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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:

1. A patient presents with confusion, a fever, and hyper-reflexes after an increase in her long-term typical antipsychotic. The PMHNP suspects early neuroleptic malignant syndrome (NMS). Which screening labs would the PMHNP order?

A) CPK, WBCs, LFTs
B) CBC, thyroid panel, CMP
C) Drug titers
D) CBC with differential, CMP

2. A 27-year-old male has a bad day at work. He comes home, and his girlfriend asks, "How was your day?" He responds angrily by saying, "If you loved me, you wouldn't be so nosy." This is an example of which defense mechanism?

A) Displacement
B) Isolation of affect
C) Intellectualization
D) Denial

3. Which psychiatric medication possesses a low therapeutic index, creating a low margin of safety?

A) Lithium carbonate
B) Alprazolam
C) Divalproex
D) Bupropion

4. An orthopedic surgeon asks you to evaluate a 22-year-old female with a fractured ankle. She has been in the hospital for three days and complains of anxiety about her upcoming surgery. She is afebrile, her heart rate is 90, and her blood pressure is 100/75. She is not in pain and has no psychiatric history. Her medications include acetaminophen.
What is the most appropriate medication for this patient?

A) Lorazepam
B) Carbamazepine
C) Fluoxetine
D) Clonidine

5. In research, the nurse develops clinical questions using which one of the following methods?

A) Bloom's taxonomy
B) PICO
C) Randomized controlled trials
D) Root cause analysis

Solutions: