FINAL PMHNP Exam
Questions with
Complete Answers
User [Date] [Course title]
,A 5-year-old girl who you see in your outpatient clinic for therapy, you observe is playing with dolls in a
highly sexualized way. What is your next action? - Correct Answer: Call CPS immediately
A 15 boy for follow-up was bothered in school and he gets into his thinking about being a sport athlete
even though he is not planning to become one.... What would this likely be? - Correct Answer: Autism
fantasy
A patient who has hallucinations and delusions says she has no problem and they don't bother her.
Which section of the MSE would this be? - Correct Answer: Insight
42-year-old man with a history of anxiety and substance use disorder, complaining of forgetting things,
specifically a siblings wedding and is asking about ADHD. What scale would you choose for assessment -
Correct Answer: MOCA
what personality disorder steals - Correct Answer: Antisocial
vegetarian with macrocytic anemia, what would you recommend - Correct Answer: b12
Positive romberg test is when? - Correct Answer: a patient has then inability to stand up with feet apart
without minimal sway and erect posture for 30 seconds with eyes closed and open
clozaril can cause what cardiac anomaly? - Correct Answer: cardiomyopathy or myocarditis
Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes. Alarmed, she took him to a
PMHNP for an evaluation.
Which of the following is true? - Correct Answer: Detailed questions about his suicidality are essential
for prevention
What is the treatment for macrocytic anemia? - Correct Answer: Vit B12
What is the treatment for microcytic anemia? - Correct Answer: iron
, how would you respond to an Asian pt that states "Help, I have a wind cold." ? - Correct Answer: ask
"How Can I help you"
Pt presents w cut wrist, is bleeding, what's priority? - Correct Answer: check VS, check blood loss/
safety/priority
If you have apt that reports abuse or rape, what's priority? - Correct Answer: move to safe area, contact
authorities, don't examine as this could be tampering w evidence
if you suspect abuse when witnessing a child play or they report abuse to you while parents are gone to
rest room, what's initial action? - Correct Answer: contact CPS
what type of med would you admin w 1st psychotic episode? - Correct Answer: Atypical, especially one
that can be given IM
least sedating ATP? - Correct Answer: Abilify
neural tube defect associated with VPA? - Correct Answer: spina bifida
What labs would you do for pt on VPA who c/o RUQ pain and reddish-brown urine? - Correct Answer:
liver function test
KAVA is often used for ? - Correct Answer: anxiety & insomnia
education for KAVA - Correct Answer: can be very sedating
risk for hepatotoxicity
will need LFT
cannot take w benzo's
ASE noted with tricyclics? - Correct Answer: hepatotoxicity
Questions with
Complete Answers
User [Date] [Course title]
,A 5-year-old girl who you see in your outpatient clinic for therapy, you observe is playing with dolls in a
highly sexualized way. What is your next action? - Correct Answer: Call CPS immediately
A 15 boy for follow-up was bothered in school and he gets into his thinking about being a sport athlete
even though he is not planning to become one.... What would this likely be? - Correct Answer: Autism
fantasy
A patient who has hallucinations and delusions says she has no problem and they don't bother her.
Which section of the MSE would this be? - Correct Answer: Insight
42-year-old man with a history of anxiety and substance use disorder, complaining of forgetting things,
specifically a siblings wedding and is asking about ADHD. What scale would you choose for assessment -
Correct Answer: MOCA
what personality disorder steals - Correct Answer: Antisocial
vegetarian with macrocytic anemia, what would you recommend - Correct Answer: b12
Positive romberg test is when? - Correct Answer: a patient has then inability to stand up with feet apart
without minimal sway and erect posture for 30 seconds with eyes closed and open
clozaril can cause what cardiac anomaly? - Correct Answer: cardiomyopathy or myocarditis
Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes. Alarmed, she took him to a
PMHNP for an evaluation.
Which of the following is true? - Correct Answer: Detailed questions about his suicidality are essential
for prevention
What is the treatment for macrocytic anemia? - Correct Answer: Vit B12
What is the treatment for microcytic anemia? - Correct Answer: iron
, how would you respond to an Asian pt that states "Help, I have a wind cold." ? - Correct Answer: ask
"How Can I help you"
Pt presents w cut wrist, is bleeding, what's priority? - Correct Answer: check VS, check blood loss/
safety/priority
If you have apt that reports abuse or rape, what's priority? - Correct Answer: move to safe area, contact
authorities, don't examine as this could be tampering w evidence
if you suspect abuse when witnessing a child play or they report abuse to you while parents are gone to
rest room, what's initial action? - Correct Answer: contact CPS
what type of med would you admin w 1st psychotic episode? - Correct Answer: Atypical, especially one
that can be given IM
least sedating ATP? - Correct Answer: Abilify
neural tube defect associated with VPA? - Correct Answer: spina bifida
What labs would you do for pt on VPA who c/o RUQ pain and reddish-brown urine? - Correct Answer:
liver function test
KAVA is often used for ? - Correct Answer: anxiety & insomnia
education for KAVA - Correct Answer: can be very sedating
risk for hepatotoxicity
will need LFT
cannot take w benzo's
ASE noted with tricyclics? - Correct Answer: hepatotoxicity
