1|Page
PMHNP ANCC CERTIFICATION FULL
PRACTICE QUESTIONS & ANSWERS
WITH DETAILED RATIONALES |
PSYCHIATRIC MENTAL HEALTH NP
Medicare Advantage Plan - --CORRECT-ANSWER✅✅✅.......Formerly
Medicare + Choice, this created regional Preferred Provider
Organizations (PPOs) and gave Medicare enrollees the option of
enrolling in private insurance plans.
Medicare + Choice - --CORRECT-ANSWER✅✅✅.......Was a part of
the Balanced Budget Act of 1997 that significantly increase the number
of managed care insurance plans available to recipients. This was
replaced with the Medicare Advantage Plan in 200.
List of the Second Generation (atypical) Antipsychotics (9) - --
CORRECT-ANSWER✅✅✅.......Clozaril (clozapine), Zyprexa
,2|Page
(olanzapine), Latuda (lurasidone), ziprasidone, Risperdal (risperidone),
Invega Sustenna (palperidone), Fanapt (iloperidone), Seroquel
(quetiapine), Saphris (asenapine),
List of First Generation (typical) Antipsychotics (10) - --
CORRECTANSWER✅✅✅.......Haldol (haloperidol), Prolixin
(fluphenazine),
Navane (thiothixene), Thorazine (chlorpromazine), Loxitane (loxapine),
Mellaril (thioridazine), Trilafon (perphenazine), Orap (pimozide), Solian
amisulpride), Stellazine (trifluoperazine)
List the 6 common benzodiazepines in order from shortest to longest
half-life - --CORRECT-ANSWER✅✅✅.......Xanax (alprazolam): 6-10
hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
2
,3|Page
Librium (chlordiazepoxide): 36-200 hrs
List of SNRIs (6) - --CORRECT-ANSWER✅✅✅.......Cymbalta
(duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima
(levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) - --
CORRECTANSWER✅✅✅.......They target serotonin, norepinephrine,
and histamine-1 receptors
List the Tricyclic Antidepressants (9) - --CORRECT-
ANSWER✅✅✅.......Pamelor (nortriptyline), Elavil (amitriptyline),
amoxapine (no branded), Anafranil (clomipramine), Norpramin
(desipramine), Tofranil (imipramine), Vivactil (protriptyline),
Sinequan/Silenor (doxepin), Surmontil (trimipramine)
FINISH acronym for SSRI withdrawal - --
CORRECTANSWER✅✅✅.......Flu-like symptoms
Irritability
Page 3 of 46
, 4|Page
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - --
CORRECTANSWER✅✅✅.......Initial Symptoms: altered sensorium,
hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity,
hypotension, tachycardia, diaphoresis, tachypnea, hyperthermia, coma,
death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity - --CORRECT-
ANSWER✅✅✅.......Confusion, diplopia, nausea/diarrhea, ataxia,
lethargy, fatigue, clumsiness, weakness, muscle cramping, severe tremor,
blurred vision, nystagmus, increased DTRs, altered mental status,
cardiac dysrhythmias
4
PMHNP ANCC CERTIFICATION FULL
PRACTICE QUESTIONS & ANSWERS
WITH DETAILED RATIONALES |
PSYCHIATRIC MENTAL HEALTH NP
Medicare Advantage Plan - --CORRECT-ANSWER✅✅✅.......Formerly
Medicare + Choice, this created regional Preferred Provider
Organizations (PPOs) and gave Medicare enrollees the option of
enrolling in private insurance plans.
Medicare + Choice - --CORRECT-ANSWER✅✅✅.......Was a part of
the Balanced Budget Act of 1997 that significantly increase the number
of managed care insurance plans available to recipients. This was
replaced with the Medicare Advantage Plan in 200.
List of the Second Generation (atypical) Antipsychotics (9) - --
CORRECT-ANSWER✅✅✅.......Clozaril (clozapine), Zyprexa
,2|Page
(olanzapine), Latuda (lurasidone), ziprasidone, Risperdal (risperidone),
Invega Sustenna (palperidone), Fanapt (iloperidone), Seroquel
(quetiapine), Saphris (asenapine),
List of First Generation (typical) Antipsychotics (10) - --
CORRECTANSWER✅✅✅.......Haldol (haloperidol), Prolixin
(fluphenazine),
Navane (thiothixene), Thorazine (chlorpromazine), Loxitane (loxapine),
Mellaril (thioridazine), Trilafon (perphenazine), Orap (pimozide), Solian
amisulpride), Stellazine (trifluoperazine)
List the 6 common benzodiazepines in order from shortest to longest
half-life - --CORRECT-ANSWER✅✅✅.......Xanax (alprazolam): 6-10
hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
2
,3|Page
Librium (chlordiazepoxide): 36-200 hrs
List of SNRIs (6) - --CORRECT-ANSWER✅✅✅.......Cymbalta
(duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima
(levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) - --
CORRECTANSWER✅✅✅.......They target serotonin, norepinephrine,
and histamine-1 receptors
List the Tricyclic Antidepressants (9) - --CORRECT-
ANSWER✅✅✅.......Pamelor (nortriptyline), Elavil (amitriptyline),
amoxapine (no branded), Anafranil (clomipramine), Norpramin
(desipramine), Tofranil (imipramine), Vivactil (protriptyline),
Sinequan/Silenor (doxepin), Surmontil (trimipramine)
FINISH acronym for SSRI withdrawal - --
CORRECTANSWER✅✅✅.......Flu-like symptoms
Irritability
Page 3 of 46
, 4|Page
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - --
CORRECTANSWER✅✅✅.......Initial Symptoms: altered sensorium,
hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity,
hypotension, tachycardia, diaphoresis, tachypnea, hyperthermia, coma,
death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity - --CORRECT-
ANSWER✅✅✅.......Confusion, diplopia, nausea/diarrhea, ataxia,
lethargy, fatigue, clumsiness, weakness, muscle cramping, severe tremor,
blurred vision, nystagmus, increased DTRs, altered mental status,
cardiac dysrhythmias
4
