GEORGETTE REVIEW PMHNP ACCURATE
EXPERT VERIFIED ACTUAL QUESTIONS &
ANSWERS FOR GUARANTEED PASS |
NEWEST UPDATE,
Block 1: Modules 1 & 2 Test Strategies & Foundational Concepts
Q1: A 46-year-old male with a history of bipolar disorder comes for a
regular follow-up and presents with severe vomiting, diarrhea, muscle
weakness, blurred vision, and ataxia. He takes 900mg of lithium daily.
What is the priority action?
a) Maintain the medication regimen and monitor the symptoms.
b) Order an electrocardiogram.
c) Tells the patient to stop taking lithium and orders a serum lithium level.
d) Take the patient's vital signs.
• Correct Answer: c
• Rationale: The patient is displaying clear signs of lithium
toxicity. The priority is to discontinue the offending agent (lithium)
and immediately assess the severity by checking a serum lithium
level. Symptoms like severe vomiting, diarrhea, ataxia, and coarse
hand tremors are classic signs of toxicity.
Q2: When many answers in a multiple-choice question are remarkably
similar, what does this suggest?
a) One of them is correct.
,b) They are a distraction and usually wrong.
c) They are all potentially correct.
d) They indicate the need for more patient information.
• Correct Answer: b
• Rationale: The Georgette Review strategy guide specifically
notes that if you read the answer choices and several are very similar
in meaning, they are usually all incorrect. This is a test-taking
strategy to help you eliminate options and identify the truly unique
answer.
Q3: A patient believes that certain news bulletins and television shows
have a direct, personal reference to them. This is an example of:
a) Hallucination.
b) Delusion of grandeur.
c) Referential thinking.
d) Loose associations.
• Correct Answer: c
• Rationale: Referential thinking is the delusion that random
events, comments, or media are directly related to oneself. This is a
common symptom in some psychotic disorders where the patient
assigns personal meaning to unrelated external events.
Q4: You are studying for the PMHNP exam and learn that one medication
is the "gold standard" for treating acute mania. Which one is it?
a) Valproate (Depakote)
b) Lithium
c) Carbamazepine (Tegretol)
d) Lamotrigine (Lamictal)
, • Correct Answer: b
• Rationale: The Georgette Review materials highlight lithium as
the gold standard treatment for acute mania. While other mood
stabilizers like Depakote are also effective, lithium has the longest
and most robust evidence base, particularly for classic, euphoric
mania.
Q5: When switching a patient from Prozac (fluoxetine) to an MAOI, how
long must you wait to avoid the risk of serotonin syndrome?
a) 1 week
b) 2 weeks
c) 5-6 weeks
d) 24 hours
• Correct Answer: c
• Rationale: Fluoxetine (Prozac) has a very long half-life (about 4-
6 days for the parent drug and up to 16 days for its active
metabolite). It can take 5-6 weeks for it to be completely cleared
from the body. Starting an MAOI too soon can lead to a potentially
fatal drug interaction and serotonin syndrome.
Q6: Which medication is a non-psychiatric medication that can cause
serotonin syndrome?
a) Ibuprofen
b) Triptans (e.g., Imitrex)
c) Lisinopril
d) Metformin
• Correct Answer: b
, • Rationale: Triptans, which are used to treat migraines, affect
serotonin receptors and can precipitate serotonin syndrome when
combined with serotonergic psychiatric medications like SSRIs or
MAOIs. This is a critical interaction for PMHNPs to monitor.
Q7: A 65-year-old female is brought in by her husband for worsening
forgetfulness, decreased activity, and a poor appetite. Her husband states
she just "isn't herself." Her MMSE score is 24/30, but she was reluctant to
participate. What is the most likely diagnosis?
a) Alzheimer's disease
b) Delirium
c) Vascular dementia
d) Depression
• Correct Answer: d
• Rationale: Depression in older adults (often called
"pseudodementia") frequently presents with cognitive complaints,
apathy, and subtle cognitive deficits. The key features here are the
short duration (2 months), decreased participation, and the fact that
she "declines to answer some questions," which can be a sign of low
motivation rather than a pure cognitive deficit.
Q8: The Mini-Mental State Exam (MMSE) includes a component to assess
for concentration. What task is the patient asked to perform?
a) "Spell 'WORLD' backwards."
b) "Count backwards from 100 by 7s."
c) "Name the days of the week backwards."
d) "Subtract 3 from 20, then keep subtracting 3."
