PMHNP EXAM REPORTED NEWEST QUESTIONS AND
ANSWERS (2025/2026)
What does Erythromycin to trileptal? - ANS-You will need to
decreases the level
because Trileptal(inducer) and
erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? -
ANS-Heart Failure
HTN
What are some psychiatric side effects seen with some asthma
drugs - ANSLeukotriene receptor agonists - singulair, accolade,
zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? - ANS-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANS-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac
muscle damage? - ANS-
CKMB
What is the risk of a seriously elevated CKMB? -
ANS-Polymyositis
Rhabdo
,What is a normal CKMB? - ANS-0.3 mcg/L
What psychoactives does Detrol interact with? -
ANS-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug
their shoulders? - ANS-
CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? -
ANS-CD4 <200
Viral Load is
high
<20% get it with antiretroviral
treatment
What is the scoring with the Beck Depression Inventory? -
ANS-Self-Report - 0-63
0-13 -
minimal
14-19 -
mild
20-28 -
moderate
29-63 -
severe
,What is sensitivity? - ANS-Helps rule-out disease = True Positive
= Snout
What is specificity? - ANS-Helps rule-in disease = True Negative =
Spin
What does a sed rate measure? - ANS-Inflammation (ESR -
Erythrocyte Sedimentation
Rate) = distance in mm RBC's have
descended in 1 hour.
What is a normal sed rate or ESR? -
ANS-0-22 males
0-29
females
What is a retic count? - ANS-Measures % of reticulocytes in
blood (immature RBC's)
Indicates whether enough RBC's are being produced
by bone marrow.
What does a decreased retic count indicate? - ANS-Anemia -
acute or chronic bleeding
What does an increased retic count indicate? - ANS-Bone
marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? -
ANS-Doesn't diagnose
anything. First step is ID source of
the issue.
, What happens when you mix tegretol and macrolides? - ANS-
Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ANS-Birth
defects.
What labs do you get with RA? - ANS-Sed rate, RF, ANA, C
reactive protein, CBC,
CMP, CRP - helps confirm
diagnosis.
CRP and ESR are both increased in RA but NOT
in osteoarthritis.
Where does the NP Code of Ethics come from? - ANS-ANA
When do you assume informed consent? -
ANS-Unconscious
Incompetent
Life Threatening
Situation
What are the legal ramifications of treating w/o informed consent?
- ANS-Same as with
informed
consent
Who can declare a patient incompetent and appoint a guardian? -
ANS-Only a court
Does impaired judgment mean one is incompetent? - ANS-No.
ANSWERS (2025/2026)
What does Erythromycin to trileptal? - ANS-You will need to
decreases the level
because Trileptal(inducer) and
erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? -
ANS-Heart Failure
HTN
What are some psychiatric side effects seen with some asthma
drugs - ANSLeukotriene receptor agonists - singulair, accolade,
zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? - ANS-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANS-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac
muscle damage? - ANS-
CKMB
What is the risk of a seriously elevated CKMB? -
ANS-Polymyositis
Rhabdo
,What is a normal CKMB? - ANS-0.3 mcg/L
What psychoactives does Detrol interact with? -
ANS-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug
their shoulders? - ANS-
CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? -
ANS-CD4 <200
Viral Load is
high
<20% get it with antiretroviral
treatment
What is the scoring with the Beck Depression Inventory? -
ANS-Self-Report - 0-63
0-13 -
minimal
14-19 -
mild
20-28 -
moderate
29-63 -
severe
,What is sensitivity? - ANS-Helps rule-out disease = True Positive
= Snout
What is specificity? - ANS-Helps rule-in disease = True Negative =
Spin
What does a sed rate measure? - ANS-Inflammation (ESR -
Erythrocyte Sedimentation
Rate) = distance in mm RBC's have
descended in 1 hour.
What is a normal sed rate or ESR? -
ANS-0-22 males
0-29
females
What is a retic count? - ANS-Measures % of reticulocytes in
blood (immature RBC's)
Indicates whether enough RBC's are being produced
by bone marrow.
What does a decreased retic count indicate? - ANS-Anemia -
acute or chronic bleeding
What does an increased retic count indicate? - ANS-Bone
marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? -
ANS-Doesn't diagnose
anything. First step is ID source of
the issue.
, What happens when you mix tegretol and macrolides? - ANS-
Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ANS-Birth
defects.
What labs do you get with RA? - ANS-Sed rate, RF, ANA, C
reactive protein, CBC,
CMP, CRP - helps confirm
diagnosis.
CRP and ESR are both increased in RA but NOT
in osteoarthritis.
Where does the NP Code of Ethics come from? - ANS-ANA
When do you assume informed consent? -
ANS-Unconscious
Incompetent
Life Threatening
Situation
What are the legal ramifications of treating w/o informed consent?
- ANS-Same as with
informed
consent
Who can declare a patient incompetent and appoint a guardian? -
ANS-Only a court
Does impaired judgment mean one is incompetent? - ANS-No.
