LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM
90+ (2026 Full Exam Kit) Solved Q&A | Correct & Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 94 Qs
This document, "LMR Georgette's PMHNP Certification Exam," covers essential topics in psychiatric
mental health nurse practitioner (PMHNP) practice, including patient assessment, care planning,
medication management, and therapeutic communication. The 94 questions, paired with correct
answers and detailed explanations, serve as a comprehensive study resource for PMHNP students. By
utilizing this document, students can review and understand key concepts, reinforce their knowledge of
psychiatric-mental health nursing, and prepare for certification exams.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Which of the following frameworks outlines the essential steps involved in delivering patient care?
A) Assessment, Development, Planning, Implementation, Execution
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
C) Action, Development, Implementation, Planning, Execution
D) Development, Planning, Implementation, Evaluation, Assessment
CORRECT ANSWER
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
RATIONALE: The ADPIE framework is a widely accepted model that organizes the nursing process into five stages:
assessment, diagnosis, planning, implementation, and evaluation. This framework helps nurses provide comprehensive
and patient-centered care. Options A, C, and D incorrectly reorder or omit key components of the ADPIE model.
QUESTION 2
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, A nurse is caring for a 4-year-old client who reports that their child woke up screaming in the middle
of the night. The child's mother expresses concern about the cause of the disturbance. What should
the nurse ask the mother?
A) If the child's father was present during the night
B) If the child had a fever or any physical discomfort
C) If the child had difficulty falling asleep or staying asleep
D) If the child had a nightmare or was scared of something
CORRECT ANSWER
C) If the child had difficulty falling asleep or staying asleep
RATIONALE: The nurse should ask the mother about the child's sleep pattern to assess for sleep issues, such as
insomnia or sleep apnea. This information can help the nurse identify potential underlying causes for the child's
nighttime awakenings and provide appropriate guidance to the mother. Options A and B are not directly related to the
child's sleep patterns, while option D may be a contributing factor but is not the nurse's first question.
QUESTION 3
A client arrives at the emergency department with a complaint of a long-standing fungal infection on
their toenail. The nurse assesses the client and identifies the need for further diagnostic testing.
Which of the following actions should the nurse take next?
A) Apply topical antifungal cream to the affected toe
B) Administer oral antifungal medication
C) Scrape the infected nail and send it to the laboratory for culture
D) Prescribe an antibacterial antibiotic
CORRECT ANSWER
C) Scrape the infected nail and send it to the laboratory for culture
RATIONALE: Scraping the infected nail and sending it for culture allows for an accurate diagnosis of the fungal
infection. This action is critical for determining the type of fungus and choosing the most effective treatment. Topical
antifungal cream (A) may not be sufficient for a long-standing infection. Oral antifungal medication (B) may be
necessary, but a laboratory culture is required first to determine the specific medication to be prescribed. Antibacterial
antibiotics (D) are not effective against fungal infections.
QUESTION 4
A patient on lithium for bipolar disorder presents with dark brown urine. What is the purpose of
assessing the patient's renal function in this scenario?
A) To evaluate the patient's hydration status.
B) To monitor the patient's potassium levels.
C) To check renal function due to the risk of lithium nephrotoxicity.
D) To assess the patient's blood glucose levels.
CORRECT ANSWER
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, C) To check renal function due to the risk of lithium nephrotoxicity.
RATIONALE: Dark brown urine may indicate renal damage due to lithium nephrotoxicity. Assessing renal function helps
to monitor the patient's kidney health and adjust lithium therapy as needed. The other options are not directly related
to the patient's presentation of dark brown urine on lithium.
QUESTION 5
The nurse is assessing a patient who has been prescribed Clozaril for schizophrenia and presents with
a fever. The nurse identifies that this patient is at risk for which potential complication due to the
medication.
A) Hypersensitivity reaction
B) Agranulocytosis
C) Liver toxicity
D) Seizure
CORRECT ANSWER
B) Agranulocytosis
RATIONALE: The nurse should check the patient's ANC (absolute neutrophil count) to assess for agranulocytosis, a life-
threatening decrease in white blood cells, as Clozaril can cause this adverse effect. The other options are not directly
related to the given scenario.
QUESTION 6
A nurse should identify that certain medications can interact with antidepressants to cause a life-
threatening condition.
A) Hypokalemia
B) Serotonin syndrome
C) Hypertension
D) Hypothyroidism
CORRECT ANSWER
B) Serotonin syndrome
RATIONALE: Serotonin syndrome is a potentially fatal condition that occurs when medications that increase serotonin
levels interact with certain antidepressants. This includes substances such as St. John's Wort, kava kava, and
tryptophan, which can elevate serotonin levels and increase the risk of this condition. The nurse should be aware of
these interactions to provide timely intervention and prevent this serious complication.
