Georgette’s PMHNP Certification Review 2026 – 155
Questions | LMR + Practice QBank | Latest Update 2026 |
Exam Prep
1. Describe how benzodiazepines can impact fetal development when taken
during pregnancy.
Benzodiazepines have no impact on fetal development during
pregnancy.
Benzodiazepines are safe to use during pregnancy without any risks.
Benzodiazepines can lead to teratogenic effects such as cleft lip
and palate, affecting the physical development of the fetus.
Benzodiazepines enhance fetal brain development, leading to
improved cognitive function.
2. Atypical antipsychotic drugs:
only treat positive symptoms of depression.
act as agonists at dopamine D6 receptors.
bind less to dopamine receptors than they do at other receptors
(e.g., 5-HT receptors).
are not typically prescribed for schizophrenia because they only treat
negative symptoms.
3. Which of the following medications is known to potentially induce mania in
patients with bipolar disorder?
Lithium
Antidepressants in persons with bipolar
Clozapine
, Depakote
4. A client presents with complaints of changes in circadian rhythms, appetite,
feeling fatigued, problems with the sleep-rest cycle, and changes in libido.
What is the neuroanatomical area of the brain that is responsible for the
normal regulation of these functions?
Hypothalamus
Thalamus
Temporal lobe
Hippocampus
5. What is a known teratogenic effect of Tegretol?
Limb malformations
Neural tube defects
Cardiac anomalies
Cleft palate
6. Discuss why certain medications, such as antidepressants, can trigger mania
in individuals diagnosed with bipolar disorder.
Antidepressants have no effect on mood stabilization.
Antidepressants are always safe for bipolar patients.
Antidepressants can trigger mania in individuals with bipolar
disorder due to their effect on neurotransmitter levels, which may
destabilize mood.
Antidepressants only treat depressive episodes in bipolar disorder.
7. Describe the purpose of the Barnes Akathisia Rating Scale in the context of
mental health treatment.
, The Barnes Akathisia Rating Scale assesses cognitive function in
patients.
The Barnes Akathisia Rating Scale is used to determine the presence
of schizophrenia.
The Barnes Akathisia Rating Scale measures overall mental health
status.
The Barnes Akathisia Rating Scale is used to evaluate the severity of
akathisia, which helps in monitoring treatment effects and adjusting
medications accordingly.
8. A 74-year-old female presents for an evaluation. The psychiatric nurse
practitioner has the patient complete the mini mental status examination and
clock drawing. The patient is unable to correctly draw the face of the clock.
Which area of the brain is likely to have a compromised functioning?
Corpus Callosum
Right hemisphere
Left Hemisphere
Wernicke's Area
9. What is the primary mechanism of action of Bupropion (Wellbutrin)?
Serotonin reuptake inhibitor
Monoamine oxidase inhibitor
Norepinephrine and dopamine reuptake inhibitor
Selective serotonin and norepinephrine reuptake inhibitor
10. The core features of autism include:
impaired social interaction
impaired verbal/nonverbal communication
, restricted and repetitive behaviors
all of the above
11. What are common symptoms of Steven-Johnson syndrome?
Eye problems
Rashes
Blisters
All of the above
12. Describe how Bupropion (Wellbutrin) differs from other antidepressants in
terms of its mechanism of action.
Bupropion (Wellbutrin) has no effect on neurotransmitters.
Bupropion (Wellbutrin) is a monoamine oxidase inhibitor.
Bupropion (Wellbutrin) primarily acts as a norepinephrine and
dopamine reuptake inhibitor, unlike many other antidepressants
that mainly target serotonin.
Bupropion (Wellbutrin) is a serotonin reuptake inhibitor that also
affects norepinephrine.
13. A characteristic of autism is...
Insistence on sameness
wonderful language skills
excellent academic skills
lack of attention
14. What is the mainstay of treating NMS?
Bromocriptin
Questions | LMR + Practice QBank | Latest Update 2026 |
Exam Prep
1. Describe how benzodiazepines can impact fetal development when taken
during pregnancy.
Benzodiazepines have no impact on fetal development during
pregnancy.
Benzodiazepines are safe to use during pregnancy without any risks.
Benzodiazepines can lead to teratogenic effects such as cleft lip
and palate, affecting the physical development of the fetus.
Benzodiazepines enhance fetal brain development, leading to
improved cognitive function.
2. Atypical antipsychotic drugs:
only treat positive symptoms of depression.
act as agonists at dopamine D6 receptors.
bind less to dopamine receptors than they do at other receptors
(e.g., 5-HT receptors).
are not typically prescribed for schizophrenia because they only treat
negative symptoms.
3. Which of the following medications is known to potentially induce mania in
patients with bipolar disorder?
Lithium
Antidepressants in persons with bipolar
Clozapine
, Depakote
4. A client presents with complaints of changes in circadian rhythms, appetite,
feeling fatigued, problems with the sleep-rest cycle, and changes in libido.
What is the neuroanatomical area of the brain that is responsible for the
normal regulation of these functions?
Hypothalamus
Thalamus
Temporal lobe
Hippocampus
5. What is a known teratogenic effect of Tegretol?
Limb malformations
Neural tube defects
Cardiac anomalies
Cleft palate
6. Discuss why certain medications, such as antidepressants, can trigger mania
in individuals diagnosed with bipolar disorder.
Antidepressants have no effect on mood stabilization.
Antidepressants are always safe for bipolar patients.
Antidepressants can trigger mania in individuals with bipolar
disorder due to their effect on neurotransmitter levels, which may
destabilize mood.
Antidepressants only treat depressive episodes in bipolar disorder.
7. Describe the purpose of the Barnes Akathisia Rating Scale in the context of
mental health treatment.
, The Barnes Akathisia Rating Scale assesses cognitive function in
patients.
The Barnes Akathisia Rating Scale is used to determine the presence
of schizophrenia.
The Barnes Akathisia Rating Scale measures overall mental health
status.
The Barnes Akathisia Rating Scale is used to evaluate the severity of
akathisia, which helps in monitoring treatment effects and adjusting
medications accordingly.
8. A 74-year-old female presents for an evaluation. The psychiatric nurse
practitioner has the patient complete the mini mental status examination and
clock drawing. The patient is unable to correctly draw the face of the clock.
Which area of the brain is likely to have a compromised functioning?
Corpus Callosum
Right hemisphere
Left Hemisphere
Wernicke's Area
9. What is the primary mechanism of action of Bupropion (Wellbutrin)?
Serotonin reuptake inhibitor
Monoamine oxidase inhibitor
Norepinephrine and dopamine reuptake inhibitor
Selective serotonin and norepinephrine reuptake inhibitor
10. The core features of autism include:
impaired social interaction
impaired verbal/nonverbal communication
, restricted and repetitive behaviors
all of the above
11. What are common symptoms of Steven-Johnson syndrome?
Eye problems
Rashes
Blisters
All of the above
12. Describe how Bupropion (Wellbutrin) differs from other antidepressants in
terms of its mechanism of action.
Bupropion (Wellbutrin) has no effect on neurotransmitters.
Bupropion (Wellbutrin) is a monoamine oxidase inhibitor.
Bupropion (Wellbutrin) primarily acts as a norepinephrine and
dopamine reuptake inhibitor, unlike many other antidepressants
that mainly target serotonin.
Bupropion (Wellbutrin) is a serotonin reuptake inhibitor that also
affects norepinephrine.
13. A characteristic of autism is...
Insistence on sameness
wonderful language skills
excellent academic skills
lack of attention
14. What is the mainstay of treating NMS?
Bromocriptin
