Sample Test Questions ANCC PMHNP Latest

Sample Test Questions ANCC – PMHNP Latest Update - Questions and 100% Verified Correct Answers Guaranteed A+

• When lobbying a local congressional representative to include nurse practitioners in

reimbursement for services in all areas of the country, an adult psychiatric and mental

health nurse practitioner emphasizes the:

• ability of nurse practitioners to provide health care that patients need.
• fact that nurse practitioners are caring in their patient care delivery.
• importance of broadening the scope of nursing practice.
• necessity of offering equivalent services both to urban and rural patients. -

CORRECT ANSWER: A. ability of nurse practitioners to provide health care that

patients need.

• For 12 years, a 65-year-old patient with bipolar affective disorder has been treated

with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of

the lithium and the thiazide diuretic has induced:

• hypokalemia.
• hyponatremia.
• increased renal clearance of lithium.

D. reduced renal clearance of lithium. - CORRECT ANSWER: D. reduced renal

clearance of lithium.

• Which statement by a male patient who has posttraumatic stress disorder (PTSD)

and chronic persistent suicidal ideation indicates a need for hospital assessment?

• "I feel so bad all the time. I wish I were dead."
• "My wife is so scared that she has taken all my guns out of the house."
• "My wife just left with the children. I have no one left and no future."
• "Those medications you gave me make me feel worse. I stopped taking them." -

CORRECT ANSWER: C. "My wife just left with the children. I have no one left and no future."

• A male patient informs an adult psychiatric and mental health nurse practitioner that

he has not slept in three days, has poor concentration, and denies fatigue. The patient's

diagnosis is:

• attention-deficit hyperactivity disorder.
• bipolar disorder.
• panic disorder.

D. primary insomnia. - CORRECT ANSWER: B. bipolar disorder.

• During patient education about sertraline (Zoloft), an adult psychiatric and mental

health nurse practitioner focuses upon the potential side effect of: 1 / 2

• agranulocytosis.
• hypernatremia.
• sexual dysfunction.

D. weight loss. - CORRECT ANSWER: C. sexual dysfunction

15. The neurochemical pathophysiology of Tourette disorder involves:

• decreased levels of gamma-aminobutyric acid and increased levels of glutamate in

the brain.

• deficits in the prefrontal cortex-mediated executive functions of the brain.
• imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple

regions of the brain.

• overstimulation of noradrenergic activity located in the locus coeruleus of the brain. -

CORRECT ANSWER: C. imbalances in dopaminergic, serotonergic, and noradrenergic

systems in multiple regions of the brain.

• Before implementing evidence-based practice changes, an adult psychiatric and

mental health nurse practitioner's initial action is to:

• brainstorm with stakeholders and draft a detailed problem list.
• compare data with internal and external benchmarks, and coordinate ongoing

education.

• facilitate a collaborative multidisciplinary group to synthesize evidence and compare

key themes.

• identify potential barriers and facilitators that reflect patients' values and

expectations. - CORRECT ANSWER: D. identify potential barriers and facilitators that reflect patients' values and expectations.

• Symptoms of anxiety and panic are associated with a low level of which

neurotransmitter?

• Cortisol
• Dopamine
• Gamma-aminobutyric acid

D. Glutamate - CORRECT ANSWER: C. Gamma-aminobutyric acid

• An outpatient mental health clinic-based adult psychiatric and mental health nurse

practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial

intervention is to:

• add gabapentin (Neurontin) to the treatment regimen.
• conduct additional diagnostic tests.
• contact the patient's endocrinologist.

D. increase the dosage of duloxetine (Cymbalta). - CORRECT ANSWER: D. increase

the dosage of duloxetine (Cymbalta).

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