NURS 7375 ANCC practice Exam Questions and Answers Rated A+ Guaranteed Success Latest Update .

Which of the following statements reflect the current understanding of DA pathways and clinical symptoms in schizophrenia? -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? 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? 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? Lamotrigine (Lamictal) Which of the following statements most accurately reflects the predominant risk factors for ASD? Genetic of a first degree family member. 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? 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? 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? 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? 40 yo Asian male Which of the following findings would raise concern in an annual sports exam for a 15 yo girl? 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 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. What direct acting DA agonist is recommended to be used in the treatment of NMS to help lower the DA receptor blockade? Bromocriptine (Parlodel) A 43 yo male is treated for BPDO I on lithium. Which of the following hematologic changes are associated with lithium? 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? Citalopram (40 mg/day due to heart changes)