ANCC Georgette Review for boards exam 2023, Exams of Nursing

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3 yr old play with self, says naughty things. Normal for which theorist - Correct Answer ✅Piaget Which cranial nerve for 14yr old clenching teeth - Correct Answer ✅Trigeminal, Cranial nerve V 16yr old falls with wrong crowd may have what disorder - Correct Answer ✅Conduct disorder Ace inhibitors are drug choice for what - Correct Answer ✅Heart failure, HTN Acute distress disorder must occur within what time frame - Correct Answer ✅ 1 month of trauma and resolve within the month Exposure to a major stressor with anxiety, dissociation, nightmares, sleep disturbances, concentration problems from trauma 3 weeks prior leads to what diagnosis - Correct Answer ✅Acute Stress Disorder If symptoms of traumatic event lead to anxiety ,nightmares, sleep issues, concentration problems and last past one month, what is the diagnosis - Correct Answer ✅PTSD

Med for adult with panic disorder - Correct Answer ✅Buspar What is used as a bridge medication for panic disorder when starting an SSRI or another antidepressant - Correct Answer ✅Benzodiazepine Term for fear of open spaces - Correct Answer ✅Agoraphobia Medication for Agoraphobia short term - Correct Answer ✅Benzodiazepine 3 SSRI to treat agoraphobia long term - Correct Answer ✅Prozac, Paxil, and Zoloft One SNRI to treat Agoraphobia long term - Correct Answer ✅Effexor What part of the brain regulates fear, anxiety, aggression - Correct Answer ✅Amygdala what style of therapy for a patient with anorexia - Correct Answer ✅Family therapy

Hospitalization criteria for anorexia - Correct Answer ✅Weight loss over 30% in 6 months, heart rate less than 40, hypokalemia less than 3 mEq To qualify for anorexia Nervosa the BMI would be less than what - Correct Answer ✅18. an eating disorder in which an irrational fear of weight gain leads people to starve themselves - Correct Answer ✅Anorexia Nervosa Cell death in aging/elderly is known as what - Correct Answer ✅Apoptosis A process of building on what works rather than focusing on and fixing what doesn't is known as what - Correct Answer ✅Appreciative Inquiry In this stage a person has no intent to change - Correct Answer ✅Precontemplation In this stage the person is thinking of change and aware of the problem but not committed to change - Correct Answer ✅Contemplation In this stage the person has made the decision to change and is ready for action - Correct Answer ✅Preparation

In this stage the person is engaging in specific actions to change - Correct Answer ✅Action This is taken 15 minutes before sex - Correct Answer ✅Avanafil (Stendra) Take this 45 minutes before sex - Correct Answer ✅Tadalafil (Cialis) and Vardenafil (Levitra) Take this one hour before sex - Correct Answer ✅Sildenafil (Viagra) According to Beck depression scale, 0-13 is considered - Correct Answer ✅Minimal Depression According to Beck depression scale, 14-19 is considered - Correct Answer ✅Mild Depression According to Beck depression scale, 20-28 is considered - Correct Answer ✅Moderate Depression

According to Beck depression scale, 29-63 is considered - Correct Answer ✅Severe Depression Strong inhibitors of 2D6 (Big Freaking Problem) - Correct Answer ✅Bupropion, Fluoxetine, Paxil Can Asthma medication cause depression - Correct Answer ✅yes Can Buspar be taken during pregnancy - Correct Answer ✅Catagory B, only take if really needed Can Klonopin be taken during pregnancy - Correct Answer ✅Category C, Avoid. Excretes in breastmilk and baby can withdrawal Strong inducers of 3A4 - Correct Answer ✅Carb and Barb (Carbazepine and Phenobarbital) Who is in charge of DEA - Correct Answer ✅State and Federal Clomipramine (Anafranil) treats - Correct Answer ✅OCD and depression

