ANCC Practice PMHNP Exam Sample Latest Update 2024-2025 Questions and Verified Correct Answers Guaranteed A+ A 13-year-old male patient complains about generalized pain in his lower extremities.The provider does not record any significant findings during the physical examination and laboratory results are within normal limits except for an alkaline phosphatase level of 294 IU/L. What is the most appropriate next step for the psychiatric-mental health nurse practitioner?
Suspect viral hepatitis Note the findings as normally occurring during rapid adolescent growth Suspect leukemia and refer to a specialist
Order a repeat blood test - CORRECT ANSWER: Note the findings as normally
occurring during rapid adolescent growth
A 14-year-old patient has nonspecific reports of pain in their legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse
practitioner:
interprets the findings as normally occurring during a rapid adolescent growth spurt.obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early rheumatic fever.orders a repeat blood test.suspects that the patient has acute pancreatitis. - CORRECT ANSWER: interprets the findings as normally occurring during a rapid adolescent growth spurt.
A 16-year-old female presents for a psychiatric evaluation. She has a two-year history of obsessive-compulsive behaviors. Her mother is distraught because she has been complaining of seeing bugs on her skin, even though she is informed that nothing is there. This has resulted in obsessive picking to the point where she causes bleeding.The psychiatric nurse practitioner observes various sores on her upper extremities, chest, and stomach in varying stages of healing. How would the nurse practitioner classify the visible physical injuries found on her body
Symptom Disorder Sign
Behavior - CORRECT ANSWER: Sign
A 22-year-old male patient is evaluated by the psychiatric mental health nurse practitioner. She notes muscle rigidity, flat affect, slowed motor responses, and tremors.Upon further review of medications, the provider notes that the patient is currently taking 1 / 2
30 milligrams of Abilify (aripiprazole) daily. The practitioner annotates the physical signs as which class of extrapyramidal (EPS) side effects?
Acute dystonia Akathisia Parkinsonian symptoms
Tardive dyskinesia - CORRECT ANSWER: Parkinsonian symptoms
A 25-year-old male presents to the mental health clinic with complaints of gynecomastia following initiation of antipsychotic medication due to an acute psychotic episode and inpatient treatment. The nurse practitioner understands that this is likely caused by the medication's effect on which area of the brain?
Nigrostriatal Mesolimbic pathway Tuberoinfundibular pathway
Mesocortical pathway - CORRECT ANSWER: Tuberoinfundibular pathway
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three months pregnant. She has been stable on fluoxetine hydrochloride (Prozac) for the last two years. The patient asks whether she may safely continue this
medication during her pregnancy. The nurse practitioner responds,:
"At this time, Prozac is safe for you to continue during your pregnancy." "Cognitive behavior therapy has proven to be successful during pregnancy with no risk to the fetus, so let's discontinue your Prozac." "Let's review the risks and benefits of continuing or discontinuing Prozac for you and the fetus." "Prozac is unsafe for the fetus, so we'll wean you off this medication during your pregnancy." - CORRECT ANSWER: Let's review the risks and benefits of continuing or discontinuing Prozac for you and the fetus.
A new patient arrives at the office for treatment for depression. The patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse practitioner eliminates fluoxetine hydrochloride (Prozac), based on the knowledge that the combination can lead to increased plasma levels of the statin, resulting in an increased risk of muscle damage and rhabdomyolysis. What is the nurse practitioner's rationale?
Both medications are CYP450 3A4 inhibitors.Both medications are CYP450 3A4 substrates.One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer.One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor. -
CORRECT ANSWER: One medication is a CYP450 3A4 substrate and one is a
CYP450 3A4 inhibitor.
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