1
GEORGETTE REVIEW PMHNP EXAM
QUESTIONS AND VERIFIED ANSWERS |
LATEST UPDATE 2026
When many answers are remarkably similar, they are usually _____________ -
correct-answer -wrong
Interprofessional collaboration is encouraged. - correct-answer -Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - correct-answer -Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium - correct-answer -Normal 0.6-1.2
Lithium toxicity occurs at levels - correct-answer -> 1.5
Signs of Lithium toxicity - correct-answer -severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
, 2
Lithium is gold standard for - correct-answer -MANIA
Lithium has evidence shown to - correct-answer -reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - correct-answer -
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct-answer -rise
Baseline labs before initiation of lithium - correct-answer -TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - correct-answer -hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
, 3
Pt education for lithimum - correct-answer -staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct-answer -50-125
Depakote toxicity level - correct-answer -greater than 150
Teratogenic effects of Depakote - correct-answer -spina bifida
Adverse effects of depakote - correct-answer -alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - correct-answer -disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity - correct-answer -DC med
check level
LFT
ammonia
, 4
MAOI + tyramine causes - correct-answer -hypertensive crisis
Symptoms of hypertensive crisis - correct-answer -elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - correct-answer -MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - correct-answer -DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - correct-answer -floppy baby, cleft palate
Teratogenic effects of tegratol - correct-answer -neural tube defect
GEORGETTE REVIEW PMHNP EXAM
QUESTIONS AND VERIFIED ANSWERS |
LATEST UPDATE 2026
When many answers are remarkably similar, they are usually _____________ -
correct-answer -wrong
Interprofessional collaboration is encouraged. - correct-answer -Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - correct-answer -Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium - correct-answer -Normal 0.6-1.2
Lithium toxicity occurs at levels - correct-answer -> 1.5
Signs of Lithium toxicity - correct-answer -severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
, 2
Lithium is gold standard for - correct-answer -MANIA
Lithium has evidence shown to - correct-answer -reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - correct-answer -
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct-answer -rise
Baseline labs before initiation of lithium - correct-answer -TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - correct-answer -hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
, 3
Pt education for lithimum - correct-answer -staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct-answer -50-125
Depakote toxicity level - correct-answer -greater than 150
Teratogenic effects of Depakote - correct-answer -spina bifida
Adverse effects of depakote - correct-answer -alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - correct-answer -disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity - correct-answer -DC med
check level
LFT
ammonia
, 4
MAOI + tyramine causes - correct-answer -hypertensive crisis
Symptoms of hypertensive crisis - correct-answer -elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - correct-answer -MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - correct-answer -DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - correct-answer -floppy baby, cleft palate
Teratogenic effects of tegratol - correct-answer -neural tube defect
