ANCC PMHNP Exam Reported Questions Qbank
answered all correctly answered; latest updated summer
2022.
What is dissemination? Correct Answer: Getting the research information out to
those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? Correct Answer: Moderate cognitive
impairment
What is Tegretol in the CYP450 system? Correct Answer: Inducer -->will lower
dose of Lamictal and BCP's
What do BCP's do to Lamictal? Correct Answer: Inducer - will lower dose of
Lamictal
What is a Type I research error? Correct Answer: There IS a difference but you
say there isn't a difference.
What is a Type II research error? Correct Answer: There is NO difference but you
say there is a difference.
What is pseudo-dementia? Correct Answer: Cognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? Correct Answer: Yes.
What is a drug 1/2 life? Correct Answer: The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? Correct Answer: Zyprexa, Abilify,
Seroquel - low doses
,What is a risk of using Tramadol? Correct Answer: Serotonin Syndrome as it is
very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? Correct Answer:
HLAB-1502
When might you see toxic epidermal necrolysis? Correct Answer: With worsening
of SJS
How many generations do you include for a genogram? Correct Answer: 1st
degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? Correct Answer: Amino Acids
What is epigenetics? Correct Answer: Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? Correct Answer: Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? Correct Answer: Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? Correct Answer: 10-25 yo
When do females typically present with schizophrenia? Correct Answer: 25-35 yo
What does Erythromycin to trileptal? Correct Answer: You will need to decreases
the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? Correct Answer: Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs Correct
Answer: Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
,What should you watch for with Tegretol? Correct Answer: Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? Correct Answer: CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct
Answer: CKMB
What is the risk of a seriously elevated CKMB? Correct Answer: Polymyositis
Rhabdo
What is a normal CKMB? Correct Answer: 0.3 mcg/L
What psychoactives does Detrol interact with? Correct Answer: Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?
Correct Answer: CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? Correct Answer: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? Correct Answer: Self-
Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Correct Answer: Helps rule-out disease = True Positive =
Snout
What is specificity? Correct Answer: Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Correct Answer: Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
, What is a normal sed rate or ESR? Correct Answer: 0-22 males
0-29 females
What is a retic count? Correct Answer: Measures % of reticulocytes in blood
(immature RBC's) Indicates whether enough RBC's are being produced by bone
marrow.
What does a decreased retic count indicate? Correct Answer: Anemia - acute or
chronic bleeding
What does an increased retic count indicate? Correct Answer: Bone marrow
disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? Correct Answer: Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? Correct Answer: Increase
tegretol levels.
What happens if a pregnant women takes Accutane? Correct Answer: Birth
defects.
What labs do you get with RA? Correct Answer: Sed rate, RF, ANA, C reactive
protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? Correct Answer: ANA
When do you assume informed consent? Correct Answer: Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? Correct
Answer: Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? Correct Answer:
Only a court
Does impaired judgment mean one is incompetent? Correct Answer: No.
answered all correctly answered; latest updated summer
2022.
What is dissemination? Correct Answer: Getting the research information out to
those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? Correct Answer: Moderate cognitive
impairment
What is Tegretol in the CYP450 system? Correct Answer: Inducer -->will lower
dose of Lamictal and BCP's
What do BCP's do to Lamictal? Correct Answer: Inducer - will lower dose of
Lamictal
What is a Type I research error? Correct Answer: There IS a difference but you
say there isn't a difference.
What is a Type II research error? Correct Answer: There is NO difference but you
say there is a difference.
What is pseudo-dementia? Correct Answer: Cognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? Correct Answer: Yes.
What is a drug 1/2 life? Correct Answer: The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? Correct Answer: Zyprexa, Abilify,
Seroquel - low doses
,What is a risk of using Tramadol? Correct Answer: Serotonin Syndrome as it is
very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? Correct Answer:
HLAB-1502
When might you see toxic epidermal necrolysis? Correct Answer: With worsening
of SJS
How many generations do you include for a genogram? Correct Answer: 1st
degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? Correct Answer: Amino Acids
What is epigenetics? Correct Answer: Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? Correct Answer: Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? Correct Answer: Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? Correct Answer: 10-25 yo
When do females typically present with schizophrenia? Correct Answer: 25-35 yo
What does Erythromycin to trileptal? Correct Answer: You will need to decreases
the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? Correct Answer: Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs Correct
Answer: Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
,What should you watch for with Tegretol? Correct Answer: Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? Correct Answer: CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct
Answer: CKMB
What is the risk of a seriously elevated CKMB? Correct Answer: Polymyositis
Rhabdo
What is a normal CKMB? Correct Answer: 0.3 mcg/L
What psychoactives does Detrol interact with? Correct Answer: Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?
Correct Answer: CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? Correct Answer: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? Correct Answer: Self-
Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Correct Answer: Helps rule-out disease = True Positive =
Snout
What is specificity? Correct Answer: Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Correct Answer: Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
, What is a normal sed rate or ESR? Correct Answer: 0-22 males
0-29 females
What is a retic count? Correct Answer: Measures % of reticulocytes in blood
(immature RBC's) Indicates whether enough RBC's are being produced by bone
marrow.
What does a decreased retic count indicate? Correct Answer: Anemia - acute or
chronic bleeding
What does an increased retic count indicate? Correct Answer: Bone marrow
disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? Correct Answer: Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? Correct Answer: Increase
tegretol levels.
What happens if a pregnant women takes Accutane? Correct Answer: Birth
defects.
What labs do you get with RA? Correct Answer: Sed rate, RF, ANA, C reactive
protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? Correct Answer: ANA
When do you assume informed consent? Correct Answer: Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? Correct
Answer: Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? Correct Answer:
Only a court
Does impaired judgment mean one is incompetent? Correct Answer: No.
