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ANCC IQ Domain • Domain 1: Scientific Foundation (40 questions with rationales)

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ANCC IQ Domain • 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 me...

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  • January 10, 2023
  • 15
  • 2022/2023
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ANCC IQ Domain • 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 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 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 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) 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 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

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