PMHNP ANCC Practice Exam | Questions
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Rationales | Qs & Ans Latest 2026/27 |
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1. A patient presents with depressed mood for 2 weeks,
insomnia, and anhedonia. Most likely diagnosis?
A. Bipolar disorder
B. Major Depressive Disorder
C. Adjustment disorder
D. Dysthymia
Rationale: ≥2 weeks of symptoms including anhedonia meets
criteria.
2. First-line medication for depression?
A. Benzodiazepines
B. SSRIs (e.g., Sertraline)
C. Antipsychotics
,D. Lithium
Rationale: SSRIs are first-line due to safety and efficacy.
3. A patient on SSRIs develops agitation, hyperreflexia, and
fever. Suspect:
A. NMS
B. Serotonin syndrome
C. Withdrawal
D. Mania
Rationale: Classic triad of serotonin toxicity.
4. Best treatment for panic disorder?
A. Antipsychotics
B. SSRIs + CBT
C. Mood stabilizers
D. Stimulants
Rationale: Combined therapy is most effective.
5. Which medication treats acute anxiety rapidly?
,A. SSRIs
B. Benzodiazepines (e.g., Lorazepam)
C. Lithium
D. Antipsychotics
Rationale: Fast onset anxiolytic effect.
6. A manic patient is best treated with:
A. SSRIs
B. Mood stabilizers (e.g., Lithium)
C. Benzodiazepines only
D. Stimulants
Rationale: Lithium is first-line for mania.
7. Lithium toxicity signs include:
A. Hypertension
B. Tremor and confusion
C. Weight gain
D. Insomnia
Rationale: Neurologic symptoms indicate toxicity.
, 8. Therapeutic lithium level:
A. 0.2–0.5
B. 0.6–1.2 mEq/L
C. 2–3
D. 5–10
Rationale: Safe therapeutic range.
9. First-line for schizophrenia:
A. SSRIs
B. Antipsychotics (e.g., Risperidone)
C. Lithium
D. Stimulants
Rationale: Treats positive symptoms.
10. Positive symptoms of schizophrenia include:
A. Flat affect
B. Hallucinations
C. Apathy
D. Withdrawal
Rationale: Positive = added behaviors.
And Answers [Verified Answers] Plus
Rationales | Qs & Ans Latest 2026/27 |
Instant Pdf Download
1. A patient presents with depressed mood for 2 weeks,
insomnia, and anhedonia. Most likely diagnosis?
A. Bipolar disorder
B. Major Depressive Disorder
C. Adjustment disorder
D. Dysthymia
Rationale: ≥2 weeks of symptoms including anhedonia meets
criteria.
2. First-line medication for depression?
A. Benzodiazepines
B. SSRIs (e.g., Sertraline)
C. Antipsychotics
,D. Lithium
Rationale: SSRIs are first-line due to safety and efficacy.
3. A patient on SSRIs develops agitation, hyperreflexia, and
fever. Suspect:
A. NMS
B. Serotonin syndrome
C. Withdrawal
D. Mania
Rationale: Classic triad of serotonin toxicity.
4. Best treatment for panic disorder?
A. Antipsychotics
B. SSRIs + CBT
C. Mood stabilizers
D. Stimulants
Rationale: Combined therapy is most effective.
5. Which medication treats acute anxiety rapidly?
,A. SSRIs
B. Benzodiazepines (e.g., Lorazepam)
C. Lithium
D. Antipsychotics
Rationale: Fast onset anxiolytic effect.
6. A manic patient is best treated with:
A. SSRIs
B. Mood stabilizers (e.g., Lithium)
C. Benzodiazepines only
D. Stimulants
Rationale: Lithium is first-line for mania.
7. Lithium toxicity signs include:
A. Hypertension
B. Tremor and confusion
C. Weight gain
D. Insomnia
Rationale: Neurologic symptoms indicate toxicity.
, 8. Therapeutic lithium level:
A. 0.2–0.5
B. 0.6–1.2 mEq/L
C. 2–3
D. 5–10
Rationale: Safe therapeutic range.
9. First-line for schizophrenia:
A. SSRIs
B. Antipsychotics (e.g., Risperidone)
C. Lithium
D. Stimulants
Rationale: Treats positive symptoms.
10. Positive symptoms of schizophrenia include:
A. Flat affect
B. Hallucinations
C. Apathy
D. Withdrawal
Rationale: Positive = added behaviors.
