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

1. A 47-year-old female arrives at the emergency room accompanied by the police, who found her "confused and walking strangely." During your examination, you notice pupil abnormalities, depressed deep tendon reflexes, and a positive Romberg sign. She reports a long history of IV drug abuse but does not use alcohol. In the past, she was prescribed an antipsychotic, but she states she has not taken that medication for years.
Which of the following conditions best accounts for her symptoms?

A) Neurosyphilis
B) Wernicke encephalopathy (Wernicke's syndrome)
C) Korsakoff psychosis (Korsakoff syndrome)
D) Neuroleptic malignant syndrome

2. You are treating a 45-year-old patient who has been diagnosed with schizophrenia and treated with thioridazine (Mellaril) for the past 15 years. You decide to switch the patient to a different antipsychotic due to what serious long-term consequence that is specific to high-dose thioridazine?

A) Retinal pigmentation
B) Hyperprolactinemia
C) Priapism
D) Tardive dyskinesia

3. You are a nurse practitioner assessing a patient in the emergency department for acute alcohol withdrawal. You decide to perform a Clinical Institute Withdrawal Assessment (CIWA) for alcohol on the patient. Which of the following symptoms would not suggest active alcohol withdrawal?

A) Agitation
B) Nausea and vomiting
C) Tremors
D) Heightened level of sensorium

4. Which of the following is an untrue statement regarding the peripheral nervous system?

A) It includes the cranial nerves just outside the brainstem
B) It connects the central nervous system to receptors, muscles, and glands
C) It is composed of the brain and the spinal cord
D) It includes the somatic and autonomic nervous systems

5. Which of the following is a risk factor for substance abuse?

A) Female gender
B) Chronic pain
C) Treatment for chronic pathological anxiety
D) Older

Solutions: