Georgette Review Exam Questions with Correct
Answers, ANCC Review Manual PMHNP/ 2024-
2025.
When many answers are remarkably similar, they are usually _____________ - Answer: wrong
Interprofessional collaboration is encouraged. - Answer: Collaborate is usually right.
Delegate is usually wrong.
ADPIER - Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
amygdala - Answer: regulated emotion
mediates mood
emotional memories/meanings, fear, anxiety, stress emotion, aggression
substantia nigra - Answer: motor movements
Page 1 of 88
,amygdala= - Answer: emotional memory
Which of these brain structures puts emotional meaning on a stimulus, forms, emotional
memories and is involved with rage and fear - Answer: amygdala
A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-
rest cycle, and changes in libido. What is the neuroanatomical areas off the brain that is
responsible for the regulation of these functions? - Answer: Hypothalamus
Which serotonin receptor antagonism makes an antipsychotic "atypical" - Answer: 5HT2A
Excess dopamine in this area causes positive schizophrenic symptoms - Answer: meoslimbic
pathway
decreased dopamine leads to negative symptoms of schizophrenia - Answer: mesocortical
pathway
Increased blockade of dopamine here leads to EPS - Answer: nigrostriatal pathway
Blockade of dopamine in this pathway can lead to increased prolactin levels - Answer:
tuberoinfundibular pathway
Muscle spasms ninth face, neck, tongue, back/neck muscles - Answer: acute dystonia
Oculogyric crisis, which can lead to permanent injury. Patients have prolonged involuntary
upwards deviation of the eyes bilaterally. - Answer: Rare presentation of acute dystonia.
Pharm treatment for dystonia - Answer: cogentin IM first then oral
Page 2 of 88
,Restlessness, inability to sit still. Pacing.
Mistaken for anxiety. - Answer: Akathisia
Commonly used rating scale for akathisia is - Answer: Barnes Akathisia rating scale and
extrapyramidal symptom rating scale.
Treatment for akathisis - Answer: 1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Absence of movement or difficulty initiating movement - Answer: akinesia
Treatment: cogentin
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal pathway -
Answer: Pseudo-Parkinsonism
Signs of Parkinsons - Answer: muscle rigidity
shuffling gait
mask like facial expression
pill rolling tremors
cogwheel rigidity
Treatment for pseudo parkinsonism - Answer: cogentin
Involuntary abnormal muscle movement of the mouth tongue face and jaw that may progress
to limbs. Can take 1-2 years to occur. - Answer: Tardive dyskinesia
Signs of tar dive dyskinesia - Answer: lip smacking
protrusion of the tongue
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, chewing motion
facial dyskinesia
involuntary movement.
Treatment for TD - Answer: Stop offending antipsychotic, reduce the dose, or switch to
clozapine.
COGENTIN WORSENS IT
Ingrezza or Austedo approved
Non-psych med that can cause TD - Answer: Reglan
A patient has been treated for the past several years with fluphenazine (Prolixin). You tonic that
he is drooling and has a slight pill rolling movement of the fingers. These are EPS symptoms
known as - Answer: Pseudoparkinsonism
A patient is diagnosed with schizophrenia. Which of the following would be the appropriate
question for the PMHNP to ask when assessing side effects produced by dopamine antagonism
in the nigrostriatal pathway? - Answer: Are you experiencing pill rolling tremors, shuffling gait,
and mask like facial expression
Fetal alcohol syndrome - Answer: Everything is low
low weight, small features of the face.
Which if the following antidepressants is associated with the most cardiovascular side effects? -
Answer: Citalopram--causes QT prolongation
What the body does to drugs? - Answer: Pharmacokinetics
Page 4 of 88
Answers, ANCC Review Manual PMHNP/ 2024-
2025.
When many answers are remarkably similar, they are usually _____________ - Answer: wrong
Interprofessional collaboration is encouraged. - Answer: Collaborate is usually right.
Delegate is usually wrong.
ADPIER - Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
amygdala - Answer: regulated emotion
mediates mood
emotional memories/meanings, fear, anxiety, stress emotion, aggression
substantia nigra - Answer: motor movements
Page 1 of 88
,amygdala= - Answer: emotional memory
Which of these brain structures puts emotional meaning on a stimulus, forms, emotional
memories and is involved with rage and fear - Answer: amygdala
A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-
rest cycle, and changes in libido. What is the neuroanatomical areas off the brain that is
responsible for the regulation of these functions? - Answer: Hypothalamus
Which serotonin receptor antagonism makes an antipsychotic "atypical" - Answer: 5HT2A
Excess dopamine in this area causes positive schizophrenic symptoms - Answer: meoslimbic
pathway
decreased dopamine leads to negative symptoms of schizophrenia - Answer: mesocortical
pathway
Increased blockade of dopamine here leads to EPS - Answer: nigrostriatal pathway
Blockade of dopamine in this pathway can lead to increased prolactin levels - Answer:
tuberoinfundibular pathway
Muscle spasms ninth face, neck, tongue, back/neck muscles - Answer: acute dystonia
Oculogyric crisis, which can lead to permanent injury. Patients have prolonged involuntary
upwards deviation of the eyes bilaterally. - Answer: Rare presentation of acute dystonia.
Pharm treatment for dystonia - Answer: cogentin IM first then oral
Page 2 of 88
,Restlessness, inability to sit still. Pacing.
Mistaken for anxiety. - Answer: Akathisia
Commonly used rating scale for akathisia is - Answer: Barnes Akathisia rating scale and
extrapyramidal symptom rating scale.
Treatment for akathisis - Answer: 1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Absence of movement or difficulty initiating movement - Answer: akinesia
Treatment: cogentin
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal pathway -
Answer: Pseudo-Parkinsonism
Signs of Parkinsons - Answer: muscle rigidity
shuffling gait
mask like facial expression
pill rolling tremors
cogwheel rigidity
Treatment for pseudo parkinsonism - Answer: cogentin
Involuntary abnormal muscle movement of the mouth tongue face and jaw that may progress
to limbs. Can take 1-2 years to occur. - Answer: Tardive dyskinesia
Signs of tar dive dyskinesia - Answer: lip smacking
protrusion of the tongue
Page 3 of 88
, chewing motion
facial dyskinesia
involuntary movement.
Treatment for TD - Answer: Stop offending antipsychotic, reduce the dose, or switch to
clozapine.
COGENTIN WORSENS IT
Ingrezza or Austedo approved
Non-psych med that can cause TD - Answer: Reglan
A patient has been treated for the past several years with fluphenazine (Prolixin). You tonic that
he is drooling and has a slight pill rolling movement of the fingers. These are EPS symptoms
known as - Answer: Pseudoparkinsonism
A patient is diagnosed with schizophrenia. Which of the following would be the appropriate
question for the PMHNP to ask when assessing side effects produced by dopamine antagonism
in the nigrostriatal pathway? - Answer: Are you experiencing pill rolling tremors, shuffling gait,
and mask like facial expression
Fetal alcohol syndrome - Answer: Everything is low
low weight, small features of the face.
Which if the following antidepressants is associated with the most cardiovascular side effects? -
Answer: Citalopram--causes QT prolongation
What the body does to drugs? - Answer: Pharmacokinetics
Page 4 of 88
