PMHNP ANCC Comprehensive Prep for Psychiatric-Mental
Health Nurse Practitioner Exam
All questions Answered
What are the two classes of medications that should not be used together?
ACE inhibitors and ARBs.
What is the significance of the raphe nucleus?
It is associated with serotonin production.
At what age should a 14-year-old girl have developed breast development and started her period?
By age 16, if no development seen, further evaluation is needed.
What should be expected when prescribing an SSRI to a 65-year-old?
May experience increased anxiety and side effects; an EKG should be done.
What does an abnormal Trendelenburg test indicate?
Hip disease.
What serious side effects can Accutane cause?
Depression and birth defects.
What do ACE inhibitors end with?
-pril.
Where is Acetylcholine (ACh) synthesized in the brain?
In the nucleus basalis of Meynert.
Define adjustment disorder.
A reaction to a specific life event (identified stressor) occurring within 3 months but no longer
than 6 months.
What are the expected symptoms of an adolescent with muscle aches and red colored urine when
working out?
Concern for rhabdomyolysis (muscle breakdown).
What is the typical age range for the onset of schizophrenia in females?
Ages 25-35.
,What brain area is associated with aggression?
Stimulation of the amygdala.
What complication can occur with refeeding syndrome in an anorexic patient?
Delayed gastric emptying.
What is apoptosis?
Neuron loss due to suffocation and enzyme breakdown.
What is Appreciative Inquiry focused on?
Strengths and competencies, rather than problems.
What is a common reason for an autistic child not responding to commands?
Impaired social interactions, which is common in autism.
What does a Beck inventory score of 10 indicate?
Indicates mild depression; therapeutic interventions should be prioritized over medications.
What is the best therapy for negative thinking?
Cognitive Behavioral Therapy (CBT).
How should you address a bipolar patient who is not taking medication?
Ask them to explain how the medication works in their body.
What should you do if a brother is sexually abusing his sister?
Do not leave them alone together and notify Child Protective Services (CPS).
What is the cutoff WBC level when prescribing Clozaril (clozapine)?
Less than 950 requires discontinuation; a repeat level is necessary.
What is indicated when a patient presents with dark brown urine?
Check liver function tests (LFTs).
What does the DEA regulation monitoring include?
Both State and Federal regulations.
Which two brain areas are involved in dopamine production?
The substantia nigra and the ventral tegmental area (VTA).
What are early signs of AIDS dementia?
,Changes in memory, inattention, and worry over decreased cognition.
What laboratory test should be checked for elderly females with a decreased sex drive?
Testosterone level.
How do you assess if an elderly dementia patient can give consent?
They must be able to repeat back the risks and benefits of treatment.
What are the types of extrapyramidal symptoms (EPS)?
Tardive dyskinesia, acute dystonia, Parkinsonism, and akathisia.
What is the interaction of erythromycin when taken with Tegretol?
Erythromycin can increase the level of Tegretol; dose reduction may be needed.
What is the best assessment for a patient experiencing irritability and depression?
A mood questionnaire.
What is the first line neuroprotective treatment for bipolar disorder?
Lithium.
What is the first symptom of metabolic syndrome?
Large waist circumference.
Which medication interacts with Flonase?
Tegretol.
What characterizes frontal lobe dementia?
Personality and social changes.
What should be done when a toddler presents with toenail fungus?
Scrape the toenail and send for testing.
What does the GAD-7 scale measure?
Generalized Anxiety Disorder; a score over 15 indicates severe anxiety.
What does a score of 25-30 on the Hamilton Anxiety Scale indicate?
Moderate anxiety.
What is the best way to manage someone with Acute Stress Disorder?
Immediate supportive care and trauma-focused therapy.
, What is the expected reflex activity for a one-month-old?
Moro reflex until 4 months, and Palmer reflex until 4 months.
What condition is characterized by a normal phallic stage and is expected behavior for a 3-year-
old?
Masturbation.
What medication is used for neuroleptic malignant syndrome (NMS)?
Dantrolene or bromocriptine.
What class of medications can potentially induce mania?
Steroids, including prednisone.
What part of the MMSE assesses thought disorders?
Proverb interpretation.
What are the components of the PICOT framework in research?
Population, Intervention, Comparison, Outcome, Time.
What does nicotine do to the level of Zyprexa?
Smoking decreases the level of Zyprexa due to its inductive effects.
How often should Lithium levels be monitored?
Regularly, as levels can fluctuate based on various factors.
What symptoms commonly present in serotonin syndrome?
Shivering, anxiety, diaphoresis, hyperthermia, and gastrointestinal symptoms.
What complication is associated with stopping a benzodiazepine in pregnant women?
Floppy baby syndrome and potential cleft palate.
What is the function of the locus coeruleus?
Involved in directing attention and is associated with norepinephrine.
How are the labs affected in a patient on Lithium displaying 4+ protein in urine?
Potentially indicative of nephrotoxicity.
What is the correct action after an initial medication consultation?
