ANCC REVIEW EXAM LATEST [PMHNP IQ] WITH
ACTUAL QUESTIONS AND CORRECT
ANSWERS/GRADED A+
Stages of Change Model - .....ANSWER ...✔✔
Theoretical model describing a five-step process by
which individuals give up bad habits and adopt
healthier lifestyles.
Pre-contemplation : No way in the world; won't do it
Contemplation: thinking needs to make a change
Preparation: resources to help take action
Action: Quit
Maintenance: keep doing it
"PCPAM"
SamE - .....ANSWER ...✔✔ OA, liver disease,
depression --> increases serotonin- do not take with
other antidepressants
,2|Page
black cohosh/ wild yam - .....ANSWER ...✔✔ hot
flashes
isoflavonoid/soybean - .....ANSWER ...✔✔ estrogen;
can cause acne
saw palmetto - .....ANSWER ...✔✔ -urinary
-BPH (4-6 weeks for effect)
SE: BLEEDING, lower iron absorption, BAD FOR CANCER
St. John's Wort - .....ANSWER ...✔✔ depression
fever few - .....ANSWER ...✔✔ migraines
hot chili juice - .....ANSWER ...✔✔ nervousness
kava kava; valerian root - .....ANSWER ...✔✔ anxiety
and insomnia
coQ10 - .....ANSWER ...✔✔ heart health
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Adolescence and smoking - .....ANSWER ...✔✔ if they
do not smoke now; won't smoke later in life
Drugs to quit smoking that are okay to smoke while on
them - .....ANSWER ...✔✔ wellbutrin/ chantix
knee injury: three tests to do initially - .....ANSWER
...✔✔ lachman
valgus/valrus
mcmurray
McMurray Test - .....ANSWER ...✔✔ Meniscal tear
Lachman's Test - .....ANSWER ...✔✔ ACL
Valgus Test (knee) - .....ANSWER ...✔✔ MCL
valrus stress test - .....ANSWER ...✔✔ LCL
initial treatment of plantar fasciitis - .....ANSWER
...✔✔ NSAIDS
plantar stretch
, 4|Page
Pap- ASCUS testing order - .....ANSWER ...✔✔ HPV -
COLPOSCOPY- LEEP
Max Metformin dose - .....ANSWER ...✔✔ 2000
mg/day
remember max out metformin before starting another
drug
when can you start lantus? - .....ANSWER ...✔✔
hgba1c >9
check DM patients urine for? - .....ANSWER ...✔✔
microalbuminuria
what DM drug is best for homeless patient - .....ANSWER
...✔✔ metformin
no weight gain
no hypogylcemia