ANCC Review Questions (PMHNP IQ) With Accurate answers, graded A+
2 views 0 purchase
Course
ANCC
Institution
ANCC
ANCC Review Questions (PMHNP IQ) With Accurate answers, graded A+
What direct-acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C)...
ancc review questions pmhnp iq with accurate answers
graded a what direct acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome nms fo
Written for
ANCC
All documents for this subject (1901)
Seller
Follow
QuickPass
Reviews received
Content preview
ANCC Review Questions (PMHNP IQ)
With Accurate answers, graded A+
What direct-acting dopamine receptor agonist is recommended to be used in the treatments of
neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
D) trihexyphenidyl (Artane) - ✔✔-A) Bromocriptine (Parlodel) is the recommended direct acting
dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle
relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Artane) are anticholinergic medications used for
extrapyramidal side effects (EPS).
Mr. Smith is a 56 year old white male who has been successfully treated on Selegiline for over 4 years.
Mr. Smith is going in for elective surgical procedure. Which medication is strictly contraindicated with
Selegiline?
A) Non-steroidal anti-inflammatory drugs (NSAIDS)
B) Codeine
C) Morphine
D) Meperidine - ✔✔-D) Meperidine is strictly prohibited when a patient is treated on a monoamine
oxidase inhibitor (MAOI) due to the risk of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take which of the following
actions?
A) Consult with hematologist to determine appropriate antibiotic regimen and monitor closely.
B) Institute twice-weekly complete blood count with differentials and monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
, D) Institute daily complete blood count with differentials and monitor closely. - ✔✔-B) Institute twice-
weekly complete blood count with differentials and monitor closely.
The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to 3,000 or
granulocytes of 1,000 to 1,500 for agranulocytosis and severely compromised immune system. At a WBC
of 4,000, the recommendation is to closely monitor CBC with differential twice a week while patient may
continue clozapine in the absence of any other signs or symptoms.
A patient with a diagnosis of schizophrenia has a history of suicidal ideation and suicide attempts. The
PMHNP should consider which antipsychotic medication that is the only antipsychotic to reduce the risk
of suicide in schizophrenia?
A) Abilify (aripriprazole)
B) Latuda (lurasidone)
C) Invega (iloperidone)
D) Clozaril (clozapine) - ✔✔-D) Clozaril (clozapine) is the only known antipsychotic medication that had
been shown to reduce the risk of suicide in patients diagnosed with schizophrenia.
A patient being treated for major depressive disorder and on sertraline (Zoloft), 150 mg po daily for the
past 16 years, presents to the psychiatric mental health practitioner for an outpatient follow-up visit.
During the visit she states that she has not been feeling well, reporting the flu. She also states she has
not taken her medication in the last five days. Which of the following symptoms would she be describing
if you suspect selective serotonin reputable inhibitors (SSRIs) discontinuation syndrome?
A) Agitation, nausea, dysphoria, and diequilibrium
B) Agitation, nausea, tremor, and ataxia.
C) Restlessness, tremor, fever, and shivering.
D) Restlessness, headache, increased heart rate, and diarrhea. - ✔✔-A) Agitation; nausea, dysphoria,
and disequilibrium
The patient has SSRI discontinuation syndrome and would be presenting with flu-like symptoms. If the
patient had serotonin syndrome, she would present with symptoms of autonomic instability.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QuickPass. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