Increase the dose after 1-2 weeks if no effects are noted.
Health Nurse Practitioner Exam
All questions Answered
What are the two classes of medications that should not be used together?
ACE inhibitors and ARBs.
What is the significance of the raphe nucleus?
It is associated with serotonin production.
At what age should a 14-year-old girl have developed breast development and started her period?
By age 16, if no development seen, further evaluation is needed.
What should be expected when prescribing an SSRI to a 65-year-old?
May experience increased anxiety and side effects; an EKG should be done.
What does an abnormal Trendelenburg test indicate?
Hip disease.
What serious side effects can Accutane cause?
Depression and birth defects.
What do ACE inhibitors end with?
-pril.
Where is Acetylcholine (ACh) synthesized in the brain?
In the nucleus basalis of Meynert.
Define adjustment disorder.
A reaction to a specific life event (identified stressor) occurring within 3 months but no longer
than 6 months.
What are the expected symptoms of an adolescent with muscle aches and red colored urine when
working out?
Concern for rhabdomyolysis (muscle breakdown).
What is the typical age range for the onset of schizophrenia in females?
Ages 25-35.
,What brain area is associated with aggression?
Stimulation of the amygdala.
What complication can occur with refeeding syndrome in an anorexic patient?
Delayed gastric emptying.
What is apoptosis?
Neuron loss due to suffocation and enzyme breakdown.
What is Appreciative Inquiry focused on?
Strengths and competencies, rather than problems.
What is a common reason for an autistic child not responding to commands?
Impaired social interactions, which is common in autism.
What does a Beck inventory score of 10 indicate?
Indicates mild depression; therapeutic interventions should be prioritized over medications.
What is the best therapy for negative thinking?
Cognitive Behavioral Therapy (CBT).
How should you address a bipolar patient who is not taking medication?
Ask them to explain how the medication works in their body.
What should you do if a brother is sexually abusing his sister?
Do not leave them alone together and notify Child Protective Services (CPS).
What is the cutoff WBC level when prescribing Clozaril (clozapine)?
Less than 950 requires discontinuation; a repeat level is necessary.
What is indicated when a patient presents with dark brown urine?
Check liver function tests (LFTs).
What does the DEA regulation monitoring include?
Both State and Federal regulations.
Which two brain areas are involved in dopamine production?
The substantia nigra and the ventral tegmental area (VTA).
What are early signs of AIDS dementia?
,Changes in memory, inattention, and worry over decreased cognition.
What laboratory test should be checked for elderly females with a decreased sex drive?
Testosterone level.
How do you assess if an elderly dementia patient can give consent?
They must be able to repeat back the risks and benefits of treatment.
What are the types of extrapyramidal symptoms (EPS)?
Tardive dyskinesia, acute dystonia, Parkinsonism, and akathisia.
What is the interaction of erythromycin when taken with Tegretol?
Erythromycin can increase the level of Tegretol; dose reduction may be needed.
What is the best assessment for a patient experiencing irritability and depression?
A mood questionnaire.
What is the first line neuroprotective treatment for bipolar disorder?
Lithium.
What is the first symptom of metabolic syndrome?
Large waist circumference.
Which medication interacts with Flonase?
Tegretol.
What characterizes frontal lobe dementia?
Personality and social changes.
What should be done when a toddler presents with toenail fungus?
Scrape the toenail and send for testing.
What does the GAD-7 scale measure?
Generalized Anxiety Disorder; a score over 15 indicates severe anxiety.
What does a score of 25-30 on the Hamilton Anxiety Scale indicate?
Moderate anxiety.
What is the best way to manage someone with Acute Stress Disorder?
Immediate supportive care and trauma-focused therapy.
, What is the expected reflex activity for a one-month-old?
Moro reflex until 4 months, and Palmer reflex until 4 months.
What condition is characterized by a normal phallic stage and is expected behavior for a 3-year-
old?
Masturbation.
What medication is used for neuroleptic malignant syndrome (NMS)?
Dantrolene or bromocriptine.
What class of medications can potentially induce mania?
Steroids, including prednisone.
What part of the MMSE assesses thought disorders?
Proverb interpretation.
What are the components of the PICOT framework in research?
Population, Intervention, Comparison, Outcome, Time.
What does nicotine do to the level of Zyprexa?
Smoking decreases the level of Zyprexa due to its inductive effects.
How often should Lithium levels be monitored?
Regularly, as levels can fluctuate based on various factors.
What symptoms commonly present in serotonin syndrome?
Shivering, anxiety, diaphoresis, hyperthermia, and gastrointestinal symptoms.
What complication is associated with stopping a benzodiazepine in pregnant women?
Floppy baby syndrome and potential cleft palate.
What is the function of the locus coeruleus?
Involved in directing attention and is associated with norepinephrine.
How are the labs affected in a patient on Lithium displaying 4+ protein in urine?
Potentially indicative of nephrotoxicity.
What is the correct action after an initial medication consultation?
Increase the dose after 1-2 weeks if no effects are noted.
