ANCC PMHNP EXAMS 2026 CERTIFICATION
TEST QUESTIONS AND ANSWERS UPDATED
◉ Arterial insufficiency, Peripheral vascular disease. Answer: lack
pedal pulses, pain in calf, red feet, common in elderly, blood cant go
down. DX w/ brachial index test, encourage exercise
◉ Venous insufficiency. Answer: Edema, no feeling, blood cant go up
◉ S4 indicates. Answer: Left ventricular hypertrophy
◉ Pulsus Paradoxus. Answer: BP decreases with inspiration
◉ Prolonged PR interval. Answer: 1st degree heart block
◉ Absent P wave. Answer: AFIB
◉ STEMI. Answer: ST elevated MI
◉ AAA. Answer: diagnosed with US
◉ Apical Murmurs. Answer: systolic at base, Mitral Regurgitation
,◉ Aortic Murmurs. Answer: to neck, aortic stenosis
◉ Acute OM. Answer: 1st line tx Penicillin- Amoxicillin- if allergic
PCN reaction go to Macrolide. ("Mycin") If nausea etc change to
different Macrolide ie. Azith, Errith, Clarithomycin
◉ Acute External Ottitis. Answer: chief pathogen Pseudo monas
Augina
tx w/ 1st Cipro, 2nd cephlosporin
◉ Swimmers Ear. Answer: Gm-ve, foul smell pseudo auginas
◉ Herbal alternatives post menopausal hormonal replacement.
Answer: Isoflavins= soybeans, blackbeans, black cohash
◉ Preferred ABO Anthrax. Answer: Cipro 500mg
◉ Meds to wean off slowly, never stop abruptly. Answer: Benzos
SSRI's + Effexor
Prednisone after 7 days
◉ Cava Cava. Answer: natural Tx for anxiety, never with benzos
,◉ Med causing sexual dysfunction. Answer: Paxil especially, but any
SSRI will decrease sexual function
◉ Lithium. Answer: Bipolar treatment of grandiosity
dont give with a MOAI or TCA
Monitor TSH levels
◉ SIGECAPS. Answer: S leep changes: increase during day or
decreased sleep at night
I nterest (loss): of interest in activities that used to interest them
G uilt (worthless): depressed elderly tend to devalue themselves
E nergy (lack): common presenting symptom (fatigue)
C ognition/C oncentration: reduced cognition &/or difficulty
concentrating
A ppetite (wt. loss); usually declined, occasionally increased
P sychomotor: agitation (anxiety) or retardations (lethargic)
S uicide/death preocp.
◉ Best BP Med for African Americans. Answer: CCB
, ◉ Metformin contraindications. Answer: Decr. renal function
Hepatic disease
Lympatic - causes lacticacidosis
◉ Surgery w/ metformin. Answer: hold 24o a/ and 48o p/
◉ Increased Creatin and decreased GFR. Answer: Renal effects=
renal failure
◉ If meds are invacana and metformin and creatine elevated which
one to dc?. Answer: Metformin
◉ Which BP med not given with CHF. Answer: CCB d/t increased
edema
◉ If PT on CCB and gets peripheral edema what do you tell them?.
Answer: Move around often, don't be sedentary
◉ Elderly PT's on Thiazides are risk for?. Answer: Dehydration and
kidney stones, holds calcium
◉ Symptoms of serratonin syndrome. Answer: fevers muscle rigidity
TEST QUESTIONS AND ANSWERS UPDATED
◉ Arterial insufficiency, Peripheral vascular disease. Answer: lack
pedal pulses, pain in calf, red feet, common in elderly, blood cant go
down. DX w/ brachial index test, encourage exercise
◉ Venous insufficiency. Answer: Edema, no feeling, blood cant go up
◉ S4 indicates. Answer: Left ventricular hypertrophy
◉ Pulsus Paradoxus. Answer: BP decreases with inspiration
◉ Prolonged PR interval. Answer: 1st degree heart block
◉ Absent P wave. Answer: AFIB
◉ STEMI. Answer: ST elevated MI
◉ AAA. Answer: diagnosed with US
◉ Apical Murmurs. Answer: systolic at base, Mitral Regurgitation
,◉ Aortic Murmurs. Answer: to neck, aortic stenosis
◉ Acute OM. Answer: 1st line tx Penicillin- Amoxicillin- if allergic
PCN reaction go to Macrolide. ("Mycin") If nausea etc change to
different Macrolide ie. Azith, Errith, Clarithomycin
◉ Acute External Ottitis. Answer: chief pathogen Pseudo monas
Augina
tx w/ 1st Cipro, 2nd cephlosporin
◉ Swimmers Ear. Answer: Gm-ve, foul smell pseudo auginas
◉ Herbal alternatives post menopausal hormonal replacement.
Answer: Isoflavins= soybeans, blackbeans, black cohash
◉ Preferred ABO Anthrax. Answer: Cipro 500mg
◉ Meds to wean off slowly, never stop abruptly. Answer: Benzos
SSRI's + Effexor
Prednisone after 7 days
◉ Cava Cava. Answer: natural Tx for anxiety, never with benzos
,◉ Med causing sexual dysfunction. Answer: Paxil especially, but any
SSRI will decrease sexual function
◉ Lithium. Answer: Bipolar treatment of grandiosity
dont give with a MOAI or TCA
Monitor TSH levels
◉ SIGECAPS. Answer: S leep changes: increase during day or
decreased sleep at night
I nterest (loss): of interest in activities that used to interest them
G uilt (worthless): depressed elderly tend to devalue themselves
E nergy (lack): common presenting symptom (fatigue)
C ognition/C oncentration: reduced cognition &/or difficulty
concentrating
A ppetite (wt. loss); usually declined, occasionally increased
P sychomotor: agitation (anxiety) or retardations (lethargic)
S uicide/death preocp.
◉ Best BP Med for African Americans. Answer: CCB
, ◉ Metformin contraindications. Answer: Decr. renal function
Hepatic disease
Lympatic - causes lacticacidosis
◉ Surgery w/ metformin. Answer: hold 24o a/ and 48o p/
◉ Increased Creatin and decreased GFR. Answer: Renal effects=
renal failure
◉ If meds are invacana and metformin and creatine elevated which
one to dc?. Answer: Metformin
◉ Which BP med not given with CHF. Answer: CCB d/t increased
edema
◉ If PT on CCB and gets peripheral edema what do you tell them?.
Answer: Move around often, don't be sedentary
◉ Elderly PT's on Thiazides are risk for?. Answer: Dehydration and
kidney stones, holds calcium
◉ Symptoms of serratonin syndrome. Answer: fevers muscle rigidity
