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PMHNP Certification Exam Study 2026 – Psychiatric Mental Health Nurse Practitioner (PMHNP) Certification Review | 100% Pass Practice Questions & Answers Covering Psychopharmacology, DSM-5 Disorders, Therapy Modalities, Neurobiology, Ethics & Clinical Prac

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This PMHNP Certification Exam Study Guide contains extensive practice questions and answers covering psychiatric mental health assessment, psychopharmacology, DSM-5 diagnoses, neurobiology, psychotherapy, developmental theories, ethics, legal standards, and evidence-based psychiatric care. The material reviews key concepts frequently tested on PMHNP board examinations, including mood disorders, anxiety disorders, psychotic disorders, personality disorders, substance use disorders, child and adolescent psychiatry, and geriatric mental health. The document also includes detailed medication management content covering antidepressants, antipsychotics, mood stabilizers, stimulants, adverse effects, laboratory monitoring, neurotransmitter systems, and psychiatric emergencies such as serotonin syndrome, neuroleptic malignant syndrome, and lithium toxicity. Additional sections focus on psychotherapy modalities, developmental milestones, quality improvement, healthcare policy, legal principles, patient advocacy, assessment tools, and psychiatric nursing practice standards. Keywords PMHNP certification Psychiatric mental health nurse practitioner Psychopharmacology DSM-5 disorders Mood disorders Major depressive disorder Bipolar disorder Anxiety disorders Generalized anxiety disorder Panic disorder Obsessive compulsive disorder PTSD Schizophrenia Personality disorders ADHD Autism spectrum disorder Conduct disorder Oppositional defiant disorder Dementia Delirium Substance use disorders Alcohol withdrawal Opioid withdrawal Psychiatric assessment Mental status examination Neurotransmitters Dopamine Serotonin Norepinephrine GABA Psychiatric medications Antidepressants SSRIs SNRIs Mood stabilizers Lithium Lamotrigine Antipsychotics Clozapine Aripiprazole Psychotherapy CBT DBT EMDR Motivational interviewing Developmental theories Piaget Erikson Psychiatric ethics Mental health law Quality improvement Evidence based practice Board exam preparation PMHNP review questions

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PMHNP Certification Exam
Study 2026 EXAM QUESTIONS
AND ANSWERS | 100% PASS



Pain and bloating after eating is caused by... - ANSWER ✔✔delayed

gastric emptying


Medications that cause delayed gastric emptying? - ANSWER

✔✔PPIs; ranitidine, famotidine, omeprazole


What instructions should you give your patient if they are prescribed

antacids/PPIs and psychotropics? - ANSWER ✔✔Give medications

at least 2 hours apart b/c antacids/PPIs decrease absorption of

psychotropics


Normal BMI range - ANSWER ✔✔18.5-25

,Criteria for admission for ED bx: - ANSWER ✔✔BMI <15; 25% total

body weight loss in 3 months; severe dehydration, infection,

bradycardia, hypothermia, hematemesis, hypokalemia


What neurotransmitters are implicated in ADHD? - ANSWER ✔✔DA,

NE, 5HT - DNS


What brain structures are involved in ADHD? - ANSWER

✔✔Reticular activating system, basal ganglia, frontal cortex - RBF


Abnormalities in this part of the brain cause inattentive ADHD: -

ANSWER ✔✔Prefrontal cortex


Amphetamines are FDA approved for children beginning at _ years old -

ANSWER ✔✔3


Methamphetamines are FDA approved for children beginning at _ years

old - ANSWER ✔✔6


Alpha agonists clonidine and guanfacine are FDA approved to treat

ADHD in patients ages ___ - ANSWER ✔✔6-17


Strattera is FDA approved to treat ADHD in patients ages ___ -

ANSWER ✔✔6 and up (including adults)

,Adults diagnosed with both ADHD and depression would benefit from

being prescribed: - ANSWER ✔✔Wellbutrin


Conduct disorder can be diagnosed in: - ANSWER ✔✔Both children

and adults


Conduct disorder diagnostic criteria: - ANSWER ✔✔Violating rights

of others or societal norms; aggression towards people/animals;

destruction of property; no remorse


Treatment for conduct disorder: - ANSWER ✔✔Targets aggression

and mood; SGA, mood stabilizer, SSRI, alpha agonists


ODD diagnostic criteria: - ANSWER ✔✔Argumentative, defiant for at

least 6 months and with 4 sx


Treatment of ODD: - ANSWER ✔✔Focused on family therapy, child

management skills, teaching parents reinforcement/boundaries/problem

solving


DMDD diagnostic criteria: - ANSWER ✔✔Childhood depressive d/o

between ages 6-17; chronic dysregulated mood, frequent tantrums,

severe irritability; typically DMDD rather than bipolar d/o in children


Neurotransmitters implicated in ASD: - ANSWER ✔✔Glutamate,

GABA, 5HT - GGS

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, Echolalia - ANSWER ✔✔Meaningless repetition of words; often seen

in ASD


Broken mirror theory - ANSWER ✔✔Dysfunction of the mirror neuron

system results in poor social interaction and cognition in ASD patients

Parallel play is developmentally appropriate at which ages? -

ANSWER ✔✔1-3 years old


Parallel play continuing beyond the age of 3 years old may be indicative

of... - ANSWER ✔✔ASD dx d/t social deficits


M-CHAT - ANSWER ✔✔Modified Checklist for Autism in Toddlers;

ASD scale


ADOS-G - ANSWER ✔✔Autism Diagnostic Observation Schedule -

Generic; ASD scale


ASQ - ANSWER ✔✔Ages and Stages Questionnaire; development

and social/emotional screening


Pharmacological treatment of ASD: - ANSWER ✔✔Stimulants

(increase DA to help with impulsivity, hyperactivity, inattention;

Antipsychotics (target aggressive bx, tantrums, self-injury, stereotyped

bx)

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