• Correct Answer: b
EXPERT VERIFIED ACTUAL QUESTIONS &
ANSWERS FOR GUARANTEED PASS |
NEWEST UPDATE,
Block 1: Modules 1 & 2 Test Strategies & Foundational Concepts
Q1: A 46-year-old male with a history of bipolar disorder comes for a
regular follow-up and presents with severe vomiting, diarrhea, muscle
weakness, blurred vision, and ataxia. He takes 900mg of lithium daily.
What is the priority action?
a) Maintain the medication regimen and monitor the symptoms.
b) Order an electrocardiogram.
c) Tells the patient to stop taking lithium and orders a serum lithium level.
d) Take the patient's vital signs.
• Correct Answer: c
• Rationale: The patient is displaying clear signs of lithium
toxicity. The priority is to discontinue the offending agent (lithium)
and immediately assess the severity by checking a serum lithium
level. Symptoms like severe vomiting, diarrhea, ataxia, and coarse
hand tremors are classic signs of toxicity.
Q2: When many answers in a multiple-choice question are remarkably
similar, what does this suggest?
a) One of them is correct.
,b) They are a distraction and usually wrong.
c) They are all potentially correct.
d) They indicate the need for more patient information.
• Correct Answer: b
• Rationale: The Georgette Review strategy guide specifically
notes that if you read the answer choices and several are very similar
in meaning, they are usually all incorrect. This is a test-taking
strategy to help you eliminate options and identify the truly unique
answer.
Q3: A patient believes that certain news bulletins and television shows
have a direct, personal reference to them. This is an example of:
a) Hallucination.
b) Delusion of grandeur.
c) Referential thinking.
d) Loose associations.
• Correct Answer: c
• Rationale: Referential thinking is the delusion that random
events, comments, or media are directly related to oneself. This is a
common symptom in some psychotic disorders where the patient
assigns personal meaning to unrelated external events.
Q4: You are studying for the PMHNP exam and learn that one medication
is the "gold standard" for treating acute mania. Which one is it?
a) Valproate (Depakote)
b) Lithium
c) Carbamazepine (Tegretol)
d) Lamotrigine (Lamictal)
, • Correct Answer: b
• Rationale: The Georgette Review materials highlight lithium as
the gold standard treatment for acute mania. While other mood
stabilizers like Depakote are also effective, lithium has the longest
and most robust evidence base, particularly for classic, euphoric
mania.
Q5: When switching a patient from Prozac (fluoxetine) to an MAOI, how
long must you wait to avoid the risk of serotonin syndrome?
a) 1 week
b) 2 weeks
c) 5-6 weeks
d) 24 hours
• Correct Answer: c
• Rationale: Fluoxetine (Prozac) has a very long half-life (about 4-
6 days for the parent drug and up to 16 days for its active
metabolite). It can take 5-6 weeks for it to be completely cleared
from the body. Starting an MAOI too soon can lead to a potentially
fatal drug interaction and serotonin syndrome.
Q6: Which medication is a non-psychiatric medication that can cause
serotonin syndrome?
a) Ibuprofen
b) Triptans (e.g., Imitrex)
c) Lisinopril
d) Metformin
• Correct Answer: b
, • Rationale: Triptans, which are used to treat migraines, affect
serotonin receptors and can precipitate serotonin syndrome when
combined with serotonergic psychiatric medications like SSRIs or
MAOIs. This is a critical interaction for PMHNPs to monitor.
Q7: A 65-year-old female is brought in by her husband for worsening
forgetfulness, decreased activity, and a poor appetite. Her husband states
she just "isn't herself." Her MMSE score is 24/30, but she was reluctant to
participate. What is the most likely diagnosis?
a) Alzheimer's disease
b) Delirium
c) Vascular dementia
d) Depression
• Correct Answer: d
• Rationale: Depression in older adults (often called
"pseudodementia") frequently presents with cognitive complaints,
apathy, and subtle cognitive deficits. The key features here are the
short duration (2 months), decreased participation, and the fact that
she "declines to answer some questions," which can be a sign of low
motivation rather than a pure cognitive deficit.
Q8: The Mini-Mental State Exam (MMSE) includes a component to assess
for concentration. What task is the patient asked to perform?
a) "Spell 'WORLD' backwards."
b) "Count backwards from 100 by 7s."
c) "Name the days of the week backwards."
d) "Subtract 3 from 20, then keep subtracting 3."
• Correct Answer: b
