ANCC REVIEW QUESTIONS (PMHNP IQ) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

ANCC REVIEW QUESTIONS (PMHNP
IQ) UPDATE|EXAM QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW)!!!
Whatmdirect-
actingmdopaminemreceptormagonistmismrecommendedmtombemusedminmthemtreatmentsmofmneurolep
ticmmalignantmsyndromem(NMS)mfomhelpmlowermthemdopaminemblockade?



A)mbenzotropinem(Cogentin)

B)mbromocriptinem(Parlodel)

C)mdantrolenem(Dantrium)

D)mtrihexyphenidylm(Artane)m-
mCORRECTmANSWERmA)mBromocriptinem(Parlodel)mismthemrecommendedmdirectmactingmdopaminem


receptormagonistmtomhelpmdecreasemthemdopaminemblockade.mDanrolenem(Dantrium)mismammuscle
mrelaxant.mBenzotropinem(Cogentin)mandmTrihexyphenidylm(Artane)maremanticholinergicmmedicatio


nsmusedmformextrapyramidalmsidemeffectsm(EPS).



Mr.mSmithmismam56myearmoldmwhitemmalemwhomhasmbeenmsuccessfullymtreatedmonmSelegilinemformov
erm4myears.mMr.mSmithmismgoingminmformelectivemsurgicalmprocedure.mWhichmmedicationmismstrictlym
contraindicatedmwithmSelegiline?



A)mNon-steroidalmanti-inflammatorymdrugsm(NSAIDS)

B)mCodeine

C)mMorphine

D)mMeperidinem-
mCORRECTmANSWERmD)mMeperidinemismstrictlymprohibitedmwhenmampatientmismtreatedmonmammono


aminemoxidaseminhibitorm(MAOI)mduemtomthemriskmofmhypertensivemcrisismandmdeath.

, AmWBCmofm4,000minmampatientmtakingmClozapinemwouldmpromptmthemPMHNPmtomtakemwhichmofmth
emfollowingmactions?



A)mConsultmwithmhematologistmtomdeterminemappropriatemantibioticmregimenmandmmonitormclosel
y.

B)mInstitutemtwice-weeklymcompletembloodmcountmwithmdifferentialsmandmmonitormclosely.

C)mDiscontinuemclozapine,minitiatemalternativemantipsychoticmmedicationmandmmonitormclosely.

D)mInstitutemdailymcompletembloodmcountmwithmdifferentialsmandmmonitormclosely.m-
mCORRECTmANSWERmB)mInstitutemtwice-


weeklymcompletembloodmcountmwithmdifferentialsmandmmonitormclosely.m



Themrecommendedmcut-
pointsmformdiscontinuationmofmclozapinemaremWBCmofm2,000mtom3,000mormgranulocytesmofm1,000mt
om1,500mformagranulocytosismandmseverelymcompromisedmimmunemsystem.mAtmamWBCmofm4,000,mt
hemrecommendationmismtomcloselymmonitormCBCmwithmdifferentialmtwicemamweekmwhilempatientmm
aymcontinuemclozapineminmthemabsencemofmanymothermsignsmormsymptoms.



Ampatientmwithmamdiagnosismofmschizophreniamhasmamhistorymofmsuicidalmideationmandmsuicidematte
mpts.mThemPMHNPmshouldmconsidermwhichmantipsychoticmmedicationmthatmismthemonlymantipsych
oticmtomreducemthemriskmofmsuicideminmschizophrenia?



A)mAbilifym(aripriprazole)

B)mLatudam(lurasidone)

C)mInvegam(iloperidone)

D)mClozarilm(clozapine)m-
mCORRECTmANSWERmD)mClozarilm(clozapine)mismthemonlymknownmantipsychoticmmedicationmthatmh


admbeenmshownmtomreducemthemriskmofmsuicideminmpatientsmdiagnosedmwithmschizophrenia.



Ampatientmbeingmtreatedmformmajormdepressivemdisordermandmonmsertralinem(Zoloft),m150mmgmpomd
ailymformthempastm16myears,mpresentsmtomthempsychiatricmmentalmhealthmpractitionermformanmoutpa