DC Clozaril if ANC is below - Correct Answer ✅ 1000 DC clozaril if WBC is - Correct Answer ✅2000- Pt on clozaril with sores in mouth, fever, chills, chronic infections of gums or throat is indicative of what - Correct Answer ✅Agranulocytosis Anxiety, Alcohol and Substance abuse are comorbidities often associated with what diagnosis - Correct Answer ✅Bipolar Patient presents with constricted pinpoint pupils may indicate use of what - Correct Answer ✅Opiods Cytochrome P450 inducers increase or decrease serum level of other drugs - Correct Answer ✅Decrease because they push the substrate out of the exit pathways Cytochrome P450 inhibitors increase or decrease serum level of other drugs - Correct Answer ✅Increase because they block the enzymatic pathways, limiting excretion and lead to toxicity

This drug is an inducer of P450 and the patient will need a higher amount of drug to be effective - Correct Answer ✅Tobacco This drug acts in the same manner as antidiuretic hormone and makes less urine - Correct Answer ✅desmopressin (DDAVP) Watch Depakote and Disulfiram because they can increase - Correct Answer ✅INR Spina Bifida can be cause by which drug - Correct Answer ✅Depakote Before giving a patient depakote you should check what lab - Correct Answer ✅HCG If a patient presents with dilated pupils you may suspect what - Correct Answer ✅Stimulant intoxication Flonase has steroids and is an inhibitor so it can lead to what with Tegretol - Correct Answer ✅Increased level, so decrease the dose

A patient with early onset HIV dementia will prsent with what - Correct Answer ✅Apathy (lack of interest), poor balance, slow cognitive function, brain shrinkage EMDR is recommended for what - Correct Answer ✅PTSD DBT is recommended for what - Correct Answer ✅BPD Why are females more likely to become alcoholic than men - Correct Answer ✅hormones Treatment for Encopresis includes - Correct Answer ✅scheduled toilet time, incentives A patient on erythromycin the provider should increase or decrease xanax level - Correct Answer ✅increase First sign of temprofrontal dementia - Correct Answer ✅Behavior and personality changes

Which drugs are metabolized by renal (kidney) - Correct Answer ✅GAL, Gabapentin, Acomprosate, Lithium For duty to warn what must exist - Correct Answer ✅relationship An alcoholic with liver problems should be given which drug - Correct Answer ✅Ativan The issue with grapefruit juice is that it is an inhibitor or inducer? - Correct Answer ✅Inhibitor, one glass can reduce absorption by 47% and blood level of drug will be increased A patient on trazodone drinking grapefruit juice would need the dose to be decreased or increased - Correct Answer ✅Increase dose Stroking palm of baby hand causes baby to grasp and close hand, this reflex lasts how long - Correct Answer ✅5-6 months of age Greatest patient at risk of violence - Correct Answer ✅Substance Abuse Hamilton Anxiety Scale rates 14-17 as - Correct Answer ✅Mild anxiety

Hamilton rating scale rates 18-24 as - Correct Answer ✅Moderate anxiety Hamilton rating scale rates 25-30 as - Correct Answer ✅Severe anxiety According to Hamilton Depression scale, normal rating falls between - Correct Answer ✅0- According to Hamilton Depression scale, moderate depression is rated - Correct Answer ✅14- Hamilton rating scale considers severe depression as - Correct Answer ✅bigger than 20 A patient with a Hamilton D score of 28 should be assessed for what - Correct Answer ✅Suicide Asians see healthcare providers as what - Correct Answer ✅position of authority, expect to give instructions and help with decisions

How to assess for competency of amedical procedure - Correct Answer ✅Identify a pen and recall 3 words How to protect an infant from evil eye - Correct Answer ✅Red ribbon How to protect an adult from evil eye - Correct Answer ✅Amulet How to test cranial nerve XII - Correct Answer ✅Stick out tongue How is telepsychiatry evaluated - Correct Answer ✅Outcome based How many generations included in genogram - Correct Answer ✅ 3 Only FDA approved pediatric depression med - Correct Answer ✅Prozac Only FDA approved OCD treatment for pediatric and teens - Correct Answer ✅Prozac, zoloft, fluvoxamine, and clomipramine Muscle pain, red urine, elevated leukocyte esterase what lab should be ordered - Correct Answer ✅microalbumin

