GEORGETTE REVIEW | PMHNP EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
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 lifethreatening 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
CLozaril is metabolized by - ANSWER - >cytochrome P450 enzyme
CYP1A2
INducers - ANSWER - >induce metabolism and therefore decrease
serum levels of other drugs that are substrates
Smoking will do what to drug levels - ANSWER -
>decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage - ANSWER -
, >Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need
___________doses of their medication. - ANSWER - >higher
Inhibitors - ANSWER - >inhibit metabolism and therefore increase levels
of the drug.
SICKFACES.com for Inhibitors - ANSWER - >Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
Which cytochrome enzyme is implicated as a tobacco inducer when
an individual is treated with clozapine a. 2D6
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
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 lifethreatening 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
CLozaril is metabolized by - ANSWER - >cytochrome P450 enzyme
CYP1A2
INducers - ANSWER - >induce metabolism and therefore decrease
serum levels of other drugs that are substrates
Smoking will do what to drug levels - ANSWER -
>decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage - ANSWER -
, >Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need
___________doses of their medication. - ANSWER - >higher
Inhibitors - ANSWER - >inhibit metabolism and therefore increase levels
of the drug.
SICKFACES.com for Inhibitors - ANSWER - >Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
Which cytochrome enzyme is implicated as a tobacco inducer when
an individual is treated with clozapine a. 2D6
