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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. How does the body remove both serotonin and norepinephrine from the synaptic cleft?

A) A reverse action potential
B) An active reuptake process
C) A monoamine oxidase enzymatic action
D) Diffusion off their receptors

2. A male patient on the unit with mixed bipolar disorder has recently been prescribed aripiprazole. The nursing staff reported he was complaining of a headache and sleep disruption. They describe him as being restless and ask whether he could be cycling due to his bipolar diagnosis.
The nurse practitioner reviews the aripiprazole and makes which change?

A) Add Cogentin to manage EPS
B) Increase the dose
C) Lower or discontinue the medication
D) None, as these symptoms and behaviors are the diagnostic symptoms of bipolar disorder the medication is targeting

3. A patient with bipolar disorder recently suffered a myocardial infarction (MI). He was stabilized at the hospital and discharged on propranolol (Inderal, Hemangeol, InnoPran), losartan (Cozaar), and hydrochlorothiazide (Microzide). Prior to this MI, his lithium level was consistently around 0.8 mmol/L on 900 mg of lithium carbonate per day. He arrives at your office today, and his lithium level is now 1.3 mmol/L on the same dose.
What caused this change?

A) Propranolol
B) Losartan
C) Decreased volume distribution post-MI
D) Hydrochlorothiazide

4. A PMHNP is assessing a patient who has been admitted to the hospital with confusion and agitation. Which of the following is a hallmark presentation of delirium?

A) Absence of hallucinations or delusions
B) Gradual onset of symptoms
C) Stable level of consciousness
D) Recent impaired attention and memory

5. Which of the following drugs is NOT one of the "Z-hypnotics" that have sedative effects without the antianxiety, anticonvulsant, or muscle relaxant effects of benzodiazepines?

A) BuSpar
B) Ambien
C) Sonata
D) Lunesta

Solutions: