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ANCC IQ Domains 1-5 Q test bank all correctly answered; latest updated

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Page 1 ANCC IQ Domains ANCC IQ Domains 1-5 Q test bank all correctly answered; latest updated Domain 1: Scientific Foundation (40 questions with rationales) As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following side effects of antipsychotic medications has...

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  • August 21, 2023
  • 217
  • 2023/2024
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Page 1


ANCC IQ Domains 1-5 Q test bank all correctly
answered; latest updated

Domain 1: Scientific Foundation (40 questions with rationales)
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
recommendeddosing, unless higher doses are deemed appropriate despite risks?
a. Citalopram (Celexa)
b. Venlafaxine (Effexor)
c. Mirtazapine (Remeron)
d. Sertraline (Zoloft) - A

ANCC IQ Domains

,Page 2

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
areconsistent 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,
coughmedication) 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

Which of the following statements most accurately reflects the predominant risk
factors of antisocial personality disorders?
a. Gang affiliation and early substance abuse
b. Genetic predisposition of first-degree family member

ANCC IQ Domains

,Page 3

c. Childhood abuse and trauma from domestic violence
d. Lower socioeconomic status from single-parent families - B




ANCC IQ Domains

, Page 4

A 37-year-old patient with schizophrenia is started on a high dose of
chlorpromazine (Thorazine). The next day, he complains of lightheadedness after
standing up. Vital sign changes reflect a significant decrease in blood pressure
andan increase in heart rate. You suspect this is secondary to the alpha 1-
adrenergic blockade which is causing
a. Orthostatic hypotension
b. Dry mouth
c. Respiratory depression
d. Decreased sweating - A

A 74-year-old female presents for an evaluation. The psychiatric nurse practitioner
has the patient complete the mini mental status examination and clock drawing.
The patient is unable to correctly draw the face of the clock. Which area of the
brain is likely to have a compromised functioning?
a. Wernicke's Area
b. Corpus Callosum
c. Left Hemisphere
d. Right hemisphere - D

Your patient comes into the office for her middle of the year appointment. She
is diagnosed with Bipolar I disorder. She has been maintained well for the past 3
years on Oxcarbazepine (Trileptal) 900 mg po QHS. Her labs are normal except
for a blood sugar of 114 and her hemoglobin A1C is 5.6. She has a normal energy
level and states that her mood is stable but complains of excessive urination and
thirst. You suspect:
a. Possible Diabetes 2
b. Possible hyponatremia
c. Possible polydipsia
d. Side effects of oxcarbazepine - D

What is a rare but serious side effect of trazodone (Desyrel)?
a. Confusion
b. Priapism
c. Rash

ANCC IQ Domains

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