ANCC IQ DOMAINS 1-5 QBANK PRACTICE
GUIDE 2026 ITEMS ANSWERS VERIFIED A+
◉ The Nurse Practitioner (NP) is seeing a patient for both
psychiatric and chemical dependency illnesses. The patient wants
the NP to send medical records to his General Practitioner. The NP
tells the patient that because of Federal Law 42 CFR he must:
A. Sign two separate releases of information due to the special
protected nature of chemical dependency information
B. Sign once combined release that does not mention his chemical
dependency illness due to its special protected nature
C. Sign two separate releases due to the special protected nature of
psychiatric information
D. Sign one combined release that designated that he is being treated
for both chemical dependency and psychiatric illnesses. Answer: A.
Sign two separate releases of information due to the special
protected nature of chemical dependency information
◉ You see a patient for a routine medication visit. At the end of the
session, the patient asks questions and the session ends up 50
minutes in length. You normally charge for the 30-minute
appointment, but instead you charge for the 1-hour appointment.
The 1-hour appointment included a full body assessment that you
did not perform. This is violation is known as:
A. Up-coding
,B. Over-coding
C. Down-coding
D. Super-coding. Answer: A. Up-coding
◉ The nurse practitioner (NP) is on an airplane and the flight
attendant asks if there is a medical professional on the flight. The NP
agrees to help. The NP is presented with a young woman who is
suffering from a severe panic attack. The woman is nauseated and
lying on the floor of the plane. The woman has trouble
communicating much more than she is upset, afraid and her
husband is a few airplane stops away at an air force base where she
is headed. The woman's pulse is 89 and regular, her respirations are
18 and regular. The woman occasionally pants and vomits some pale
brown liquid. You provide information to the flight medical doctor
on call. At the destination, the flight attendant offers to give you
some Alprazolam 0.5mg to give to the patient. You:
A. Give her the alprazolam to help her calm down until you get to the
destination. Then, she can go to the hospital.
B. Give her the alprazolam so that she calm down a. Answer: D. Do
not give the medication. Instead, wait until the plane lands and a full
evaluation can be completed at the local hospital
◉ A 45 y/o woman with Type 1 Bipolar Disorder experiencing an
acute episode of depression with psychotic features requires a
temporary leave of absence from her job as an administrative
assistant to a school principal. The patient has signed a release of
information for the Psychiatric-mental Health Nurse Practitioner to
,disclose full mental health records to the principal and the human
resources department to facilitate her gradual return to work. The
patient fears that she will lose her job due to her psychiatric
disorder. What is the most appropriate information the Psychiatric-
Mental Health Nurse Practitioner can provide in this situation?
A. Employers cannot discriminate against individuals with a mental
health disorder, which is considered a disability covered by the
Americans with Disabilities Act of 1990
B. Employers cannot discriminate against individuals with a mental
health disorder, which is protected as co. Answer: A. Employers
cannot discriminate against individuals with a mental health
disorder, which is considered a disability covered by the Americans
with Disabilities Act of 1990
◉ Outcomes measurement is the collecting and reporting of data
about the effect of an intervention. Purposes of outcome
measurement include all of the following except:
A. To observe errors in data reporting of an intervention
B. To analyze the effectiveness of an intervention
C. To profile practice patterns of providers
D. To suggest changes in treatment. Answer: A. To observe errors in
data reporting of an intervention
◉ A 37 y/o male with schizophrenia, paranoid type, lives in
supervised housing and is followed by the Assertive Community
Treatment Team through a Community Mental Health Center
, (CMHC) where the Psychiatric-Mental Health Nurse Practitioner
notes that he has refused to see any primary care provider (PCP)
during the past several years despite efforts by case managers to
accompany him to medical visits. He has gained 30 pounds in past
three years on clozapine since his last inpatient hospitalization. His
WBC and ANC counts remain within normal limits, but he has
elevated cholesterol, lipids, and A1C levels. What is the most
appropriate intervention to facilitate care for this patient?
A. Advise the patient that he needs to see a PCP to treat his elevated
cholesterol and blood sugar levels and ask what has prevented him
from seeing a PCP when referred in the past
B. Advise the patient that he needs to see a PCP to treat hi. Answer:
C. Explain the health risks of his elevated cholesterol and blood
sugar levels and separately ask the patient and case manager what
has prevented him from seeing PCP when referred in past
◉ Your patient is a 40 y/o male who has suffered from depression
since he was age 21. He has tried numerous antidepressant
medications and combinations of medications to no avail. There is a
response but no recovery for this patient. He is currently taking
Duloxetine 120 mg 1 PO Q am with a response. You prescribe a new
medication to help with resistant depression, Brexpiprasole (rexulti)
0.5mg 1 PO Q am. He tries samples of the medication for 1 month
and he experiences recovery from depression. When he takes the
prescription to the pharmacy, he finds that his insurance will not
cover the cost of the medication sufficiently. The patient tells you
that he just cannot afford the medication and wants to stop it. What
do you do?
