ANCC REVIEW
QUESTIONS AND WELL
IDENTIFIED ANSWERS
[GRADED A+] [PMHNP IQ]
NEW!! NEW!!
What direct-acting dopamine receptor agonist is recommended to
be used in the treatments of neuroleptic malignant syndrome
(NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
D) trihexyphenidyl (Artane) - ANS✔✔---A) Bromocriptine
(Parlodel) is the recommended direct acting dopamine receptor
agonist to help decrease the dopamine blockade. Danrolene
(Dantrium) is a muscle relaxant. Benzotropine (Cogentin) and
Trihexyphenidyl (Artane) are anticholinergic medications used for
extrapyramidal side effects (EPS).
A WBC of 4,000 in a patient taking Clozapine would prompt the
PMHNP to take which of the following actions?
A) Consult with hematologist to determine appropriate antibiotic
regimen and monitor closely.
B) Institute twice-weekly complete blood count with differentials
and monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic
medication and monitor closely.
D) Institute daily complete blood count with differentials and
monitor closely. - ANS✔✔---B) Institute twice-weekly complete
blood count with differentials and monitor closely.
The recommended cut-points for discontinuation of clozapine are
WBC of 2,000 to 3,000 or granulocytes of 1,000 to 1,500 for
agranulocytosis and severely compromised immune system. At a
WBC of 4,000, the recommendation is to closely monitor CBC
with differential twice a week while patient may continue clozapine
in the absence of any other signs or symptoms.
A patient with a diagnosis of schizophrenia has a history of
suicidal ideation and suicide attempts. The PMHNP should
consider which antipsychotic medication that is the only
antipsychotic to reduce the risk of suicide in schizophrenia?
A) Abilify (aripriprazole
NURSE PRACTITIONER
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