Test 1 Questions and Answers Latest

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ANCC PMHNP Psych-Mental Health NP Test 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient reports persistent sadness, low energy, poor concentration, and hypersomnia for the past three weeks. What is the most likely diagnosis?

• Bipolar II disorder
• Generalized anxiety disorder

✔✔ C. Major depressive disorder

• Persistent depressive disorder

Which medication is most appropriate as a first-line treatment for panic disorder?

• Quetiapine

✔✔ B. Sertraline

• Buspirone
• Hydroxyzine

A 28-year-old male with schizophrenia presents with tremors, rigidity, and bradykinesia. Which condition should the PMHNP suspect? 1 / 4

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• Akathisia
• Tardive dyskinesia

✔✔ C. Parkinsonism

• Dystonia

Which lab test must be routinely monitored in a patient taking valproic acid?✔✔ A. Liver function tests

• White blood cell count
• Thyroid panel
• Hemoglobin A1c

A client with borderline personality disorder suddenly accuses the therapist of being uncaring and threatening to leave therapy. What defense mechanism is the client using?✔✔ A. Splitting

• Projection
• Displacement
• Rationalization
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Which medication requires a REMS (Risk Evaluation and Mitigation Strategy) program due to risk of agranulocytosis?

• Risperidone
• Olanzapine

✔✔ C. Clozapine

• Aripiprazole

A teenager is brought in by her parents due to sudden weight loss, amenorrhea, and excessive exercise. What is the most likely diagnosis?✔✔ A. Anorexia nervosa

• Bulimia nervosa
• Body dysmorphic disorder
• Generalized anxiety disorder

What is the most appropriate first-line treatment for ADHD in a 10-year-old child?

• Bupropion

✔✔ B. Methylphenidate

• Risperidone 3 / 4

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• Atomoxetine

Which of the following symptoms is considered a positive symptom of schizophrenia?✔✔ A. Auditory hallucinations

• Flat affect
• Alogia
• Anhedonia

A 65-year-old patient recently started on sertraline reports confusion, agitation, sweating, and tremors. What should the PMHNP suspect?

• Neuroleptic malignant syndrome

✔✔ B. Serotonin syndrome

• Hypertensive crisis
• Lithium toxicity

Which of the following is a contraindication to prescribing bupropion?✔✔ A. History of seizures

• History of panic attacks
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