QAC LANDSCAPE AND MAINTENANCE
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Spironolactone.
Answer: A potassium-sparing diuretic used to treat conditions such as heart
failure and hypertension by preventing sodium reabsorption in the kidneys.
◍ Metoprolol.
Answer: A beta-blocker that is used to treat high blood pressure, angina, and
heart failure by slowing the heart rate and reducing the workload on the
heart.
◍ Amlodipine.
Answer: A dihydropyridine calcium channel blocker used to treat high blood
pressure and angina by relaxing blood vessels.
◍ Calcium Channel Blocker Assessment Priority.
Answer: A heart rate of 52 beats/min is a priority finding that should be
reported to the provider.
◍ What is resilience in the context of psychiatric nursing?.
Answer: Resilience is the ability to adapt, recover, and continue functioning
after stress, adversity, trauma, illness, or loss.
◍ Name a protective factor that increases resilience..
Answer: Supportive relationships, adaptive coping skills, self-efficacy,
access to care/resources, and stable routines.
◍ Sublingual Nitroglycerin Understanding.
Answer: The patient should understand that they can take up to three tablets,
, five minutes apart, if chest pain continues.
◍ Clonidine Discontinuation Effects.
Answer: The nurse should anticipate a sudden increase in blood pressure
with a severe headache if the patient has stopped taking clonidine.
◍ Thrombolytic Therapy Monitoring.
Answer: Nursing actions include monitoring for signs of bleeding, assessing
neurological status frequently, and monitoring cardiac rhythm continuously.
◍ What are some risk factors that reduce resilience?.
Answer: Chronic trauma, ongoing unsafe environment, social isolation,
poverty, substance use, untreated mental illness, and poor sleep.
◍ Intrinsic Pathway Laboratory Value.
Answer: Activated partial thromboplastin time (aPTT) is the laboratory
value commonly monitored for patients receiving intravenous heparin.
◍ Dihydropyridine Calcium Channel Blocker Understanding.
Answer: Correct statements include that the medication works mainly by
relaxing blood vessels and that swelling in the ankles can be a side effect.
◍ Lisinopril Mechanism of Action.
Answer: Lisinopril lowers blood pressure by blocking the formation of
angiotensin II, causing blood vessels to relax.
◍ Heart Failure Nursing Actions.
Answer: In the case of elevated potassium and creatinine, appropriate
actions include holding the spironolactone dose and notifying the provider.
◍ How can nurses build resilience in patients?.
Answer: By conducting strengths-based assessments, teaching coping skills,
promoting connections, setting achievable goals, and safety planning.
◍ What should therapeutic answers focus on in psychiatric nursing?.
Answer: Validating feelings, identifying strengths, choosing a coping skill,
and linking to resources.
◍ What is the educational requirement for a Psychiatric-Mental Health Nurse
, (RN)?.
Answer: ADN or BSN degree plus RN license.
◍ Monitoring for Muscle Weakness.
Answer: Assessing for muscle weakness or cardiac dysrhythmias is
important for patients taking spironolactone and furosemide.
◍ What are the primary roles of a Psychiatric-Mental Health Nurse (RN)?.
Answer: Comprehensive assessment, therapeutic communication, milieu
management, medication administration, patient education, and crisis
de-escalation.
◍ Potassium Level Considerations.
Answer: A potassium level of 5.6 mEq/L is elevated and may require
holding potassium-sparing medications like spironolactone.
◍ What distinguishes a Psychiatric Mental Health Nurse Practitioner
(PMHNP) from an RN?.
Answer: PMHNPs have advanced education (MSN or DNP) and can
perform advanced assessments, diagnoses, and prescribe medications.
◍ Blood Pressure Monitoring.
Answer: A blood pressure of 102/64 mmHg indicates low blood pressure,
which may require further assessment and intervention.
◍ What is the DSM-5-TR?.
Answer: The Diagnostic and Statistical Manual of Mental Disorders, 5th
Edition, Text Revision; it standardizes classification and diagnostic criteria
for mental disorders.
◍ Patient Education on Medications.
Answer: Patients should be educated on the importance of not discontinuing
medications like clonidine abruptly.
◍ Signs of Bleeding to Monitor.
Answer: Signs of bleeding to monitor during thrombolytic therapy include
bleeding from gums and urine.
