ANCC PMHNP CERT REVIEW 2021/2022
TEST FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Osgood-Schlatter disease.
Answer: A neighbor's 14 yr old son, who is active in basketball, complains
of pain and swelling on both knees. On physical exam, there is tenderness
over the tibial tuberosity of both knees. What diagnosis is most likely?
◍ From 33-35 cm.
Answer: A multigravida who is at 34 wks gestation wants to know at what
level her uterine funds should be. The best answer is to advise the mother
that her funds is:
◍ What ethical principle refers to truth-telling?.
Answer: Veracity
◍ What should you do if unsure of an answer?.
Answer: Make an educated guess
◍ What classification system is used in psychiatry?.
Answer: DSM-5
◍ Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin.
Answer: A newborn's mother is discovered to be HBsAg positive. What
would you recommend for the infant?
◍ Severe facial burnsElectrical burnsBurns that involve the cartilage of the
ear.
Answer: The NP would refer all of the following to a physician:
◍ Who developed interpersonal theory in psychiatric nursing?.
Answer: Hildegard Peplau
,◍ What organization certifies PMHNPs?.
Answer: ANCC
◍ What are the four elements of malpractice?.
Answer: Duty, breach, causation, damages
◍ The patient can see at 20ft what a person with normal vision can see at 30 ft
(near-sided).
Answer: During a sports physical, you note that the vision of an 18 y/o male
athlete is 20/30 in both eyes. What dose this mean?
◍ Placenta previa.
Answer: A 28 y/o multipara who is 32 wks of gestation presents to your
office comparing of sudden onset of small amounts of bright red vaginal
bleeding She has had several episodes and appears anxious. On exam, her
uterus is soft on palpation. What is the most likely diagnosis?
◍ It is a slow or sudden painless lot of central vision..
Answer: Atrophic macular degeneration of the aged (AMD) is leading cause
of blindness in the elderly in the US. How does it progress?
◍ Bacterial pneumonia (consolidation).
Answer: A chest radiograph shows an area of consolidation on the lower
lobe. What is the most likely condition?
◍ What ethical principle refers to fairness?.
Answer: Justice
◍ What level of knowledge does the exam test?.
Answer: Entry-level NP practice
◍ The patient should be evaluated for hyperlipidemia..
Answer: What would be the clinical significance of Arcus Senilis on the
irises of the eye on a 35 yr old pt?
◍ Mitral regurgitation.
Answer: Stella, a new mother, complains to you that she has been feeling
irritable and jittery almost daily for the past few months. She complains of
, frequent palpitations and more frequent bowel movements along with
weight loss. Her BP is 160/70, her pulse is 110 and she is afebrile. Which of
the following differential diagnosis would not be appropriate? Mitral
regurgitation, grave's disease, generalized anxiety disorder, illicit drug use.
◍ Symptoms of B12 deficiency anemia?.
Answer: tingling and numbness of fingers and toesdifficulty walkingmood
changesdepressionmemory lossdisorientationdementia
◍ Atrial fibrillation.
Answer: While doing a cardiac exam on a 45 y/o male, you note an irregular
rhythm with a pulse rate of 110 ppm. The patient is alert and is not in
distress. What is the most likely diagnosis?
◍ What ethical principle refers to patient choice?.
Answer: Autonomy
◍ What is informed consent?.
Answer: Agreement after understanding risks/benefits
◍ What is the therapeutic relationship?.
Answer: A professional relationship promoting healing
◍ Order a mammogram and refer her to a breast surgeon.
Answer: You are checking a 75 yo woman;s breast during an annual
gynecological exam. The left nipple and areola are scaly and reddened. The
patient denies pain or pruritis. She has noticed this scaliness on her left
nipple for the past 8 months. Her dermatologist gave her a potent topical
steroid, which she used twice a day for 1 month. The patient never went
back for the follow-up. She still has the rash and wants an evaluation. What
is the best intervention for this patient?
◍ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for what other
infections?
◍ An endoscopy with a tissue biopsy.
, Answer: The gold standard for the diagnosis of active Helicobacter pylori
infection of the stomach or the duodenum is?
◍ Who developed psychosexual theory?.
Answer: Sigmund Freud
◍ Munchausen sudrowme.
Answer: A psychiatric disorder in which the patient fakes a medical illness
or disorder to gain attention from health care providers. These patients
commonly use the emergency department frequently to gain attention.
◍ Cullen's Sign.
Answer: A yellowish blue skin color change around the umbilicus that is
most commonly associated with acute appendicitis
◍ What ethical principle refers to loyalty?.
Answer: Fidelity
◍ What is the biopsychosocial model?.
Answer: Integration of biological, psychological, and social factors
◍ Placenta previa.
Answer: Occurs when abnormal implantation of the placenta occurs.
◍ Atrophic vaginitis.
Answer: A woman is being evaluated by the NP for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. What diagnosis is most
likely?
◍ Recommend immediate referral to ER.
Answer: The mother of an 11 y/o boy with sickle cell anemia calls on the
phone complaining that her son woke up because of a painful penile erection
that will not go away. The NPs most appropriate intervention is:
◍ Atlantoaxial instabilityCongenital Heart DiseaseEarly onset of Alzheimer's.
Answer: Patients with Down Syndrome are at higher risk for all of the
TEST FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Osgood-Schlatter disease.