A patient develops NMS after taking Risperdal, what other atypical should be avoided - Correct Answer ✅Zyprexa What part of the brain regulate impulsivity - Correct Answer ✅Pre-frontal cortex Symptoms in baby of increased ICP - Correct Answer ✅Baby neuro cry This drug can cause depression - Correct Answer ✅Interferon This drug decreases seizure threshold - Correct Answer ✅Wellbutrin If a patient is on wellbutrin and Lexapro with increased depression, what should be done - Correct Answer ✅Increase the Lexapro, not the wellbutrin Is dental care included in Medicaid - Correct Answer ✅Yes less than 21 it is included Medication for kids with panic disorder include - Correct Answer ✅Clonidine and Guanfacine

Education for patient on Latuda or Geodon - Correct Answer ✅Take with food A patient with a lesion in frontal cortex may show what - Correct Answer ✅Impaired cognitive function Kid with nightmares screams out in night but doesnt remember next morning. What should you do - Correct Answer ✅Inquire about sleep disorder in family Little boy wet sheets, what therapy recommended - Correct Answer ✅Behavioral This system is associated with fear and aggression and drives for food and sex - Correct Answer ✅Limbic Medicare A covers - Correct Answer ✅Inpatient Medicare B covers - Correct Answer ✅prescription medical equipment, outpatient Medicare D covers - Correct Answer ✅drugs

Indural, a beta blocker is contraindicated with - Correct Answer ✅Albuterol due to risk of increased CNS stimulation Mesocortical pathway reduced dopamine causes - Correct Answer ✅Negative symptoms of schizophrenia Mesolimbic pathway increased dopamine leads to - Correct Answer ✅Positive symptoms schizophrenia Negative symptoms of schizophrenia (expressionless) which pathway - Correct Answer ✅mesocortical Neurotransmitter for addiction - Correct Answer ✅Dopamine and GABA Neurotransmitter for mood disorder - Correct Answer ✅Serotinin and Norepinephrine EPS occurs due to low dopamine in this area - Correct Answer ✅Nigrostriatal pathway NMS treatment with this muscle relaxer - Correct Answer ✅Dantrolene

NMS treatment - Correct Answer ✅Dantrolene D2 agonists (e.g., bromocriptine). For NMS, think FEVER: Fever Encephalopathy Vitals unstable Elevated enzymes Rigidity of muscles Pt on antidepressant 3 weeks and attempts suicide what do you do - Correct Answer ✅Stop the med Dizzy, Tremor, sweating, what diagnosis - Correct Answer ✅hypoglycemia Pt stops smoking, what to do to dose of zyprexa - Correct Answer ✅Decrease Mini cognition test that is quick and requires minimal training - Correct Answer ✅clock drawing

Prozac increases what in elderly - Correct Answer ✅Anxiety Problem in parietal lobe causes what - Correct Answer ✅Difficult writing, Aphasia (language), agnosia unable to perceive objects Pt taking breathing treatments shouldn't take - Correct Answer ✅MAOI or TCA Schizophrenia in males age to develop - Correct Answer ✅18- schizophrenia in female age to develop - Correct Answer ✅25- If a patient cant identify an object in hand with eyes closed it signifies what and shows an issue where in the brain - Correct Answer ✅Stereognosis, parietal lobe Meds for social anxiety disorder include - Correct Answer ✅Beta blocker, propranolol Steroids can cause what - Correct Answer ✅mania

Tegretol is well known for what - Correct Answer ✅Agranulocytosis Check what lab on tegretol - Correct Answer ✅ANC and WBC