QUESTION 7
The nurse should recognize that which of the following laboratory findings may indicate the presence
of Neuroleptic Malignant Syndrome (NMS)?
A) Elevated WBC count (5,000-10,000 cells/mm^3)
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, B) Elevated Lactate Dehydrogenase (LDH) levels
C) Elevated Creatine Phosphokinase (CPK) levels with a WBC count over 11,000 cells/mm^3
D) Decreased Platelet Count
CORRECT ANSWER
C) Elevated Creatine Phosphokinase (CPK) levels with a WBC count over 11,000 cells/mm^3
RATIONALE: Neuroleptic Malignant Syndrome (NMS) is a rare but life-threatening side effect of neuroleptic medications,
characterized by elevated temperatures, altered mental status, and autonomic dysfunction. Elevated Creatine
Phosphokinase (CPK) levels and a WBC count over 11,000 cells/mm^3 are indicative of NMS. Elevated LDH levels may
be seen in various conditions, and decreased platelet count is not a characteristic finding of NMS.
QUESTION 8
A patient has a prescription for a medication that may cause a life-threatening complication of
antipsychotic therapy, manifested by muscle rigidity, hyperthermia, tachycardia, and altered mental
status. The nurse recognizes these symptoms as indicative of which condition?
A) Serotonin syndrome
B) Hypertensive crisis
C) Neuroleptic malignant syndrome (NMS)
D) Migraine headache
CORRECT ANSWER
C) Neuroleptic malignant syndrome (NMS)
RATIONALE: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening side effect of antipsychotic
medications, characterized by muscle rigidity, hyperthermia, tachycardia, and altered mental status. The other options
are incorrect because serotonin syndrome is a different condition associated with medications, hypertensive crisis is a
cardiovascular emergency, and migraine headache is a type of headache disorder.
QUESTION 9
The nurse receives report on four clients, including a 35-year-old male patient admitted with a 3-day
history of dark urine and pain in his muscles. The patient's urine is observed to have a cherry-colored
tint. What is the priority action for the nurse?
A) Administer pain medication as prescribed
B) Assess for any signs of infection
C) Order laboratory tests to check for kidney function
D) Check for signs of rhabdomyolysis with creatine phosphokinase (CPK) levels
CORRECT ANSWER
D) Check for signs of rhabdomyolysis with creatine phosphokinase (CPK) levels
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CERTIFICATION EXAM
90+ (2026 Full Exam Kit) Solved Q&A | Correct & Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 94 Qs
This document, "LMR Georgette's PMHNP Certification Exam," covers essential topics in psychiatric
mental health nurse practitioner (PMHNP) practice, including patient assessment, care planning,
medication management, and therapeutic communication. The 94 questions, paired with correct
answers and detailed explanations, serve as a comprehensive study resource for PMHNP students. By
utilizing this document, students can review and understand key concepts, reinforce their knowledge of
psychiatric-mental health nursing, and prepare for certification exams.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Which of the following frameworks outlines the essential steps involved in delivering patient care?
A) Assessment, Development, Planning, Implementation, Execution
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
C) Action, Development, Implementation, Planning, Execution
D) Development, Planning, Implementation, Evaluation, Assessment
CORRECT ANSWER
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
RATIONALE: The ADPIE framework is a widely accepted model that organizes the nursing process into five stages:
assessment, diagnosis, planning, implementation, and evaluation. This framework helps nurses provide comprehensive
and patient-centered care. Options A, C, and D incorrectly reorder or omit key components of the ADPIE model.
QUESTION 2
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, A nurse is caring for a 4-year-old client who reports that their child woke up screaming in the middle
of the night. The child's mother expresses concern about the cause of the disturbance. What should
the nurse ask the mother?
A) If the child's father was present during the night
B) If the child had a fever or any physical discomfort
C) If the child had difficulty falling asleep or staying asleep
D) If the child had a nightmare or was scared of something
CORRECT ANSWER
C) If the child had difficulty falling asleep or staying asleep
RATIONALE: The nurse should ask the mother about the child's sleep pattern to assess for sleep issues, such as
insomnia or sleep apnea. This information can help the nurse identify potential underlying causes for the child's
nighttime awakenings and provide appropriate guidance to the mother. Options A and B are not directly related to the
child's sleep patterns, while option D may be a contributing factor but is not the nurse's first question.
QUESTION 3
A client arrives at the emergency department with a complaint of a long-standing fungal infection on
their toenail. The nurse assesses the client and identifies the need for further diagnostic testing.
Which of the following actions should the nurse take next?
