ANCC IQ Domains 1-5 Qbank answered all correctly answered; latest updated summer 2022.
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Course
ANCC
Institution
Chamberlain College Of Nursing
Book
Psychiatric-mental Health Nurse Practitioner Review and Resource Manual
ANCC IQ Domain • Domain 1: Scientific Foundation (40 questions with rationales) • Domain 2: Advanced Practice Skills (49 questions with rationales) • Domain 3: Diagnosis and Treatment (52 questions with rationales) • Domain 4: Psychotherapy and Related Theories (30 questions with rationales...
psychiatric mental health nurse practitioner review and resource manual notes kathryn johnson
dawn vanderhoef isbn 9781935213796
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ANCC IQ Domains 1-5
Qbank answered all correctly
answered; latest updated
summer 2022
ANCC IQ Domain • Domain 1: Scientific Foundation (40 questions with
rationales) • Domain 2: Advanced Practice Skills (49 questions with rationales)
• Domain 3: Diagnosis and Treatment (52 questions with rationales) • Domain
4: Psychotherapy and Related Theories (30 questions with rationales) •
Domain 5: Ethical and Legal Principles (72 questions with rationales)
, Domain 1: Scientific Foundation (40
questions with rationales)
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 Correct 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 Correct 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 Correct 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) Correct 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 Correct 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 Correct 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. Correct
Answer: B
Which mood stabilizer is most associated with a potentially life-threatening rash?
a. Divalproex (Depakote)
b. Lamotrigine (Lamictal)
c. Lithium (Eskalith)
d. Carbamazepine (Tegretol) Correct Answer: B
Which of the following statements most accurately reflects the predominant risk
factors of antisocial personality disorders?
a. Gang affiliation and early substance abuse
b. Genetic predisposition of first-degree family member
c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families Correct Answer: B
A 37-year-old patient with schizophrenia is started on a high dose of
chlorpromazine (Thorazine). The next day, he complains of lightheadedness after
standing up. Vital sign changes reflect a significant decrease in blood pressure and
an increase in heart rate. You suspect this is secondary to the alpha 1-adrenergic
blockade which is causing
a. Orthostatic hypotension
b. Dry mouth
, c. Respiratory depression
d. Decreased sweating Correct Answer: A
A 74-year-old female presents for an evaluation. The psychiatric nurse practitioner
has the patient complete the mini mental status examination and clock drawing.
The patient is unable to correctly draw the face of the clock. Which area of the
brain is likely to have a compromised functioning?
a. Wernicke's Area
b. Corpus Callosum
c. Left Hemisphere
d. Right hemisphere Correct Answer: D
Your patient comes into the office for her middle of the year appointment. She is
diagnosed with Bipolar I disorder. She has been maintained well for the past 3
years on Oxcarbazepine (Trileptal) 900 mg po QHS. Her labs are normal except
for a blood sugar of 114 and her hemoglobin A1C is 5.6. She has a normal energy
level and states that her mood is stable but complains of excessive urination and
thirst. You suspect:
a. Possible Diabetes 2
b. Possible hyponatremia
c. Possible polydipsia
d. Side effects of oxcarbazepine Correct Answer: D
What is a rare but serious side effect of trazodone (Desyrel)?
a. Confusion
b. Priapism
c. Rash
d. Tremor Correct Answer: B
When studying pharmacodynamics involving receptors, you know that an inverse
agonist produces the following effect:
a. Does not fully activate the receptor and causes only limited actions
b. Causes the opposite effect of agonist, and causes the receptor to close the ion
channel
c. Blocks the agonist from opening the channel, and does not activate a biological
response
d. Activates a biological response, and opens the ion channel. Correct Answer: B
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