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Assessment
Labs
Medication
Initial Eval
Other
100
By observing ones gait, you can screen for the following. A: motor B: limb coordination C: proprioception D: All of the Above
What is D: All of the Above
100
All are signs of B12 deficiency except A: depression B: macrocytic anemia C: nephropathy D: neuropathy E: memory impairment
What is C: nephropathy
100
Lithium is known to cause which of the following? A. leukopenia B. leukocytosis C. agranulocytosis D. aplastic anemia E. thrombocytopenia
What is B. leukocytosis
100
The following are all functions of an Initial Psychiatric Evaluation except? A. determining the problem B. developing a therapeutic relationship C. reviewing previous medical records D. creating a treatment plan
What is C. reviewing previous medical records
100
Who should not be included when making an ethical decision in the care of a patient? A. clergy B. family C. philosopher D. physician E. CRNP
What is B. family
200
All are symptoms of Hyperthyroidism except. A: tachycardia B: nervousness C: intolerance to cold D: body wasting E: Tremor
What is C: intolerance to cold
200
Lithium has been found to be efficacious as a prophylactic treatment of GERD. What serum range should be used for maintenance to minimize toxicity? A. 0.4- 0.8 B. 0.6-1.2 C. 0.2- 0.4 D. 0.2-1.2
What is A. 0.4- 0.8
200
Acute glaucoma is treated with pilocarpine because of its ability to do the following. A. terminate acetylcholinesterase B. attaching to the nicotinic receptor C. inhibiting ocular secretion D. decreasing intraoccular pressure
What is D. decreasing interoccular pressure
200
Thought process is assessed by. A: having the patient spell WORLD backwards B: having the patient repeat a short phrase C: observing links the patient makes between thoughts and speech through questioning D: asking patient about experiencing hallucinations
What is C: observing links the patient makes between thoughts and speech through questioning
200
A 16 y/o female has been treated for Bipolar I D/O for 6 months. She comes to your office with the complaint of menstrual issues, acne and hirsutism. You suspect PCOS (polycystic ovary syndrome), which of the following is likely the culprit. A. Lithium B. Depakote C. Abilify D. Lamictal
What is B. Depakote
300
A sign of Bulimia characterized by scars on knuckles from inducing vomiting is called? A. Russell’s Sign B. Feingold Syndrome C. McCain’s Sign D. Babinski Sign
What is A. Russell’s Sign
300
A 45 y/o female was recently started on Lithium is beginning to experience hair loss, as the provider you would next …? A. order a TSH level B. order a selenium level C. have the patient begin a drug holiday D. none of the above.
What is A. order a TSH level
300
A 38 y/o male with hypertension is now feeling tired often. Which drug may be the cause? A. albuterol B. atenolol C. ephedrine D. phentolamine e. prazosin
What is B. Atenolol
300
Which of the following would be documented under Thought Content? A: Flight of Ideas B: Ideas of Reference C: Perseveration D: Thought Blocking
What is B: Ideas of Reference
300
Memory deficits in early dementia are caused by? A. retrograde amnesia B. anterograde amnesia C. catastrophic amnesia D. Sundowners Syndrome
What is B. anterograde amnesia
400
Which is the most useful differentiation between psychosis and ETOH withdrawal? A. agitation B. hallucinations C. affect D. level of consciousness
What is D. level of consciousness
400
A 45 y/o male with treatment resistant schizophrenia has been on Clozapine for 12 weeks. His current labs show WBC (white blood cell count)= 1800 and ANC (absolute neutrophil count)= 900. As his CRNP you would? A. Taper clozapine over 7 days and monitor for 2 weeks. B. D/C and monitor WBC and ANC for 4 weeks. C. Continue clozapine and obtain daily blood counts. D. Continue clozapine and request a hematology consult.
What is B. D/C and monitor WBC and ANC for 4 weeks.
400
13. Medication 400: You treat a male with hx. of ETOH abuse and cirrhosis of the liver, ascites and edema. Which of the following would be safest to use to treat his hypertension? A. HCTZ B. acetazolamide C. spironolactone D. amlodipine
What is C. spironolactone
400
During an Initial Eval the CRNP... A: Assesses cognition B: Determines allergies C: Assesses Sleep quality D: All of the above
What is D: All of the above
400
Major Depressive Disorder which requiring intervention is different from Grief in that the patient reports A. insomnia B. neurovegative symptoms that are increasing in severity and disrupting daily functioning C. loss of appetite D. wish to be with deceased E. feelings of guilt
What is B. neurovegative symptoms that are increasing in severity and disrupting daily functioning
500
Which of the following is not a compulsion? A. Brooding anxiously that GOD is DOG backwards B. hand washing C. checking the door D. thinking 1-2-3-4-5-6-7-8-9-10 would banish blasphemous thought
What is A. Brooding anxiously that GOD is DOG backwards
500
A 14-year-old male patient has nonspecific complaints about pain in his legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner's action is to: A. interpret the findings as normally occurring during a rapid adolescent growth spurt. B. obtain a rheumatoid profile because elevated alkaline phosphatase is a sign of early rheumatic fever. C. order a repeat blood test. D. suspect that the patient has acute pancreatitis.
What is A. interpret the findings as normally occurring during a rapid adolescent growth spurt.
500
41 y/o white male in ICU experiencing myclonus, hyperreflexia, dilated pupils, and increased bowel sounds. He is on Celexa, Risperdal, Buspar, and Trazadone. He was recently started on ASA and Tramadol. Which of the following would help his condition? A. cyproheptadine B. benztropine C. quetiapine D. tegretol E. bromocryptine
What is A. cyproheptadine
500
Obsessions can occur as? A. cravings B. delusions C. panic attacks D. sexual impulses E. hallucinations
What is D. sexual impulses
500
As a CRNP working in a nursing home, you are considering using an antipsychotic to manage a dementia- related problem in a client. Which of the following would be the least beneficial way of managing said problem. A. Having staff document specific behaviors warranting the use of AP B. Ruling out causes of behaviors C. Using an AP PRN as opposed to routinely D. Decrease dose of AP following stabilization of behavior E. Monitoring adverse effects of AP
What is C. Using an AP PRN as opposed to routinely