ANCC IQ DOMAINS 1-5 TEST BANK LATEST UPDATE
ACTUAL EXAM VERSION
Drug with few sexual side effects - ANSWER: mirtazapine (Remeron a TCA)
esketamine (Spravato) what class - ANSWER: N-methyl-D-aspartate receptor
antagonist (NMDA antagonist)
Drug that is excreted unchanged from body? - ANSWER: Lithium (not metabolized
and is excreted in urine)
Most active ingredient in marijuana - ANSWER: Delta-9 tetrahydrocannabinol (THC)
(causes psychoactive effects)
Drug that is not allowed with MAOIS - ANSWER: meperidine (Demerol) narcotic
norepinephrine is made in - ANSWER: locus coeruleus and medullary reticular
formation (pons)
Lithium can cause what hematological change - ANSWER: leukocytosis (high WBC)
Area of brain TMS targets and mood regulation - ANSWER: dorsolateral prefrontal
cortex (left usually)
Two common meds to take with food for absorption? - ANSWER: lurasidone/Latuda
and ziprasidone/Geodone
MRI/PET findings of schizophrenia - ANSWER: Enlarged cerebral ventricles,
decreased total brain volume, decreased GLU and GABA release, Decreased
electrical activity in frontal lobes
TCA's mechanism of action - ANSWER: Block alpha-1 adrenergic receptors -
hypotension
Block alpha-2 aderenergic receptors and histamine 1 receptors- sedation
Block muscarinic receptors- anticholinergic effects
Common drugs for Alzheimer's Disease - ANSWER: Aricept-donepezil (acetylcholine
inhibitor)
Namenda-memantine (NMDA antagonist)
Exelon-rivastigmine (acetylcholine and butyrelcholinesterase inhibitor)
Razadyne-galantamine (acetylcholine inhibitor)
After stopping ssri how long until can start MAOI - ANSWER: 5 half lives minimum
Drugs that may cause SIADH - ANSWER: carbamezipine, lithium
, Topiramate (topamax) serious side effect - ANSWER: kidney stones
fetal alcohol syndrome symptoms - ANSWER: A. intellectual disability, facial
abnormalities (small head, smooth philtrum, small lip) , and stunted growth
Naltrexone blocks what opioid receptors - ANSWER: Mu and partial Kappa
vilazadone (Viibryd) has less what side effect than other SSRIs - ANSWER: sexual
dysfunction (due to some serotonin 1a partial agonism)
Direct acting dopamine receptor aganost to use for NMS - ANSWER: bromocriptine
Part of brain regulates pain - ANSWER: prefrontal cortex
Strattera is a - ANSWER: SNRI for adhd
Tobacco induces - ANSWER: CYP1A2
Fluvoxamine and Naproxen together raise risk of - ANSWER: bleeding
CAGE 4 questions - ANSWER: Have you felt the need to Cut down on your drinking?
Do you feel Annoyed by people complaining about your drinking?
Do you ever feel Guilty about your drinking?
Do you ever drink an Eye-opener in the morning to relive the shakes?
Screening tool used for frequent monitoring while on antipsychotic - ANSWER: AIMS
screening to watch for abnormal movements/TD.
constructional praxis - ANSWER: ability to draw or copy patterns/designs
5As model for health behavioral change - ANSWER: assess, advise, agree, assist,
arrange
FDA approved drug to combine with fluoxetine (Prozac) for bipolar depression -
ANSWER: Olanzapine
torsade's de pointes cause - ANSWER: the larger the QTC prolongation the more
likely to cause torsades de pointes (ventricles out pace atria above in pumping)
Labs to confirm NMS - ANSWER: leukocytosis (high WBC) and elevated creatinine
phosphokinase (from skeletal muscle breakdown)
age FDA approval amphetamines - ANSWER: 3+
fluoxetine fda approved what age depression - ANSWER: 8
ACTUAL EXAM VERSION
Drug with few sexual side effects - ANSWER: mirtazapine (Remeron a TCA)
esketamine (Spravato) what class - ANSWER: N-methyl-D-aspartate receptor
antagonist (NMDA antagonist)
Drug that is excreted unchanged from body? - ANSWER: Lithium (not metabolized
and is excreted in urine)
Most active ingredient in marijuana - ANSWER: Delta-9 tetrahydrocannabinol (THC)
(causes psychoactive effects)
Drug that is not allowed with MAOIS - ANSWER: meperidine (Demerol) narcotic
norepinephrine is made in - ANSWER: locus coeruleus and medullary reticular
formation (pons)
Lithium can cause what hematological change - ANSWER: leukocytosis (high WBC)
Area of brain TMS targets and mood regulation - ANSWER: dorsolateral prefrontal
cortex (left usually)
Two common meds to take with food for absorption? - ANSWER: lurasidone/Latuda
and ziprasidone/Geodone
MRI/PET findings of schizophrenia - ANSWER: Enlarged cerebral ventricles,
decreased total brain volume, decreased GLU and GABA release, Decreased
electrical activity in frontal lobes
TCA's mechanism of action - ANSWER: Block alpha-1 adrenergic receptors -
hypotension
Block alpha-2 aderenergic receptors and histamine 1 receptors- sedation
Block muscarinic receptors- anticholinergic effects
Common drugs for Alzheimer's Disease - ANSWER: Aricept-donepezil (acetylcholine
inhibitor)
Namenda-memantine (NMDA antagonist)
Exelon-rivastigmine (acetylcholine and butyrelcholinesterase inhibitor)
Razadyne-galantamine (acetylcholine inhibitor)
After stopping ssri how long until can start MAOI - ANSWER: 5 half lives minimum
Drugs that may cause SIADH - ANSWER: carbamezipine, lithium
, Topiramate (topamax) serious side effect - ANSWER: kidney stones
fetal alcohol syndrome symptoms - ANSWER: A. intellectual disability, facial
abnormalities (small head, smooth philtrum, small lip) , and stunted growth
Naltrexone blocks what opioid receptors - ANSWER: Mu and partial Kappa
vilazadone (Viibryd) has less what side effect than other SSRIs - ANSWER: sexual
dysfunction (due to some serotonin 1a partial agonism)
Direct acting dopamine receptor aganost to use for NMS - ANSWER: bromocriptine
Part of brain regulates pain - ANSWER: prefrontal cortex
Strattera is a - ANSWER: SNRI for adhd
Tobacco induces - ANSWER: CYP1A2
Fluvoxamine and Naproxen together raise risk of - ANSWER: bleeding
CAGE 4 questions - ANSWER: Have you felt the need to Cut down on your drinking?
Do you feel Annoyed by people complaining about your drinking?
Do you ever feel Guilty about your drinking?
Do you ever drink an Eye-opener in the morning to relive the shakes?
Screening tool used for frequent monitoring while on antipsychotic - ANSWER: AIMS
screening to watch for abnormal movements/TD.
constructional praxis - ANSWER: ability to draw or copy patterns/designs
5As model for health behavioral change - ANSWER: assess, advise, agree, assist,
arrange
FDA approved drug to combine with fluoxetine (Prozac) for bipolar depression -
ANSWER: Olanzapine
torsade's de pointes cause - ANSWER: the larger the QTC prolongation the more
likely to cause torsades de pointes (ventricles out pace atria above in pumping)
Labs to confirm NMS - ANSWER: leukocytosis (high WBC) and elevated creatinine
phosphokinase (from skeletal muscle breakdown)
age FDA approval amphetamines - ANSWER: 3+
fluoxetine fda approved what age depression - ANSWER: 8