A) Apply topical antifungal cream to the affected toe
B) Administer oral antifungal medication
C) Scrape the infected nail and send it to the laboratory for culture
D) Prescribe an antibacterial antibiotic
CORRECT ANSWER
C) Scrape the infected nail and send it to the laboratory for culture
RATIONALE: Scraping the infected nail and sending it for culture allows for an accurate diagnosis of the fungal
infection. This action is critical for determining the type of fungus and choosing the most effective treatment. Topical
antifungal cream (A) may not be sufficient for a long-standing infection. Oral antifungal medication (B) may be
necessary, but a laboratory culture is required first to determine the specific medication to be prescribed. Antibacterial
antibiotics (D) are not effective against fungal infections.
QUESTION 4
A patient on lithium for bipolar disorder presents with dark brown urine. What is the purpose of
assessing the patient's renal function in this scenario?
A) To evaluate the patient's hydration status.
B) To monitor the patient's potassium levels.
C) To check renal function due to the risk of lithium nephrotoxicity.
D) To assess the patient's blood glucose levels.
CORRECT ANSWER
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, C) To check renal function due to the risk of lithium nephrotoxicity.
RATIONALE: Dark brown urine may indicate renal damage due to lithium nephrotoxicity. Assessing renal function helps
to monitor the patient's kidney health and adjust lithium therapy as needed. The other options are not directly related
to the patient's presentation of dark brown urine on lithium.
QUESTION 5
The nurse is assessing a patient who has been prescribed Clozaril for schizophrenia and presents with
a fever. The nurse identifies that this patient is at risk for which potential complication due to the
medication.
A) Hypersensitivity reaction
B) Agranulocytosis
C) Liver toxicity
D) Seizure
CORRECT ANSWER
B) Agranulocytosis
RATIONALE: The nurse should check the patient's ANC (absolute neutrophil count) to assess for agranulocytosis, a life-
threatening decrease in white blood cells, as Clozaril can cause this adverse effect. The other options are not directly
related to the given scenario.
QUESTION 6
A nurse should identify that certain medications can interact with antidepressants to cause a life-
threatening condition.
A) Hypokalemia
B) Serotonin syndrome
C) Hypertension
D) Hypothyroidism
CORRECT ANSWER
B) Serotonin syndrome
RATIONALE: Serotonin syndrome is a potentially fatal condition that occurs when medications that increase serotonin
levels interact with certain antidepressants. This includes substances such as St. John's Wort, kava kava, and
tryptophan, which can elevate serotonin levels and increase the risk of this condition. The nurse should be aware of
these interactions to provide timely intervention and prevent this serious complication.
QUESTION 7
The nurse should recognize that which of the following laboratory findings may indicate the presence
of Neuroleptic Malignant Syndrome (NMS)?
A) Elevated WBC count (5,000-10,000 cells/mm^3)
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, B) Elevated Lactate Dehydrogenase (LDH) levels
C) Elevated Creatine Phosphokinase (CPK) levels with a WBC count over 11,000 cells/mm^3
D) Decreased Platelet Count
CORRECT ANSWER
C) Elevated Creatine Phosphokinase (CPK) levels with a WBC count over 11,000 cells/mm^3
RATIONALE: Neuroleptic Malignant Syndrome (NMS) is a rare but life-threatening side effect of neuroleptic medications,
characterized by elevated temperatures, altered mental status, and autonomic dysfunction. Elevated Creatine
Phosphokinase (CPK) levels and a WBC count over 11,000 cells/mm^3 are indicative of NMS. Elevated LDH levels may
be seen in various conditions, and decreased platelet count is not a characteristic finding of NMS.
QUESTION 8
A patient has a prescription for a medication that may cause a life-threatening complication of
antipsychotic therapy, manifested by muscle rigidity, hyperthermia, tachycardia, and altered mental
status. The nurse recognizes these symptoms as indicative of which condition?
A) Serotonin syndrome
B) Hypertensive crisis
C) Neuroleptic malignant syndrome (NMS)
D) Migraine headache
CORRECT ANSWER
C) Neuroleptic malignant syndrome (NMS)
RATIONALE: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening side effect of antipsychotic
medications, characterized by muscle rigidity, hyperthermia, tachycardia, and altered mental status. The other options
are incorrect because serotonin syndrome is a different condition associated with medications, hypertensive crisis is a
cardiovascular emergency, and migraine headache is a type of headache disorder.
QUESTION 9
The nurse receives report on four clients, including a 35-year-old male patient admitted with a 3-day
history of dark urine and pain in his muscles. The patient's urine is observed to have a cherry-colored
tint. What is the priority action for the nurse?
A) Administer pain medication as prescribed
B) Assess for any signs of infection
C) Order laboratory tests to check for kidney function
D) Check for signs of rhabdomyolysis with creatine phosphokinase (CPK) levels
CORRECT ANSWER
D) Check for signs of rhabdomyolysis with creatine phosphokinase (CPK) levels
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