Professional Study Resource for ANCC
Domain | Guided Practice Scenarios with
Stepwise Reasoning and In-Depth Insights
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 - ✔✔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
d. Social skills development - ✔✔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 - ✔✔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) - ✔✔A
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 - ✔✔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 - ✔✔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.
b. Avoid anything containing alcohol (i.e., vinegar, mouthwash, aftershave, cough medication) while
using disulfiram and for 2 weeks after discontinuing.
c. A disulfiram-alcohol reaction can occur up to 1 week after discontinuing disulfiram.
d. Disulfiram can lower liver function tests so monitoring is necessary. - ✔✔B
Which mood stabilizer is most associated with a potentially life-threatening rash?
a. Divalproex (Depakote)
b. Lamotrigine (Lamictal)
c. Lithium (Eskalith)
d. Carbamazepine (Tegretol) - ✔✔B
Domain | Guided Practice Scenarios with
Stepwise Reasoning and In-Depth Insights
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 - ✔✔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
d. Social skills development - ✔✔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 - ✔✔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) - ✔✔A
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 - ✔✔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 - ✔✔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.
b. Avoid anything containing alcohol (i.e., vinegar, mouthwash, aftershave, cough medication) while
using disulfiram and for 2 weeks after discontinuing.
c. A disulfiram-alcohol reaction can occur up to 1 week after discontinuing disulfiram.
d. Disulfiram can lower liver function tests so monitoring is necessary. - ✔✔B
Which mood stabilizer is most associated with a potentially life-threatening rash?
a. Divalproex (Depakote)
b. Lamotrigine (Lamictal)
c. Lithium (Eskalith)
d. Carbamazepine (Tegretol) - ✔✔B