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Spironolactone.
Answer: A potassium-sparing diuretic used to treat conditions such as heart
failure and hypertension by preventing sodium reabsorption in the kidneys.
◍ Metoprolol.
Answer: A beta-blocker that is used to treat high blood pressure, angina, and
heart failure by slowing the heart rate and reducing the workload on the
heart.
◍ Amlodipine.
Answer: A dihydropyridine calcium channel blocker used to treat high blood
pressure and angina by relaxing blood vessels.
◍ Calcium Channel Blocker Assessment Priority.
Answer: A heart rate of 52 beats/min is a priority finding that should be
reported to the provider.
◍ What is resilience in the context of psychiatric nursing?.
Answer: Resilience is the ability to adapt, recover, and continue functioning
after stress, adversity, trauma, illness, or loss.
◍ Name a protective factor that increases resilience..
Answer: Supportive relationships, adaptive coping skills, self-efficacy,
access to care/resources, and stable routines.
◍ Sublingual Nitroglycerin Understanding.
Answer: The patient should understand that they can take up to three tablets,
, five minutes apart, if chest pain continues.
◍ Clonidine Discontinuation Effects.
Answer: The nurse should anticipate a sudden increase in blood pressure
with a severe headache if the patient has stopped taking clonidine.
◍ Thrombolytic Therapy Monitoring.
Answer: Nursing actions include monitoring for signs of bleeding, assessing
neurological status frequently, and monitoring cardiac rhythm continuously.
◍ What are some risk factors that reduce resilience?.
Answer: Chronic trauma, ongoing unsafe environment, social isolation,
poverty, substance use, untreated mental illness, and poor sleep.
◍ Intrinsic Pathway Laboratory Value.
Answer: Activated partial thromboplastin time (aPTT) is the laboratory
value commonly monitored for patients receiving intravenous heparin.
◍ Dihydropyridine Calcium Channel Blocker Understanding.
Answer: Correct statements include that the medication works mainly by
relaxing blood vessels and that swelling in the ankles can be a side effect.
◍ Lisinopril Mechanism of Action.
Answer: Lisinopril lowers blood pressure by blocking the formation of
angiotensin II, causing blood vessels to relax.
◍ Heart Failure Nursing Actions.
Answer: In the case of elevated potassium and creatinine, appropriate
actions include holding the spironolactone dose and notifying the provider.
◍ How can nurses build resilience in patients?.
Answer: By conducting strengths-based assessments, teaching coping skills,
promoting connections, setting achievable goals, and safety planning.
◍ What should therapeutic answers focus on in psychiatric nursing?.
Answer: Validating feelings, identifying strengths, choosing a coping skill,
and linking to resources.
◍ What is the educational requirement for a Psychiatric-Mental Health Nurse
, (RN)?.
Answer: ADN or BSN degree plus RN license.
◍ Monitoring for Muscle Weakness.
Answer: Assessing for muscle weakness or cardiac dysrhythmias is
important for patients taking spironolactone and furosemide.
◍ What are the primary roles of a Psychiatric-Mental Health Nurse (RN)?.
Answer: Comprehensive assessment, therapeutic communication, milieu
management, medication administration, patient education, and crisis
de-escalation.
◍ Potassium Level Considerations.
Answer: A potassium level of 5.6 mEq/L is elevated and may require
holding potassium-sparing medications like spironolactone.
◍ What distinguishes a Psychiatric Mental Health Nurse Practitioner
(PMHNP) from an RN?.
Answer: PMHNPs have advanced education (MSN or DNP) and can
perform advanced assessments, diagnoses, and prescribe medications.
◍ Blood Pressure Monitoring.
Answer: A blood pressure of 102/64 mmHg indicates low blood pressure,
which may require further assessment and intervention.
◍ What is the DSM-5-TR?.
Answer: The Diagnostic and Statistical Manual of Mental Disorders, 5th
Edition, Text Revision; it standardizes classification and diagnostic criteria
for mental disorders.
◍ Patient Education on Medications.
Answer: Patients should be educated on the importance of not discontinuing
medications like clonidine abruptly.
◍ Signs of Bleeding to Monitor.
Answer: Signs of bleeding to monitor during thrombolytic therapy include
bleeding from gums and urine.
