ANCC Practice
questions Domain 1
with 100% correct
answers 2024
As a PMHNP, you are aware of antipsychotic
medication side effects. Which of the following side
effects of antipsychotic medications has an
insidious, delayed-onset typically 1 to 2 years after
initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - answer B
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
questions Domain 1
with 100% correct
answers 2024
As a PMHNP, you are aware of antipsychotic
medication side effects. Which of the following side
effects of antipsychotic medications has an
insidious, delayed-onset typically 1 to 2 years after
initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - answer B
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
