ANCC IQ DOMAINS 1-5
Psychiatric-Mental Health Nurse Questions & Correct
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ANCC IQ DOMAINS 1-5
Psychiatric-Mental Health Nurse Questions
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Complete A+ Guide For 300+ Mcqs
,Domain 1: Scientific Foundation (40 questions with rationales)
A 24-year-old mother of a 2-year-old child presents to the clinic. Which of
the following facial characteristics would lead the psychiatric mental health
nursepractitioner to believe the child has fetal alcohol syndrome?
a. Large head, thick upper lip, and overdeveloped jaw
b. Small head, thin upper lip, and smooth philtrum
c. Long nose, large eyelid opening, and developed philtrum
d. High nasal bridge, plump midface, and large eyelid opening
Correct Answer... B
A client is suffering from schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing side effects
producedby dopamine antagonism in the tuberoinfundibular pathway?
a. Are you experiencing breast discharge?
b. Are you experiencing drooling?
c. Are you experiencing tremors?
,d. Are you experiencing dizziness?
Correct Answer... A
, Which of the following patients with generalized anxiety disorder is most likely to
be a CYP2C19 poor metabolizer and have an exaggerated response to diazepam
(Valium) 5 mg TID with increased sedation, central nervous system, and cognitive
side effects?
a. 40-year-old Asian male
b. 20-year-old African American female
c. 50-year-old Caucasian male
d. 30-year-old African American male
Correct Answer... A
Norepinephrine is a neurotransmitter that is implicated in alertness and anxiety.
What areas of the brain has a large majority of norepinephrine neurons?
a. Locus Coeruleus
b. Amygdala
c. Nucleus Accumbens
d. Hippocampus
Correct Answer... A
When assessing an elderly patient who complains of tinnitus, the PMHNP would
associate which of the following findings with an acoustic neuroma?
a. Inflammation of middle ear
b. Perforation of tympanic membrane
c. Suppuration of the
labyrinth
d. Unilateral ringing in ear
Correct Answer... D
Which of the following medications has a unique mechanism of action in that it is
both a dopamine and norepinephrine reuptake inhibitor?
a. Bupropion (Wellbutrin)
b. Imipramine (Tofranil)
c. Venlafaxine (Effexor)
d. Duloxetine (Cymbalta)