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ANCC Practice questions Domain 1 Exam Questions And Answers A+ Graded

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ANCC Practice questions Domain 1 Exam Questions And Answers A+ Graded 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? ...

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  • August 29, 2024
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ANCC Practice questions Domain 1


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




K
b. Tardive dyskinesia
c. Sedation
d. Weight gain - ANS B




C
In evaluating a 4-year-old, one would expect which of the following delays in Asperger's
Disorder?
a. Language development




LO
b. Cognitive development
c. Motor skills coordination
d. Social skills development - ANS D
Which area of the brain has been implicated to modulate pain and can help explain how
transcranial magnetic stimulation can help decrease pain?
YC
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex - ANS 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
D

deemed appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
U


c. Mirtazapine (Remeron)
d. Sertraline (Zoloft) - ANS A
Which of the following findings would raise concern in an annual sports exam for a 15-year-old
ST




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 - ANS 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 - ANS 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. - ANS B
Which mood stabilizer is most associated with a potentially life-threatening rash?
a. Divalproex (Depakote)
b. Lamotrigine (Lamictal)




K
c. Lithium (Eskalith)
d. Carbamazepine (Tegretol) - ANS B
Which of the following statements most accurately reflects the predominant risk factors of




C
antisocial personality disorders?
a. Gang affiliation and early substance abuse
b. Genetic predisposition of first-degree family member




LO
c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families - ANS 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
YC
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 - ANS A
A 74-year-old female presents for an evaluation. The psychiatric nurse practitioner has the
D

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?
U


a. Wernicke's Area
b. Corpus Callosum
c. Left Hemisphere
ST




d. Right hemisphere - ANS 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 - ANS D
What is a rare but serious side effect of trazodone (Desyrel)?

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