PMHNP-BC PRACTICE EXAM LATEST 2026 UPDATE FAST
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT
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1. A patient with major depressive disorder reports early morning awakening and
anhedonia. Which neurotransmitter is most associated with these symptoms?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. Histamine
Serotonin dysregulation is strongly linked to depressive symptoms such as sleep
disturbance and anhedonia.
2. Which medication requires regular monitoring of white blood cell count due to risk of
agranulocytosis?
A. Haloperidol
B. Risperidone
C. Olanzapine
D. Clozapine
Clozapine carries a high risk of agranulocytosis, requiring routine CBC monitoring.
3. A patient on lithium therapy presents with tremor, diarrhea, and confusion. What is the
priority action?
A. Continue medication
B. Administer next dose
C. Hold lithium and check serum level
D. Encourage fluids only
These symptoms suggest lithium toxicity; immediate level assessment is required.
4. Which defense mechanism involves redirecting emotions to a safer object?
A. Projection
B. Regression
C. Displacement
D. Denial
Displacement shifts emotional response from a threatening target to a safer one.
5. What is the first-line treatment for acute panic attacks?
A. Antipsychotics
B. Mood stabilizers
C. SSRIs or benzodiazepines
D. Beta blockers only
SSRIs are first-line; benzodiazepines may be used short-term.
6. Which symptom is characteristic of mania?
A. Hypersomnia
B. Psychomotor retardation
C. Grandiosity
D. Flat affect
Grandiosity is a hallmark symptom of manic episodes.
, 7. A patient hears voices commenting on their behavior. This is an example of:
A. Delusion
B. Illusion
C. Auditory hallucination
D. Thought blocking
Hearing voices without external stimuli defines auditory hallucinations.
8. Which medication is FDA-approved for ADHD?
A. Fluoxetine
B. Methylphenidate
C. Clozapine
D. Lamotrigine
Methylphenidate is a stimulant commonly used to treat ADHD.
9. What is the primary goal of cognitive behavioral therapy (CBT)?
A. Explore unconscious conflict
B. Change maladaptive thoughts and behaviors
C. Improve family dynamics
D. Use free association
CBT focuses on identifying and restructuring distorted thinking.
10. Which symptom is most associated with PTSD?
A. Flight of ideas
B. Hypervigilance
C. Echolalia
D. Catatonia
Hypervigilance is a core symptom of PTSD.
11. A patient taking MAOIs should avoid which food?
A. Milk
B. Apples
C. Aged cheese
D. Rice
Tyramine-rich foods like aged cheese can cause hypertensive crisis.
12. Which disorder is characterized by unstable relationships and self-image?
A. Antisocial
B. Narcissistic
C. Borderline personality disorder
D. Avoidant
Borderline personality disorder involves instability in relationships and identity.
13. What is the therapeutic lithium level range?
A. 0.2–0.5 mEq/L
B. 0.6–1.2 mEq/L
C. 1.5–2.5 mEq/L
D. 2.0–3.0 mEq/L
Therapeutic levels fall between 0.6 and 1.2 mEq/L.
14. Which symptom is typical of schizophrenia negative symptoms?
A. Hallucinations
B. Delusions
C. Affective flattening
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT
DOWNLOAD PDF
1. A patient with major depressive disorder reports early morning awakening and
anhedonia. Which neurotransmitter is most associated with these symptoms?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. Histamine
Serotonin dysregulation is strongly linked to depressive symptoms such as sleep
disturbance and anhedonia.
2. Which medication requires regular monitoring of white blood cell count due to risk of
agranulocytosis?
A. Haloperidol
B. Risperidone
C. Olanzapine
D. Clozapine
Clozapine carries a high risk of agranulocytosis, requiring routine CBC monitoring.
3. A patient on lithium therapy presents with tremor, diarrhea, and confusion. What is the
priority action?
A. Continue medication
B. Administer next dose
C. Hold lithium and check serum level
D. Encourage fluids only
These symptoms suggest lithium toxicity; immediate level assessment is required.
4. Which defense mechanism involves redirecting emotions to a safer object?
A. Projection
B. Regression
C. Displacement
D. Denial
Displacement shifts emotional response from a threatening target to a safer one.
5. What is the first-line treatment for acute panic attacks?
A. Antipsychotics
B. Mood stabilizers
C. SSRIs or benzodiazepines
D. Beta blockers only
SSRIs are first-line; benzodiazepines may be used short-term.
6. Which symptom is characteristic of mania?
A. Hypersomnia
B. Psychomotor retardation
C. Grandiosity
D. Flat affect
Grandiosity is a hallmark symptom of manic episodes.
, 7. A patient hears voices commenting on their behavior. This is an example of:
A. Delusion
B. Illusion
C. Auditory hallucination
D. Thought blocking
Hearing voices without external stimuli defines auditory hallucinations.
8. Which medication is FDA-approved for ADHD?
A. Fluoxetine
B. Methylphenidate
C. Clozapine
D. Lamotrigine
Methylphenidate is a stimulant commonly used to treat ADHD.
9. What is the primary goal of cognitive behavioral therapy (CBT)?
A. Explore unconscious conflict
B. Change maladaptive thoughts and behaviors
C. Improve family dynamics
D. Use free association
CBT focuses on identifying and restructuring distorted thinking.
10. Which symptom is most associated with PTSD?
A. Flight of ideas
B. Hypervigilance
C. Echolalia
D. Catatonia
Hypervigilance is a core symptom of PTSD.
11. A patient taking MAOIs should avoid which food?
A. Milk
B. Apples
C. Aged cheese
D. Rice
Tyramine-rich foods like aged cheese can cause hypertensive crisis.
12. Which disorder is characterized by unstable relationships and self-image?
A. Antisocial
B. Narcissistic
C. Borderline personality disorder
D. Avoidant
Borderline personality disorder involves instability in relationships and identity.
13. What is the therapeutic lithium level range?
A. 0.2–0.5 mEq/L
B. 0.6–1.2 mEq/L
C. 1.5–2.5 mEq/L
D. 2.0–3.0 mEq/L
Therapeutic levels fall between 0.6 and 1.2 mEq/L.
14. Which symptom is typical of schizophrenia negative symptoms?
A. Hallucinations
B. Delusions
C. Affective flattening