GUIDE 2026 ITEMS ANSWERS VERIFIED A+
◉ The Nurse Practitioner (NP) is seeing a patient for both
psychiatric and chemical dependency illnesses. The patient wants
the NP to send medical records to his General Practitioner. The NP
tells the patient that because of Federal Law 42 CFR he must:
A. Sign two separate releases of information due to the special
protected nature of chemical dependency information
B. Sign once combined release that does not mention his chemical
dependency illness due to its special protected nature
C. Sign two separate releases due to the special protected nature of
psychiatric information
D. Sign one combined release that designated that he is being treated
for both chemical dependency and psychiatric illnesses. Answer: A.
Sign two separate releases of information due to the special
protected nature of chemical dependency information
◉ You see a patient for a routine medication visit. At the end of the
session, the patient asks questions and the session ends up 50
minutes in length. You normally charge for the 30-minute
appointment, but instead you charge for the 1-hour appointment.
The 1-hour appointment included a full body assessment that you
did not perform. This is violation is known as:
A. Up-coding
,B. Over-coding
C. Down-coding
D. Super-coding. Answer: A. Up-coding
◉ The nurse practitioner (NP) is on an airplane and the flight
attendant asks if there is a medical professional on the flight. The NP
agrees to help. The NP is presented with a young woman who is
suffering from a severe panic attack. The woman is nauseated and
lying on the floor of the plane. The woman has trouble
communicating much more than she is upset, afraid and her
husband is a few airplane stops away at an air force base where she
is headed. The woman's pulse is 89 and regular, her respirations are
18 and regular. The woman occasionally pants and vomits some pale
brown liquid. You provide information to the flight medical doctor
on call. At the destination, the flight attendant offers to give you
some Alprazolam 0.5mg to give to the patient. You:
A. Give her the alprazolam to help her calm down until you get to the
destination. Then, she can go to the hospital.
B. Give her the alprazolam so that she calm down a. Answer: D. Do
not give the medication. Instead, wait until the plane lands and a full
evaluation can be completed at the local hospital
◉ A 45 y/o woman with Type 1 Bipolar Disorder experiencing an
acute episode of depression with psychotic features requires a
temporary leave of absence from her job as an administrative
assistant to a school principal. The patient has signed a release of
information for the Psychiatric-mental Health Nurse Practitioner to
,disclose full mental health records to the principal and the human
resources department to facilitate her gradual return to work. The
patient fears that she will lose her job due to her psychiatric
disorder. What is the most appropriate information the Psychiatric-
Mental Health Nurse Practitioner can provide in this situation?
A. Employers cannot discriminate against individuals with a mental
health disorder, which is considered a disability covered by the
Americans with Disabilities Act of 1990
B. Employers cannot discriminate against individuals with a mental
health disorder, which is protected as co. Answer: A. Employers
cannot discriminate against individuals with a mental health
disorder, which is considered a disability covered by the Americans
with Disabilities Act of 1990
◉ Outcomes measurement is the collecting and reporting of data
about the effect of an intervention. Purposes of outcome
measurement include all of the following except:
A. To observe errors in data reporting of an intervention
B. To analyze the effectiveness of an intervention
C. To profile practice patterns of providers
D. To suggest changes in treatment. Answer: A. To observe errors in
data reporting of an intervention
◉ A 37 y/o male with schizophrenia, paranoid type, lives in
supervised housing and is followed by the Assertive Community
Treatment Team through a Community Mental Health Center
, (CMHC) where the Psychiatric-Mental Health Nurse Practitioner
notes that he has refused to see any primary care provider (PCP)
during the past several years despite efforts by case managers to
accompany him to medical visits. He has gained 30 pounds in past
three years on clozapine since his last inpatient hospitalization. His
WBC and ANC counts remain within normal limits, but he has
elevated cholesterol, lipids, and A1C levels. What is the most
appropriate intervention to facilitate care for this patient?
A. Advise the patient that he needs to see a PCP to treat his elevated
cholesterol and blood sugar levels and ask what has prevented him
from seeing a PCP when referred in the past
B. Advise the patient that he needs to see a PCP to treat hi. Answer:
C. Explain the health risks of his elevated cholesterol and blood
sugar levels and separately ask the patient and case manager what
has prevented him from seeing PCP when referred in past
◉ Your patient is a 40 y/o male who has suffered from depression
since he was age 21. He has tried numerous antidepressant
medications and combinations of medications to no avail. There is a
response but no recovery for this patient. He is currently taking
Duloxetine 120 mg 1 PO Q am with a response. You prescribe a new
medication to help with resistant depression, Brexpiprasole (rexulti)
0.5mg 1 PO Q am. He tries samples of the medication for 1 month
and he experiences recovery from depression. When he takes the
prescription to the pharmacy, he finds that his insurance will not
cover the cost of the medication sufficiently. The patient tells you
that he just cannot afford the medication and wants to stop it. What
do you do?
