ANCC Review Questions (PMHNP IQ) Questions
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: What direct-acting dopamine receptor agonist is recommended to be used in the
treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
D) trihexyphenidyl (Artane)
Ans: A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor
agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle
relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Artane) are anticholinergic
medications used for extrapyramidal side effects (EPS).
Quiz: Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical procedure. Which
medication is strictly contraindicated with Selegiline?
A) Non-steroidal anti-inflammatory drugs (NSAIDS)
B) Codeine
C) Morphine
D) Meperidine
o
o
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, Ans: D) Meperidine is strictly prohibited when a patient is treated on a monoamine
oxidase inhibitor (MAOI) due to the risk of hypertensive crisis and death.
Quiz: A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take
which of the following actions?
A) Consult with hematologist to determine appropriate antibiotic regimen and monitor
closely.
B) Institute twice-weekly complete blood count with differentials and monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
D) Institute daily complete blood count with differentials and monitor closely.
Ans: B) Institute twice-weekly complete blood count with differentials and monitor
closely.
The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to 3,000
or granulocytes of 1,000 to 1,500 for agranulocytosis and severely compromised immune
system. At a WBC of 4,000, the recommendation is to closely monitor CBC with differential
twice a week while patient may continue clozapine in the absence of any other signs or
symptoms.
Quiz: A patient with a diagnosis of schizophrenia has a history of suicidal ideation and
suicide attempts. The PMHNP should consider which antipsychotic medication that is the
only antipsychotic to reduce the risk of suicide in schizophrenia?
A) Abilify (aripriprazole)
B) Latuda (lurasidone)
o
o
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in the number given.
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: What direct-acting dopamine receptor agonist is recommended to be used in the
treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
D) trihexyphenidyl (Artane)
Ans: A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor
agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle
relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Artane) are anticholinergic
medications used for extrapyramidal side effects (EPS).
Quiz: Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical procedure. Which
medication is strictly contraindicated with Selegiline?
A) Non-steroidal anti-inflammatory drugs (NSAIDS)
B) Codeine
C) Morphine
D) Meperidine
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Ans: D) Meperidine is strictly prohibited when a patient is treated on a monoamine
oxidase inhibitor (MAOI) due to the risk of hypertensive crisis and death.
Quiz: A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take
which of the following actions?
A) Consult with hematologist to determine appropriate antibiotic regimen and monitor
closely.
B) Institute twice-weekly complete blood count with differentials and monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
D) Institute daily complete blood count with differentials and monitor closely.
Ans: B) Institute twice-weekly complete blood count with differentials and monitor
closely.
The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to 3,000
or granulocytes of 1,000 to 1,500 for agranulocytosis and severely compromised immune
system. At a WBC of 4,000, the recommendation is to closely monitor CBC with differential
twice a week while patient may continue clozapine in the absence of any other signs or
symptoms.
Quiz: A patient with a diagnosis of schizophrenia has a history of suicidal ideation and
suicide attempts. The PMHNP should consider which antipsychotic medication that is the
only antipsychotic to reduce the risk of suicide in schizophrenia?
A) Abilify (aripriprazole)
B) Latuda (lurasidone)
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
