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ANCC IQ Domains 1-5 Qbank answered all correctly answered; latest updated summer .

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ANCC IQ Domains 1-5 Qbank answered all correctly answered; latest updated summer . 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) ANCC 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 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 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 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) 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 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 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. Which mood stabilizer is most associated with a potentially life-threatening rash? a. Divalproex (Depakote) b. Lamotrigine (Lamictal) c. Lithium (Eskalith) d. Carbamazepine (Tegretol) 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 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 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 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 What is a rare but serious side effect of trazodone (Desyrel)? a. Confusion b. Priapism c. Rash d. Tremor 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. Mr. Smith is a 56-year-old white male who has been successfully treated on Selegiline for over 4 years. Mr. Smith is going in for an elective surgical procedure. Which medication is strictly contraindicated with Selegiline? a. Non-steroidal anti-inflammatory drugs (NSAIDs) b. Meperidine c. Codeine d. Morphine Patty is a 62-year-old white female with Bipolar I Disorder and has been stable for 2 years on valproate and risperidone. She was recently diagnosed with shingles, and her primary care nurse practitioner started her on corticosteroids. As the PMHNP treating Patty, you are concerned that the addition of the corticosteroids may cause a. Neuroleptic Malignant Syndrome b. A hypertensive crisis c. A manic episode d. Stevens-Johnson syndrome Which serotonin receptor antagonism makes an antipsychotic

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12/27/2018 My QBank




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Question Text Correct Answer Your Answer Result

 Retapamulin (Altabax), used in the treatment of to be applied intranasally or to to be applied intranasally or to Correct
impetigo, is NOT: mucosa. mucosa.

 Patients treated with sulfamethoxazole and with 8 ounces of water. with folic acid. Incorrect
trimethoprim (Bactrim) should be advised to take it:

 Children receiving griseofulvin (Grifulvin V) for the clay-colored stools. tinnitus. Incorrect
treatment of tinea capitis should be monitored for:




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,12/27/2018 My QBank


Question Text Correct Answer Your Answer Result

 Instructions given to patients being treated with apply to the face. apply immediately after Incorrect
Silver sulfadiazine (Silvadene) cream should NOT debridement.
include:

 Zinc oxide is indicated in the treatment of: diaper dermatitis. puncture wounds. Incorrect

 Initial treatment for irritant contact dermatitis is a: low-potency topical steroid. super high-potency topical Incorrect
steroid.

 Pimecrolimus (Elidel) is indicated in the treatment of: atopic dermatitis. psoriasis. Incorrect

 The mechanism of action of sulfa agents, in the block synthesis of folic acid by inhibit protein synthesis by Incorrect
treatment of cellulitis, is to: bacteria and inhibit replication. preventing ribosomal
translocation.

 Zinc oxide, for the treatment of diaper dermatitis, is skin barrier. skin barrier. Correct
classified as a(n):

 Dynacin, used in the treatment of skin infections, is minocycline. demeclocycline. Incorrect
the brand name for:

 The most effective therapies in the treatment of acne hormonal therapies and oral tetracyclines and topical Incorrect
related to increased sebum production are: isotretinoin. retinoids.

 Clindamycin (Cleocin) should NOT be administered erythromycin (Ilotycin). ibuprofen (Advil). Incorrect
with:

 The most effective way to assure that the patient has determine the amount needed determine the amount based on Incorrect
enough topical corticosteroid for the duration of using the fingertip unit (FTU). 0.1 grams per square inch
treatment is to: needed to cover.

 Topical permethrin should be avoided in patients ragweed. strawberries. Incorrect
with an allergy to:




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,12/27/2018 My QBank


Question Text Correct Answer Your Answer Result

 Severe nodular acne should be treated with: oral isotretinoin monotherapy. a topical retinoid, benzoyl Incorrect
peroxide and a topical antibiotic.

 Patients should be advised that after an intralesional possible hyper- or sloughing of the skin. Incorrect
corticosteroid injection, they should expect: hypopigmentation.

 Lidocaine (Lidoderm) patch should NOT be bupivacaine (Marcaine). diphenhydramine (Dermarest). Incorrect
prescribed for patients allergic to:

 The best medication choice for the treatment of acne clindamycin phosphate clindamycin phosphate Correct
in hairy areas is: (Clindamycin Foam). (Clindamycin Foam).

 Dapsone (Aczone) topical 5% gel should be applied: twice daily in a pea-sized amount. twice daily in a pea-sized Correct
amount.

 The preferred treatment for Lyme disease in a 16- doxycycline (Vibramycin). doxycycline (Vibramycin). Correct
year-old male is:

 Which of the following medications for the treatment minocycline (Minocin) minocycline (Minocin) Correct
of acne is extended-release and is dosed according to
weight?

 Imiquimod (Aldara) is indicated for the treatment of: actinic keratosis. keloids. Incorrect

 Due to potential systemic absorption, the use of are pregnant. have a history of seizures. Incorrect
fluorouracil (Carac) should be avoided in patients
who:

 Tretinoin topical gel (Atralin) should be used fish. strawberries. Incorrect
cautiously in patients who are allergic to:

 Patients applying low-potency steroids to the face apply a thin film 2-3 times daily for discontinue use after 6 weeks Incorrect
should be instructed to: 7 days. even if the condition continues.




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Question Text Correct Answer Your Answer Result

 Systemic ivermectin (Stromectol), classified as an has a high concentration in the is not well absorbed. Incorrect
antiparasitic,: liver.

 Dosage reductions should be considered when renal insufficiency. renal insufficiency. Correct
prescribing first-generation cephalosporins for
patients with:

 A combination topical antimicrobial-antibiotic benzoyl peroxide and benzoyl peroxide and dapsone. Incorrect
medication used in the treatment of acne is: erythromycin.

 Intralesional corticosteroid injections should NOT be: injected into the subcutaneous utilized for lesions in thin skinned Incorrect
tissue. areas such as the face.

 Patients receiving imiquimod (Aldara) should not live vaccines. tetracyclines. Incorrect
receive:

 Oral antibiotics for the treatment of acne vulgaris: should not be used as are used as maintenance Incorrect
monotherapy. therapy.

 Patients should be advised that clindamycin a full glass of water. milk. Incorrect
(Cleocin) should be administered with:

 The half life of trimethoprim-sulfamethoxazole 10 hours. 12 hours. Incorrect
(Bactrim DS) is approximately:

 Which of the following statements about systemic Colitis related to clindamycin Clindamycin (Cleocin) is safe to Incorrect
clindamycin (Cleocin) is true? (Cleocin) may occur more than 2 prescribe to atopic patients.
months after cessation of therapy.

 The best treatment for mild cellulitis caused by oral trimethoprim- oral cephalexin (Keflex). Incorrect
methicillin-resistant Staphylococcus aureus is: sulfamethoxazole (Bactrim).

 Antiviral agents for the treatment of herpes zoster: are most effective when started do not reduce the risk of Incorrect
within 48-72 hours of outbreak. transmission of the virus through
shedding.


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