potential
Telephone if followed by written
Renewed every 6 mths
Limit of 5 refills
Appetite suppressants, butalbital, testosterone
Schedule IV-less dangerous
Darvon, benzos, librium, ambien, temazepam, lunesta
Schedule V-least dangerous
Robitussin with codeine, imodium, buprenorphine
