GEORGETTE REVIEW PMHNP EXAM
PREPARATION NEWEST (2026/2027)
WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
Which of the following patient is at higher risk of suicide?
a- 30yo married AA female with previous suicide attempt
b- 35yo single asian male with previous suicide attempt
c- 38yo single AA who is manager of bank
d- 68yo single caucasian male with depression Correct
Answer answer is D, choose pt with most risk factors
(count risks per patient and go with highest #)
- if question is asking what is biggest risk factor, that would
be previous suicide attempt
- risk for suicide- page 163!!
72yo female is brought in by her husband with increasing
forgetfulness, insomnia, decreased activity, and
decreased appetite for 2 months. She has hx of
hypertension and is tx with lisinopril. the exam is normal
and the MMSE provides a score of 24 but she declines to
answer some questions and needs to be urged to
participate in the assessment. What is likely the
diagnosis?
a. alzheimer disease
b. vascular dementia
c. depression
,d. delerium Correct Answer answer is c- depression.
clues: 2 months (too short for dementia, too long for
delerium). r/o vascual dementia (did not include the
hallmarks in this question)
hallmarks of vascular dementia= carotid bruits,
fundoscopic abnormalities, enlarged cardiac chambers
A new female patient has recently been dx with bipolar
disorder. the PMHNP and the patient agree to start lithium.
the PMHNP reviews the benefits and risks of taking lithium
with patient, and the PMHNP sends order to pharmacy.
which of the following patient rights was violated?
a. beneficence
b. informed consent
c. non-maleficence
d. confidentiality Correct Answer answer is D- pharmacy is
considered a 3rd party. broke confidentiality by not getting
permission to send to pharmacy
- informed consent was granted because they reviewed
risk verse benefit
In treating a 47yo male with hx of asthma who presents
with sudden onset of tachcardia, elevated BP, sweating,
shaking, agitation, anxiety, the PMHNP prescribes
a. 0.5mg xanax iv
b. 2mg ativan IM
c. 10mg propranolol IM
d. 50mg hydroxyzine IM Correct Answer Answer- D,
hydroxyzine
hx of asthma so dont give propranolol (beta blocker)
,- can eliminate xanax because it is IC and because it is so
short acting (same reason for ativan)
- hydroxyzine is safest option
Your patient with bipolar disorder is admitted to a medical
hospital. The internist contacts your office and asks
whether the lithium you prescribed him is effecting his
ECG. How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval Correct Answer
Answer: Lithium can invert the t waves.
Mary is a 45-year-old African American female who has
been treated on Isocarboxazid (Marplan) for over 6 years.
Mary is going in for a surgical procedure. Which
medication is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen Correct Answer Answer:
Methylphenidate
You are treating a client with schizophrenia who takes
clozapine. What lab values will indicate the client needs to
discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
, D. ANC less than 2000 Correct Answer Answer: ANC less
than 1000
If given during pregnancy, socium valproate can cause
which of the following medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate Correct Answer A. Spina bifida
Which mood stabilizer is associated with potential life-
threatening rash in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal Correct Answer A. Carbamazepine
Bulimia, weight is ___________ Correct Answer within the
normal range.
Pharm treatment for bulimia Correct Answer Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa Correct Answer low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia Correct Answer there is
none
PREPARATION NEWEST (2026/2027)
WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
Which of the following patient is at higher risk of suicide?
a- 30yo married AA female with previous suicide attempt
b- 35yo single asian male with previous suicide attempt
c- 38yo single AA who is manager of bank
d- 68yo single caucasian male with depression Correct
Answer answer is D, choose pt with most risk factors
(count risks per patient and go with highest #)
- if question is asking what is biggest risk factor, that would
be previous suicide attempt
- risk for suicide- page 163!!
72yo female is brought in by her husband with increasing
forgetfulness, insomnia, decreased activity, and
decreased appetite for 2 months. She has hx of
hypertension and is tx with lisinopril. the exam is normal
and the MMSE provides a score of 24 but she declines to
answer some questions and needs to be urged to
participate in the assessment. What is likely the
diagnosis?
a. alzheimer disease
b. vascular dementia
c. depression
,d. delerium Correct Answer answer is c- depression.
clues: 2 months (too short for dementia, too long for
delerium). r/o vascual dementia (did not include the
hallmarks in this question)
hallmarks of vascular dementia= carotid bruits,
fundoscopic abnormalities, enlarged cardiac chambers
A new female patient has recently been dx with bipolar
disorder. the PMHNP and the patient agree to start lithium.
the PMHNP reviews the benefits and risks of taking lithium
with patient, and the PMHNP sends order to pharmacy.
which of the following patient rights was violated?
a. beneficence
b. informed consent
c. non-maleficence
d. confidentiality Correct Answer answer is D- pharmacy is
considered a 3rd party. broke confidentiality by not getting
permission to send to pharmacy
- informed consent was granted because they reviewed
risk verse benefit
In treating a 47yo male with hx of asthma who presents
with sudden onset of tachcardia, elevated BP, sweating,
shaking, agitation, anxiety, the PMHNP prescribes
a. 0.5mg xanax iv
b. 2mg ativan IM
c. 10mg propranolol IM
d. 50mg hydroxyzine IM Correct Answer Answer- D,
hydroxyzine
hx of asthma so dont give propranolol (beta blocker)
,- can eliminate xanax because it is IC and because it is so
short acting (same reason for ativan)
- hydroxyzine is safest option
Your patient with bipolar disorder is admitted to a medical
hospital. The internist contacts your office and asks
whether the lithium you prescribed him is effecting his
ECG. How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval Correct Answer
Answer: Lithium can invert the t waves.
Mary is a 45-year-old African American female who has
been treated on Isocarboxazid (Marplan) for over 6 years.
Mary is going in for a surgical procedure. Which
medication is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen Correct Answer Answer:
Methylphenidate
You are treating a client with schizophrenia who takes
clozapine. What lab values will indicate the client needs to
discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
, D. ANC less than 2000 Correct Answer Answer: ANC less
than 1000
If given during pregnancy, socium valproate can cause
which of the following medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate Correct Answer A. Spina bifida
Which mood stabilizer is associated with potential life-
threatening rash in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal Correct Answer A. Carbamazepine
Bulimia, weight is ___________ Correct Answer within the
normal range.
Pharm treatment for bulimia Correct Answer Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa Correct Answer low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia Correct Answer there is
none
