ANCC DOMAIN 1 QUESTIONS AND ANSWERS
GUARANTEED PASS
As a psychiatric mental health nurse practitioner, 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. Sedation
B. Weight gain
C. Tardive dyskinesia
D. Dry mouth - CORRECT ANSWER -C. Tardive
dyskinesia
What direct-acting dopamine receptor agonist is
recommended to be used in the treatment of neuroleptic
malignant syndrome (NMS) to help lower the dopamine
receptor blockade?
A. Dantrolene (Dantrium)
B. Benztropine (Cogentin)
C. Bromocriptine (Parlodel)
,D. Trihexyphenidyl (Artane) - CORRECT ANSWER -C.
Bromocriptine (Parlodel)
A 74 y/o female present 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 compromised
functioning?
A. Corpus callosum
B. Wernicke's Area
C. Left Hemisphere
D. Right Hemisphere - CORRECT ANSWER -D. Right
Hemisphere
Which of the following statements reflects current
understanding of neurodevelopment and best explains
risk-taking behaviors of adolescent males?
A. Stimulant and substance use impairs judgment and
cognitive appraisal
B. Pruning of serotonin circuits in the adolescent brain is
associated with increased impulsivity
, C. Maturation of the prefrontal cortex continues into mid-
20s and early 30s
D. Hormonal flooding, especially testosterone and oxytocin,
increase dopamine levels in the brain - CORRECT
ANSWER -C. Maturation of the prefrontal cortex
continues into mid-20s and early 30s What cytochrome
(CYP) enzyme is implicated as a tobacco inducer when
an individual is treated on clozapine? A. 2C19
B. 1A2
C. 2C9
D. 2D6 - CORRECT ANSWER -B. 1A2
Which mood stabilizer is most associated with a
potentially life-threatening rash?
A. Divalproex (depakote)
B. Carbamazepine (tegretol)
C. Lithium (eskalith)
D. Lamotrigine (lamictal) - CORRECT ANSWER -D.
Lamotrigine (lamictal)
GUARANTEED PASS
As a psychiatric mental health nurse practitioner, 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. Sedation
B. Weight gain
C. Tardive dyskinesia
D. Dry mouth - CORRECT ANSWER -C. Tardive
dyskinesia
What direct-acting dopamine receptor agonist is
recommended to be used in the treatment of neuroleptic
malignant syndrome (NMS) to help lower the dopamine
receptor blockade?
A. Dantrolene (Dantrium)
B. Benztropine (Cogentin)
C. Bromocriptine (Parlodel)
,D. Trihexyphenidyl (Artane) - CORRECT ANSWER -C.
Bromocriptine (Parlodel)
A 74 y/o female present 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 compromised
functioning?
A. Corpus callosum
B. Wernicke's Area
C. Left Hemisphere
D. Right Hemisphere - CORRECT ANSWER -D. Right
Hemisphere
Which of the following statements reflects current
understanding of neurodevelopment and best explains
risk-taking behaviors of adolescent males?
A. Stimulant and substance use impairs judgment and
cognitive appraisal
B. Pruning of serotonin circuits in the adolescent brain is
associated with increased impulsivity
, C. Maturation of the prefrontal cortex continues into mid-
20s and early 30s
D. Hormonal flooding, especially testosterone and oxytocin,
increase dopamine levels in the brain - CORRECT
ANSWER -C. Maturation of the prefrontal cortex
continues into mid-20s and early 30s What cytochrome
(CYP) enzyme is implicated as a tobacco inducer when
an individual is treated on clozapine? A. 2C19
B. 1A2
C. 2C9
D. 2D6 - CORRECT ANSWER -B. 1A2
Which mood stabilizer is most associated with a
potentially life-threatening rash?
A. Divalproex (depakote)
B. Carbamazepine (tegretol)
C. Lithium (eskalith)
D. Lamotrigine (lamictal) - CORRECT ANSWER -D.
Lamotrigine (lamictal)
