ANCC IQ DOMAINS 1 TO 5 2026 CLINICAL
JUDGMENT PATIENT CARE AND
PROFESSIONAL PRACTICE CORE REVIEW
PACKAGE
◉ In evaluating a 4-year-old, one would expect which of the
following delays in Asperger's Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
d. Social skills development
Answer: D
◉ Which area of the brain has been implicated to modulate pain and
can help explain how transcranial magnetic stimulation can help
decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex
,Answer: A
◉ Which of the following antidepressants is associated with dose-
related cardiovascular adverse effects which require adherence to
maximum recommended dosing, unless higher doses are deemed
appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
d. Sertraline (Zoloft)
Answer: A
◉ Which of the following findings would raise concern in an annual
sports exam for a 15-year-old girl?
a. Scar tissue from hymenal tear at 11 o'clock (reported biking
injury)
b. Blood pressure 86/56
c. Height 67 inches, weight 102 pounds
d. Pulse 60, respirations 26
Answer: C
◉ A week after raising the dose of risperidone (Risperdal), a patient
treated for schizophrenia presents to the clinic with reports of an
acute change in mental status, fever, and rigidity. As the treating
, PMHNP, you know these symptoms are consistent with which of the
following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome
Answer: A
◉ Which of the following statements regarding disulfiram (Antabuse
is correct?
a. Disulfiram should not be taken for at least 6 hours after drinking
alcohol.
b. Avoid anything containing alcohol (i.e., vinegar, mouthwash,
aftershave, cough medication) while using disulfiram and for 2
weeks after discontinuing.
c. A disulfiram-alcohol reaction can occur up to 1 week after
discontinuing disulfiram.
d. Disulfiram can lower liver function tests so monitoring is
necessary.
Answer: B
◉ Which mood stabilizer is most associated with a potentially life-
threatening rash?
a. Divalproex (Depakote)
JUDGMENT PATIENT CARE AND
PROFESSIONAL PRACTICE CORE REVIEW
PACKAGE
◉ In evaluating a 4-year-old, one would expect which of the
following delays in Asperger's Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
d. Social skills development
Answer: D
◉ Which area of the brain has been implicated to modulate pain and
can help explain how transcranial magnetic stimulation can help
decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex
,Answer: A
◉ Which of the following antidepressants is associated with dose-
related cardiovascular adverse effects which require adherence to
maximum recommended dosing, unless higher doses are deemed
appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
d. Sertraline (Zoloft)
Answer: A
◉ Which of the following findings would raise concern in an annual
sports exam for a 15-year-old girl?
a. Scar tissue from hymenal tear at 11 o'clock (reported biking
injury)
b. Blood pressure 86/56
c. Height 67 inches, weight 102 pounds
d. Pulse 60, respirations 26
Answer: C
◉ A week after raising the dose of risperidone (Risperdal), a patient
treated for schizophrenia presents to the clinic with reports of an
acute change in mental status, fever, and rigidity. As the treating
, PMHNP, you know these symptoms are consistent with which of the
following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome
Answer: A
◉ Which of the following statements regarding disulfiram (Antabuse
is correct?
a. Disulfiram should not be taken for at least 6 hours after drinking
alcohol.
b. Avoid anything containing alcohol (i.e., vinegar, mouthwash,
aftershave, cough medication) while using disulfiram and for 2
weeks after discontinuing.
c. A disulfiram-alcohol reaction can occur up to 1 week after
discontinuing disulfiram.
d. Disulfiram can lower liver function tests so monitoring is
necessary.
Answer: B
◉ Which mood stabilizer is most associated with a potentially life-
threatening rash?
a. Divalproex (Depakote)
