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Domain 1 n
Which of the following statements reflect the current understanding of DA path
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ways and clinical symptoms in schizophrenia? -
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Symptoms are related to DA deficit in the cerebral cortex; + are related toDA excess
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in the substantia nigra and VTA
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Which of the following findings would raise concern in a pre-
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school wellness exam for a 5 yo girl?
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Height 43 in, weight 55 lbs (she is overwt)
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A 24 yo mother of a 2 yo child presents to the clinic. Which of the following facial c
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haracteristics would lead to the PMHNP to believe child has Fetal ETOH syndrome
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? Small head, thin upper lip, smooth philtrum.
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Patty is a 62 yo female with BPDO I and has been stable for 2 yrs on valproate and
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risperidone. She recently diagnosed with shingles, and her PCM started her on cort
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icosteroids. As the PMHNP treating Patty, you are concerned the addition of steroi
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ds may cause: Manic episode.
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Which mood stabilizer is most associated with potentially life threatening rash? La
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motrigine (Lamictal) n
Which of the following statements most accurately reflects the predominant risk f
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actors for ASD? n n
Genetic of a first degree family member.
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NURS 7375 ANCC practice Exam Questions and Answ
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,NURS 7375 ANCC practice Exam Questions and Answ
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A 17yo female presents reporting anhedonia, decreased energy & hopelessness f
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or the past 2 yrs. Shedenies ETOH, smoking or using illegal substances. Her physic
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al exam results are WNL and she denies SI. As her PMHNP, you decide to prescrib
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e bupropion. Which of the following is a contraindication for bupropion? Bulimia
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You have a 17 yo female who suffers from BPDO. The pt has a hx of impulsive acti
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ng out and promiscuity. You make a decision to add folic acid .8 mg to her medicati
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on regimen of lamotrigine 200 mg Q HS and quetiapine XR 50 mg 1 PO QHS. Why is
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this important? FA supports neural tube development during the 1st month a woma
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n is pregnant.
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Which of the following medications has a unique mechanism of action that is both
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DA and NE - RI? n n n n
Bupropion (Wellbutrin) n
Which of the following pts with GAD is most likely to be a 2C19 poor metabolizer a
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nd have an exaggerated response to diazepam 5 mg TID with increased sedation, C
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NS & cognitive SE? 40 yo Asianmale
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Which of the following findings would raise concern in an annual sports exam for a
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15 yo girl? Ht 67 in, wt 102 inch (under)
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You are on call for your service. You arrive at the ED to find a 22 yo male complain
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ing of having trouble with his eyes. His vitals are stable. He is 5’7”, weighs 140 lbs
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& his labs are WNL. He states he has been taking Abilify for the last 2 months for
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BPDO. He had the dose raised to 15 mg po QAM 4 days ago to manage a manic ep
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NURS 7375 ANCC practice Exam Questions and Answ
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,NURS 7375 ANCC practice Exam Questions and Answ
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isode. He states that 1 and 2 times a day for the past 2 days his eyes roll up for 10
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-
n 15 m, he is able to open his eyes but he is not able to focus his eyes on you. His e
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yes are rolled upward about 2/3rds of the way towards his upper eyelid. After ex
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am, you decide to: Discontinue the Abilify and give Cogentin 1mg IM. Have him ret
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urn to his provider for a different medication for his BPDOthe next day.
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NURS 7375 ANCC practice Exam Questions and Answ
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, NURS 7375 ANCC practice Exam Questions and Answ
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What direct acting DA agonist is recommended to be used in the treatment of N
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MS to help lower theDA receptor blockade? Bromocriptine (Parlodel)
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A 43 yo male is treated for BPDO I on lithium. Which of the following hematologic c
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hanges areassociated with lithium? Luekocytosis
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Which of the following antidepressants is associated with dose-
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related cardiovascular adverse effectswhich require adherence to maximum reco
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mmended dosing, unless high doses are deemed appropriate despite risks? Cital
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opram (40 mg/day due to heart changes)
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A client is suffering from schizophrenia. Which of the following would be the app
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ropriate question forthe PMHNP to ask when assessing SE produced by DA antag
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onism in the tuberoinfundibular pathway?Breast discharge
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When studying pharmacodynamics involving receptors, you know that inverse ago
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nists produce:
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Opposite effect of an agonist, and causes the receptor to close the ion channel.
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Which CYP enzyme is implicated as a tobacco inducer when an individual is treated
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with clozapine?
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1A2
A week after raising the dose of Risperdal, a patient treated for schizophrenia pre
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sents with reports ofacute change in mental status, fever and rigidity. The PMHN
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P you know these symptoms are consistent with: NMS.
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NURS 7375 ANCC practice Exam Questions and Answ
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