GEORGETTE REVIEW PMHNP 2025/2026 EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS
teratogenic effects of depakote - ANSWER ->neural tube defects/spina
bifida
Adverse reaction to Lamictal - ANSWER ->Steven Johnson's Syndrome
Signs of SJS - ANSWER ->FEVER --high yield
sore throat facial swelling tongue swelling
red rash skin sloughing body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - ANSWER ->sedation or weight gain
Carbamazepine (tegretol) black box warning - ANSWER -
>agranulocytosis (decrease WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums,
skin rash, SOA)
Carbamazepine and asians - ANSWER ->Screen for HLAB-1502 allele
before initiating, due to high incidence of SJS if positive for allele.
Child-bearing aged women - ANSWER ->check for pregnancy before
starting mood stabilizer
,start on folic acid to support neural tube development during the first
month that a woman is pregnant
Clozaril/clozapine can cause - ANSWER ->agranulocytosis and
neutropenia
For monitoring neutropenia in Clozaril, monitor - ANSWER ->ANC
DC clozarli if ANC - ANSWER ->less than 1000
DC clozaril if WBC - ANSWER ->2000-3000, risk of agranulocytosis
When on clozaril monitor for - ANSWER ->signs and symptoms of
infection: sudden fever, chills, sore throat, weakness
Clozaril only known antipsychotic to - ANSWER ->decrease risk of
suicide in patients with schizophrenia.
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 - 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 - 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 - 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 - 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 - ANSWER ->A. Carbamazepine
Bulimia, weight is - ANSWER ->within the normal range.
Pharm treatment for bulimia - ANSWER ->Fluoxetine
, SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ANSWER ->low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ANSWER ->there is none therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ANSWER ->Low BMI
If a patient is depression, low energy, fatigued, you would prescribe -
ANSWER ->Wellbutrin
Wellbutrin is contraindicated in patients with - ANSWER ->seizure
disorder or conditions that increase risk of seizures such as eating
disorder.
Which of the following medications has a unique mechanism that is
both a norepinephrine and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ANSWER ->bupropion
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS
teratogenic effects of depakote - ANSWER ->neural tube defects/spina
bifida
Adverse reaction to Lamictal - ANSWER ->Steven Johnson's Syndrome
Signs of SJS - ANSWER ->FEVER --high yield
sore throat facial swelling tongue swelling
red rash skin sloughing body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - ANSWER ->sedation or weight gain
Carbamazepine (tegretol) black box warning - ANSWER -
>agranulocytosis (decrease WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums,
skin rash, SOA)
Carbamazepine and asians - ANSWER ->Screen for HLAB-1502 allele
before initiating, due to high incidence of SJS if positive for allele.
Child-bearing aged women - ANSWER ->check for pregnancy before
starting mood stabilizer
,start on folic acid to support neural tube development during the first
month that a woman is pregnant
Clozaril/clozapine can cause - ANSWER ->agranulocytosis and
neutropenia
For monitoring neutropenia in Clozaril, monitor - ANSWER ->ANC
DC clozarli if ANC - ANSWER ->less than 1000
DC clozaril if WBC - ANSWER ->2000-3000, risk of agranulocytosis
When on clozaril monitor for - ANSWER ->signs and symptoms of
infection: sudden fever, chills, sore throat, weakness
Clozaril only known antipsychotic to - ANSWER ->decrease risk of
suicide in patients with schizophrenia.
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 - 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 - 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 - 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 - 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 - ANSWER ->A. Carbamazepine
Bulimia, weight is - ANSWER ->within the normal range.
Pharm treatment for bulimia - ANSWER ->Fluoxetine
, SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ANSWER ->low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ANSWER ->there is none therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ANSWER ->Low BMI
If a patient is depression, low energy, fatigued, you would prescribe -
ANSWER ->Wellbutrin
Wellbutrin is contraindicated in patients with - ANSWER ->seizure
disorder or conditions that increase risk of seizures such as eating
disorder.
Which of the following medications has a unique mechanism that is
both a norepinephrine and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ANSWER ->bupropion
