LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementation
Evaluation
What should you do when a mother
Ask her if it's happened before to as-
reports her child woke up screaming
sess for sleep issue patterns
in the middle of the night?
What do you do if a patient comes in
Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on lithium
Check renal function
has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranu-
with fever while on Clozaril? locytosis
Antidepressants, St. John's Wort,
What can cause serotonin syndrome?
Same-E, Kava Kava, and Tryptophan
Elevated WBC (over 11,000) and ele-
What labs are indicative of NMS?
vated CPK
S/S of NMS
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
muscle rigidity, hyperthermia, tachy-
cardia, abnormal bp, sweating, al-
tered mental status, cherry colored
urine
What should you do if a patient pre-
Check for rhabdo with CPK
sents with cherry colored urine?
hyperreflexia, muscle spasms, my-
oclonus (involuntary muscle jerk),
s/s of serotonin syndrome
fever, tachycardia, HTN, shits and shiv-
ers
What two medications to give with bromocriptine (Parlodel)- D2 agonist
NMS? dantrolene- muscle relaxer
cyproheptadine (Periactin)- 5HT-2A
What medication to give during SS?
receptor antagonist
Slow onset (1-2 weeks after changing
What is the onset and typical length of
or starting therapy) and resolves with-
NMS?
in 9-14 days
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
Within 24 hours of starting/changing
What is the onset of SS? medication and resolves within a few
days
How do you distinguish between NMS has a slower onset while acute
NMS and acute dystonia? dystonia occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout
NSAIDs? meds, ibuprophen, naproxen, etc.)
Increased risk of lithium toxicity relat-
What happens with lithium and ACE
ed to the increased urination from the
inhibitors?
ACE inhibitors
Why should a patient on lithium avoid
Risk of fatal nephrotoxicity
calcium channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for ath- Specific gravity to assess for dehydra-
letes on lithium? tion (dehydration is >1.015)
What do you do if the lithium level is Do not give the next dose and assess
1.3? for s/s
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
At what level is lithium toxicity a med-
>3
ical emergency?
vomiting, diarrhea, slurred speech,
S/S of lithium toxicity hand tremor, dry mouth/thirst, muscle
weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat hy-
Synthroid
pothyroidism caused by lithium use?
What do you do if patient is pre-
Decreased lamictal dose by 50%
scribed both depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be occuring if
patient on depakote reports upper Pancreatitis
abdominal pain?
What lab should you check if patient
has right upper quadrant pain and LFTs
dark brown urine?
What lab means pregnancy? HCG
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementation
Evaluation
What should you do when a mother
Ask her if it's happened before to as-
reports her child woke up screaming
sess for sleep issue patterns
in the middle of the night?
What do you do if a patient comes in
Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on lithium
Check renal function
has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranu-
with fever while on Clozaril? locytosis
Antidepressants, St. John's Wort,
What can cause serotonin syndrome?
Same-E, Kava Kava, and Tryptophan
Elevated WBC (over 11,000) and ele-
What labs are indicative of NMS?
vated CPK
S/S of NMS
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
muscle rigidity, hyperthermia, tachy-
cardia, abnormal bp, sweating, al-
tered mental status, cherry colored
urine
What should you do if a patient pre-
Check for rhabdo with CPK
sents with cherry colored urine?
hyperreflexia, muscle spasms, my-
oclonus (involuntary muscle jerk),
s/s of serotonin syndrome
fever, tachycardia, HTN, shits and shiv-
ers
What two medications to give with bromocriptine (Parlodel)- D2 agonist
NMS? dantrolene- muscle relaxer
cyproheptadine (Periactin)- 5HT-2A
What medication to give during SS?
receptor antagonist
Slow onset (1-2 weeks after changing
What is the onset and typical length of
or starting therapy) and resolves with-
NMS?
in 9-14 days
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
Within 24 hours of starting/changing
What is the onset of SS? medication and resolves within a few
days
How do you distinguish between NMS has a slower onset while acute
NMS and acute dystonia? dystonia occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout
NSAIDs? meds, ibuprophen, naproxen, etc.)
Increased risk of lithium toxicity relat-
What happens with lithium and ACE
ed to the increased urination from the
inhibitors?
ACE inhibitors
Why should a patient on lithium avoid
Risk of fatal nephrotoxicity
calcium channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for ath- Specific gravity to assess for dehydra-
letes on lithium? tion (dehydration is >1.015)
What do you do if the lithium level is Do not give the next dose and assess
1.3? for s/s
, LMR Georgette’s PMHNP Certification Exam Latest 2023-2024 Questions An
Correct Answers(Verified Answers)
Study online at https://quizlet.com/_i60wv9
At what level is lithium toxicity a med-
>3
ical emergency?
vomiting, diarrhea, slurred speech,
S/S of lithium toxicity hand tremor, dry mouth/thirst, muscle
weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat hy-
Synthroid
pothyroidism caused by lithium use?
What do you do if patient is pre-
Decreased lamictal dose by 50%
scribed both depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be occuring if
patient on depakote reports upper Pancreatitis
abdominal pain?
What lab should you check if patient
has right upper quadrant pain and LFTs
dark brown urine?
What lab means pregnancy? HCG
