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College Admission PMHNP Exam Syllabus Topics:

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

1. A patient started Prozac two weeks ago and is being seen for a follow-up today in the clinic. He states that "this medication isn't working. It makes my stomach hurt in the morning, and I am still depressed. I think I'm having some kind of reaction to it! I want to stop it and get something else." What action would be most appropriate for the PMHNP to take to address this patient's concerns?

A) Discontinue the medication
B) Decrease the dose
C) Provide additional medication instruction
D) Prescribe a medication to counteract these side effects

2. Which of the following will not inhibit ACh receptors in a 75 year old patient diagnosed with Alzheimer's Disease?

A) Anticholinergic agent
B) Norepinephrine
C) Donepezil
D) Acetylcholinesterase inhibitors

3. You are a nurse practitioner treating a seven-year-old male. His mother states, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention-deficit hyperactivity disorder (ADHD), but you need more information. The patient fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, talks out of turn and distracts other students, and interrupts when other students answer a question.
Which of the following symptoms is indicative of hyperactivity?

A) Gets distracted often
B) Is disorganized with assignments
C) Fails to give attention in class
D) Interrupts when other students answer a question

4. Genes can account for differences in how individuals metabolize drugs. Genetic testing helps identify the presence of gene variants that may help determine the dosing of certain medications. Which of the following is an example of a gene test used in pharmacogenomics?

A) DNA
B) RNA
C) Phenotype
D) HLA-B

5. Which of the following is a Cluster B personality disorder?

A) Antisocial
B) Dependent
C) Obsessive-compulsive
D) Avoidant

Solutions: