ANCC PMHNP PSYCH MENTAL HEALTH
NP ACTUAL TEST QUESTIONS AND
SOLUTIONS GRADED A+ PREMIUM
RESOURCE
●● 2. A 14-year-old patient has nonspecific reports of pain in their legs.
The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level.
The psychiatric-mental health nurse practitioner:
A. interprets the findings as normally occurring during a rapid
adolescent growth spurt.
B. obtains a rheumatoid profile because elevated alkaline phosphatase is
a sign of early rheumatic fever.
C. orders a repeat blood test.
D. suspects that the patient has acute pancreatitis.
Answer: A. interprets the findings as normally occurring during a rapid
adolescent growth spurt.
●● 3. Laboratory findings for a patient with an alcohol use disorder
indicate increased liver function values and:
A. decreased mean corpuscular volume (MCV) and normal triglyceride
levels.
B. elevated potassium and chloride levels.
C. increased MCV and elevated triglyceride levels.
, D. increased urine and serum creatinine levels.
Answer: C. increased MCV and elevated triglyceride levels.
●● 4. A new patient arrives at the office for treatment for depression.
The patient reports taking simvastatin (Zocor) and lisinopril (Zestril).
When selecting an antidepressant, the psychiatric-mental health nurse
practitioner eliminates fluoxetine hydrochloride (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of
the statin, resulting in an increased risk of muscle damage and
rhabdomyolysis. What is the nurse practitioner's rationale?
A. Both medications are CYP450 3A4 inhibitors.
B. Both medications are CYP450 3A4 substrates.
C. One medication is a CYP450 3A4 substrate and one is a CYP450
3A4 inducer.
D. One medication is a CYP450 3A4 substrate and one is a CYP450
3A4 inhibitor.
Answer: D. One medication is a CYP450 3A4 substrate and one is a
CYP450 3A4 inhibitor.
●● 5. During a mental status examination, an 18-year-old patient reports
feeling bugs crawling under their skin. The psychiatric-mental health
nurse practitioner documents this statement as a:
A. developmental disorder, and suspects cocaine use.
B. hypnagogic hallucination, and suspects schizophrenia.hypnopompic
hallucination, and suspects schizophrenia.perceptual disturbance, and
suspects the use of cocaine.
NP ACTUAL TEST QUESTIONS AND
SOLUTIONS GRADED A+ PREMIUM
RESOURCE
●● 2. A 14-year-old patient has nonspecific reports of pain in their legs.
The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level.
The psychiatric-mental health nurse practitioner:
A. interprets the findings as normally occurring during a rapid
adolescent growth spurt.
B. obtains a rheumatoid profile because elevated alkaline phosphatase is
a sign of early rheumatic fever.
C. orders a repeat blood test.
D. suspects that the patient has acute pancreatitis.
Answer: A. interprets the findings as normally occurring during a rapid
adolescent growth spurt.
●● 3. Laboratory findings for a patient with an alcohol use disorder
indicate increased liver function values and:
A. decreased mean corpuscular volume (MCV) and normal triglyceride
levels.
B. elevated potassium and chloride levels.
C. increased MCV and elevated triglyceride levels.
, D. increased urine and serum creatinine levels.
Answer: C. increased MCV and elevated triglyceride levels.
●● 4. A new patient arrives at the office for treatment for depression.
The patient reports taking simvastatin (Zocor) and lisinopril (Zestril).
When selecting an antidepressant, the psychiatric-mental health nurse
practitioner eliminates fluoxetine hydrochloride (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of
the statin, resulting in an increased risk of muscle damage and
rhabdomyolysis. What is the nurse practitioner's rationale?
A. Both medications are CYP450 3A4 inhibitors.
B. Both medications are CYP450 3A4 substrates.
C. One medication is a CYP450 3A4 substrate and one is a CYP450
3A4 inducer.
D. One medication is a CYP450 3A4 substrate and one is a CYP450
3A4 inhibitor.
Answer: D. One medication is a CYP450 3A4 substrate and one is a
CYP450 3A4 inhibitor.
●● 5. During a mental status examination, an 18-year-old patient reports
feeling bugs crawling under their skin. The psychiatric-mental health
nurse practitioner documents this statement as a:
A. developmental disorder, and suspects cocaine use.
B. hypnagogic hallucination, and suspects schizophrenia.hypnopompic
hallucination, and suspects schizophrenia.perceptual disturbance, and
suspects the use of cocaine.
