ANCC IQ DOMAIN 1 EXAM 2025
QUESTIONS AND ANSWERS
As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following
side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years
after initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - ANS B
In evaluating a 4-year-old, one would expect which of the following delays in Asperger's
Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 1
,d. Social skills development - ANS D
Which area of the brain has been implicated to modulate pain and can help explain how
transcranial magnetic stimulation can help decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex - ANS A
Which of the following antidepressants is associated with dose-related cardiovascular adverse
effects which require adherence to maximum recommended dosing, unless higher doses are
deemed appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
d. Sertraline (Zoloft) - ANS A
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 2
, Which of the following findings would raise concern in an annual sports exam for a 15-year-old
girl?
a. Scar tissue from hymenal tear at 11 o'clock (reported biking injury)
b. Blood pressure 86/56
c. Height 67 inches, weight 102 pounds
d. Pulse 60, respirations 26 - ANS C
A week after raising the dose of risperidone (Risperdal), a patient treated for schizophrenia
presents to the clinic with reports of an acute change in mental status, fever, and rigidity. As
the treating PMHNP, you know these symptoms are consistent with which of the following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome - ANS A
Which of the following statements regarding disulfiram (Antabuse is correct?
a. Disulfiram should not be taken for at least 6 hours after drinking alcohol.
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 3
QUESTIONS AND ANSWERS
As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following
side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years
after initiation of the medication?
a. Dry mouth
b. Tardive dyskinesia
c. Sedation
d. Weight gain - ANS B
In evaluating a 4-year-old, one would expect which of the following delays in Asperger's
Disorder?
a. Language development
b. Cognitive development
c. Motor skills coordination
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 1
,d. Social skills development - ANS D
Which area of the brain has been implicated to modulate pain and can help explain how
transcranial magnetic stimulation can help decrease pain?
a. Prefrontal cortex
b. Insula cortex
c. Dorsolateral prefrontal cortex
d. Anterior cingulate cortex - ANS A
Which of the following antidepressants is associated with dose-related cardiovascular adverse
effects which require adherence to maximum recommended dosing, unless higher doses are
deemed appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
d. Sertraline (Zoloft) - ANS A
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 2
, Which of the following findings would raise concern in an annual sports exam for a 15-year-old
girl?
a. Scar tissue from hymenal tear at 11 o'clock (reported biking injury)
b. Blood pressure 86/56
c. Height 67 inches, weight 102 pounds
d. Pulse 60, respirations 26 - ANS C
A week after raising the dose of risperidone (Risperdal), a patient treated for schizophrenia
presents to the clinic with reports of an acute change in mental status, fever, and rigidity. As
the treating PMHNP, you know these symptoms are consistent with which of the following?
a. Neuroleptic malignant syndrome (NMS)
b. Anticholinergic withdrawal syndrome
c. Extrapyramidal side effects
d. Serotonin syndrome - ANS A
Which of the following statements regarding disulfiram (Antabuse is correct?
a. Disulfiram should not be taken for at least 6 hours after drinking alcohol.
COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 3
