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

1. A patient with anxiety symptoms is being evaluated by the PMHNP. Which of the following neurochemical systems is most commonly associated with the regulation of anxiety and stress responses?

A) Dopamine
B) Serotonin
C) Norepinephrine
D) Acetylcholine

2. Which of the following correctly pairs a pharmacodynamic effect with its definition?

A) Antagonist effect: drug causes the opposite effect of agonist
B) Agonist effect: drug binds to the receptor but does not activate a biological response
C) Partial agonist effect: drug does not fully activate the receptors
D) Inverse agonist effect: drug binds to receptors and activates a biological response

3. A parent brings her three-year-old daughter for an assessment of possible autism spectrum disorder (ASD). The mother describes her daughter's symptoms as developing after a period of normal growth and development and involving loss of skills and social impairment. She describes her daughter's atypical interests along with perceptual disturbances, stating, "She seems to hear things that aren't there." As part of a differential diagnosis, which of the following needs to be ruled out?

A) Autism spectrum disorder
B) Intellectual disability
C) Childhood-onset schizophrenia
D) Rett syndrome

4. What term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion?

A) Systematic review
B) Observational study
C) Randomized controlled trial
D) Correlational study

5. Which of the following assesses a patient's attention during the mini-mental status exam (MMSE)?

A) Remember these three objects: "apple, table, penny"
B) Say "no ifs, ands, or buts"
C) Tell me the year, season, month, date, and day
D) Spell the word "world" backward

Solutions: