ANCC – PMHNP Sample Test
Questions and correct answers
10. When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country,
an adult psychiatric and mental health nurse practitioner emphasizes
the:
A. ability of nurse practitioners to provide health care that patients
need.
B. fact that nurse practitioners are caring in their patient care delivery.
C. importance of broadening the scope of nursing practice.
D. necessity of offering equivalent services both to urban and rural
patients. - answer ✅✅A. ability of nurse practitioners to provide health
care that patients need.
11. For 12 years, a 65-year-old patient with bipolar affective disorder has
been treated with lithium (Eskalith) 900 mg daily. When oral
hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the
patient develops nausea, vomiting, ataxia, and muscle weakness and the
patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium
and the thiazide diuretic has induced:
A. hypokalemia.
, B. hyponatremia.
C. increased renal clearance of lithium.
D. reduced renal clearance of lithium. - answer ✅✅D. reduced renal
clearance of lithium.
12. Which statement by a male patient who has posttraumatic stress
disorder (PTSD) and chronic persistent suicidal ideation indicates a need
for hospital assessment?
A. "I feel so bad all the time. I wish I were dead."
B. "My wife is so scared that she has taken all my guns out of the house."
C. "My wife just left with the children. I have no one left and no future."
D. "Those medications you gave me make me feel worse. I stopped
taking them." - answer ✅✅C. "My wife just left with the children. I have
no one left and no future."
13. A male patient informs an adult psychiatric and mental health nurse
practitioner that he has not slept in three days, has poor concentration,
and denies fatigue. The patient's diagnosis is:
A. attention-deficit hyperactivity disorder.
B. bipolar disorder.
C. panic disorder.
D. primary insomnia. - answer ✅✅B. bipolar disorder.
Questions and correct answers
10. When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country,
an adult psychiatric and mental health nurse practitioner emphasizes
the:
A. ability of nurse practitioners to provide health care that patients
need.
B. fact that nurse practitioners are caring in their patient care delivery.
C. importance of broadening the scope of nursing practice.
D. necessity of offering equivalent services both to urban and rural
patients. - answer ✅✅A. ability of nurse practitioners to provide health
care that patients need.
11. For 12 years, a 65-year-old patient with bipolar affective disorder has
been treated with lithium (Eskalith) 900 mg daily. When oral
hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the
patient develops nausea, vomiting, ataxia, and muscle weakness and the
patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium
and the thiazide diuretic has induced:
A. hypokalemia.
, B. hyponatremia.
C. increased renal clearance of lithium.
D. reduced renal clearance of lithium. - answer ✅✅D. reduced renal
clearance of lithium.
12. Which statement by a male patient who has posttraumatic stress
disorder (PTSD) and chronic persistent suicidal ideation indicates a need
for hospital assessment?
A. "I feel so bad all the time. I wish I were dead."
B. "My wife is so scared that she has taken all my guns out of the house."
C. "My wife just left with the children. I have no one left and no future."
D. "Those medications you gave me make me feel worse. I stopped
taking them." - answer ✅✅C. "My wife just left with the children. I have
no one left and no future."
13. A male patient informs an adult psychiatric and mental health nurse
practitioner that he has not slept in three days, has poor concentration,
and denies fatigue. The patient's diagnosis is:
A. attention-deficit hyperactivity disorder.
B. bipolar disorder.
C. panic disorder.
D. primary insomnia. - answer ✅✅B. bipolar disorder.