Answer: A neighbor's 14 yr old son, who is active in basketball, complains
of pain and swelling on both knees. On physical exam, there is tenderness
over the tibial tuberosity of both knees. What diagnosis is most likely?
◍ From 33-35 cm.
Answer: A multigravida who is at 34 wks gestation wants to know at what
level her uterine funds should be. The best answer is to advise the mother
that her funds is:
◍ What ethical principle refers to truth-telling?.
Answer: Veracity
◍ What should you do if unsure of an answer?.
Answer: Make an educated guess
◍ What classification system is used in psychiatry?.
Answer: DSM-5
◍ Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin.
Answer: A newborn's mother is discovered to be HBsAg positive. What
would you recommend for the infant?
◍ Severe facial burnsElectrical burnsBurns that involve the cartilage of the
ear.
Answer: The NP would refer all of the following to a physician:
◍ Who developed interpersonal theory in psychiatric nursing?.
Answer: Hildegard Peplau
,◍ What organization certifies PMHNPs?.
Answer: ANCC
◍ What are the four elements of malpractice?.
Answer: Duty, breach, causation, damages
◍ The patient can see at 20ft what a person with normal vision can see at 30 ft
(near-sided).
Answer: During a sports physical, you note that the vision of an 18 y/o male
athlete is 20/30 in both eyes. What dose this mean?
◍ Placenta previa.
Answer: A 28 y/o multipara who is 32 wks of gestation presents to your
office comparing of sudden onset of small amounts of bright red vaginal
bleeding She has had several episodes and appears anxious. On exam, her
uterus is soft on palpation. What is the most likely diagnosis?
◍ It is a slow or sudden painless lot of central vision..
Answer: Atrophic macular degeneration of the aged (AMD) is leading cause
of blindness in the elderly in the US. How does it progress?
◍ Bacterial pneumonia (consolidation).
Answer: A chest radiograph shows an area of consolidation on the lower
lobe. What is the most likely condition?
◍ What ethical principle refers to fairness?.
Answer: Justice
◍ What level of knowledge does the exam test?.
Answer: Entry-level NP practice
◍ The patient should be evaluated for hyperlipidemia..
Answer: What would be the clinical significance of Arcus Senilis on the
irises of the eye on a 35 yr old pt?
◍ Mitral regurgitation.
Answer: Stella, a new mother, complains to you that she has been feeling
irritable and jittery almost daily for the past few months. She complains of
, frequent palpitations and more frequent bowel movements along with
weight loss. Her BP is 160/70, her pulse is 110 and she is afebrile. Which of
the following differential diagnosis would not be appropriate? Mitral
regurgitation, grave's disease, generalized anxiety disorder, illicit drug use.
◍ Symptoms of B12 deficiency anemia?.
Answer: tingling and numbness of fingers and toesdifficulty walkingmood
changesdepressionmemory lossdisorientationdementia
◍ Atrial fibrillation.
Answer: While doing a cardiac exam on a 45 y/o male, you note an irregular
rhythm with a pulse rate of 110 ppm. The patient is alert and is not in
distress. What is the most likely diagnosis?
◍ What ethical principle refers to patient choice?.
Answer: Autonomy
◍ What is informed consent?.
Answer: Agreement after understanding risks/benefits
◍ What is the therapeutic relationship?.
Answer: A professional relationship promoting healing
◍ Order a mammogram and refer her to a breast surgeon.
Answer: You are checking a 75 yo woman;s breast during an annual
gynecological exam. The left nipple and areola are scaly and reddened. The
patient denies pain or pruritis. She has noticed this scaliness on her left
nipple for the past 8 months. Her dermatologist gave her a potent topical
steroid, which she used twice a day for 1 month. The patient never went
back for the follow-up. She still has the rash and wants an evaluation. What
is the best intervention for this patient?
◍ Chlamydia trachoma's.
Answer: Pts. diagnosed with gonorrhea should also be treated for what other
infections?
◍ An endoscopy with a tissue biopsy.
, Answer: The gold standard for the diagnosis of active Helicobacter pylori
infection of the stomach or the duodenum is?
◍ Who developed psychosexual theory?.
Answer: Sigmund Freud
◍ Munchausen sudrowme.
Answer: A psychiatric disorder in which the patient fakes a medical illness
or disorder to gain attention from health care providers. These patients
commonly use the emergency department frequently to gain attention.
◍ Cullen's Sign.
Answer: A yellowish blue skin color change around the umbilicus that is
most commonly associated with acute appendicitis
◍ What ethical principle refers to loyalty?.
Answer: Fidelity
◍ What is the biopsychosocial model?.
Answer: Integration of biological, psychological, and social factors
◍ Placenta previa.
Answer: Occurs when abnormal implantation of the placenta occurs.
◍ Atrophic vaginitis.
Answer: A woman is being evaluated by the NP for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. What diagnosis is most
likely?
◍ Recommend immediate referral to ER.
Answer: The mother of an 11 y/o boy with sickle cell anemia calls on the
phone complaining that her son woke up because of a painful penile erection
that will not go away. The NPs most appropriate intervention is:
◍ Atlantoaxial instabilityCongenital Heart DiseaseEarly onset of Alzheimer's.
Answer: Patients with Down Syndrome are at higher risk for all of the
