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GEORGETTE PMHNP REVIEW EXAM 2026|
CERTIFIED PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER EXAM
Your patient with bipolar disorder is admitted to a medical hospital. The internist
contacts your office and asks whether the lithium you prescribed him is effecting
his ECG. How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - correct-answer -Answer: Lithium can
invert the t waves.
Mary is a 45-year-old African American female who has been treated on
Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical procedure.
Which medication is strictly contraindicated with Isocarboxazid?
A. Morphine
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B. NSAIDS
C. Methylphenidate
D. Acetaminophen - correct-answer -Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values
will indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - correct-answer -Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following
medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - correct-answer -A. Spina bifida
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Which mood stabilizer is associated with potential life-threatening rash in the
Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - correct-answer -A. Carbamazepine
Bulimia, weight is ___________ - correct-answer -within the normal range.
Pharm treatment for bulimia - correct-answer -Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - correct-answer -low BMI
Amennorrhea
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Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - correct-answer -there is none
therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - correct-answer -Low BMI
If a patient is depression, low energy, fatigued, you would prescribe - correct-
answer -Wellbutrin
GEORGETTE PMHNP REVIEW EXAM 2026|
CERTIFIED PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER EXAM
Your patient with bipolar disorder is admitted to a medical hospital. The internist
contacts your office and asks whether the lithium you prescribed him is effecting
his ECG. How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - correct-answer -Answer: Lithium can
invert the t waves.
Mary is a 45-year-old African American female who has been treated on
Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical procedure.
Which medication is strictly contraindicated with Isocarboxazid?
A. Morphine
,2|Page
B. NSAIDS
C. Methylphenidate
D. Acetaminophen - correct-answer -Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values
will indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - correct-answer -Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following
medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - correct-answer -A. Spina bifida
,3|Page
Which mood stabilizer is associated with potential life-threatening rash in the
Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - correct-answer -A. Carbamazepine
Bulimia, weight is ___________ - correct-answer -within the normal range.
Pharm treatment for bulimia - correct-answer -Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - correct-answer -low BMI
Amennorrhea
, 4|Page
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - correct-answer -there is none
therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - correct-answer -Low BMI
If a patient is depression, low energy, fatigued, you would prescribe - correct-
answer -Wellbutrin
