ANCC PMHNP Psych-Mental Health NP
Test 1 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient reports persistent sadness, low energy, poor concentration, and hypersomnia for the
past three weeks. What is the most likely diagnosis?
A. Bipolar II disorder
B. Generalized anxiety disorder
✔✔ C. Major depressive disorder
D. Persistent depressive disorder
Which medication is most appropriate as a first-line treatment for panic disorder?
A. Quetiapine
✔✔ B. Sertraline
C. Buspirone
D. Hydroxyzine
A 28-year-old male with schizophrenia presents with tremors, rigidity, and bradykinesia. Which
condition should the PMHNP suspect?
1
,A. Akathisia
B. Tardive dyskinesia
✔✔ C. Parkinsonism
D. Dystonia
Which lab test must be routinely monitored in a patient taking valproic acid?
✔✔ A. Liver function tests
B. White blood cell count
C. Thyroid panel
D. Hemoglobin A1c
A client with borderline personality disorder suddenly accuses the therapist of being uncaring
and threatening to leave therapy. What defense mechanism is the client using?
✔✔ A. Splitting
B. Projection
C. Displacement
D. Rationalization
2
,Which medication requires a REMS (Risk Evaluation and Mitigation Strategy) program due to
risk of agranulocytosis?
A. Risperidone
B. Olanzapine
✔✔ C. Clozapine
D. Aripiprazole
A teenager is brought in by her parents due to sudden weight loss, amenorrhea, and excessive
exercise. What is the most likely diagnosis?
✔✔ A. Anorexia nervosa
B. Bulimia nervosa
C. Body dysmorphic disorder
D. Generalized anxiety disorder
What is the most appropriate first-line treatment for ADHD in a 10-year-old child?
A. Bupropion
✔✔ B. Methylphenidate
C. Risperidone
3
, D. Atomoxetine
Which of the following symptoms is considered a positive symptom of schizophrenia?
✔✔ A. Auditory hallucinations
B. Flat affect
C. Alogia
D. Anhedonia
A 65-year-old patient recently started on sertraline reports confusion, agitation, sweating, and
tremors. What should the PMHNP suspect?
A. Neuroleptic malignant syndrome
✔✔ B. Serotonin syndrome
C. Hypertensive crisis
D. Lithium toxicity
Which of the following is a contraindication to prescribing bupropion?
✔✔ A. History of seizures
B. History of panic attacks
4
Test 1 Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient reports persistent sadness, low energy, poor concentration, and hypersomnia for the
past three weeks. What is the most likely diagnosis?
A. Bipolar II disorder
B. Generalized anxiety disorder
✔✔ C. Major depressive disorder
D. Persistent depressive disorder
Which medication is most appropriate as a first-line treatment for panic disorder?
A. Quetiapine
✔✔ B. Sertraline
C. Buspirone
D. Hydroxyzine
A 28-year-old male with schizophrenia presents with tremors, rigidity, and bradykinesia. Which
condition should the PMHNP suspect?
1
,A. Akathisia
B. Tardive dyskinesia
✔✔ C. Parkinsonism
D. Dystonia
Which lab test must be routinely monitored in a patient taking valproic acid?
✔✔ A. Liver function tests
B. White blood cell count
C. Thyroid panel
D. Hemoglobin A1c
A client with borderline personality disorder suddenly accuses the therapist of being uncaring
and threatening to leave therapy. What defense mechanism is the client using?
✔✔ A. Splitting
B. Projection
C. Displacement
D. Rationalization
2
,Which medication requires a REMS (Risk Evaluation and Mitigation Strategy) program due to
risk of agranulocytosis?
A. Risperidone
B. Olanzapine
✔✔ C. Clozapine
D. Aripiprazole
A teenager is brought in by her parents due to sudden weight loss, amenorrhea, and excessive
exercise. What is the most likely diagnosis?
✔✔ A. Anorexia nervosa
B. Bulimia nervosa
C. Body dysmorphic disorder
D. Generalized anxiety disorder
What is the most appropriate first-line treatment for ADHD in a 10-year-old child?
A. Bupropion
✔✔ B. Methylphenidate
C. Risperidone
3
, D. Atomoxetine
Which of the following symptoms is considered a positive symptom of schizophrenia?
✔✔ A. Auditory hallucinations
B. Flat affect
C. Alogia
D. Anhedonia
A 65-year-old patient recently started on sertraline reports confusion, agitation, sweating, and
tremors. What should the PMHNP suspect?
A. Neuroleptic malignant syndrome
✔✔ B. Serotonin syndrome
C. Hypertensive crisis
D. Lithium toxicity
Which of the following is a contraindication to prescribing bupropion?
✔✔ A. History of seizures
B. History of panic attacks
4
