Georgette Review PMHNP 2025 ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS GET IT 100% ACCURATE
ALREADY GRADED A+
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
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
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
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
teratogenic .effects .of .lithium .- .CORRECT .ANSWER-ebstein .anomaly .(heart
.defect) .(avoid, .especially .1st .trimester)
teratogenic .effects .of .depakote .- .CORRECT .ANSWER-neural .tube .defects/spina
.bifida
Adverse .reaction .to .Lamictal .- .CORRECT .ANSWER-Steven .Johnson's .Syndrome
Signs .of .SJS .- .CORRECT .ANSWER-FEVER .--high .yield
sore .throat
facial .swelling
tongue .swelling
red .rash
skin .sloughing
body .aches
prodromal .headache
malaise
arthralgia
painful .mucus .membranes
Lamotrigine .is .least .likely .to .cause .- .CORRECT .ANSWER-sedation .or .weight
.gain
Carbamazepine .(tegretol) .black .box .warning .- .CORRECT .ANSWER-
agranulocytosis .(decrease .WBCs)
aplastic .anemia .(pallor, .fatigue, .HA, .fever, .nosebleeds, .bleeding .gums, .skin
.rash, .SOA)
Carbamazepine .and .asians .- .CORRECT .ANSWER-Screen .for .HLAB-1502 .allele
.before .initiating, .due .to .high .incidence .of .SJS .if .positive .for .allele.
Child-bearing .aged .women .- .CORRECT .ANSWER-check .for .pregnancy .before
.starting .mood .stabilizer
start .on .folic .acid .to .support .neural .tube .development .during .the .first .month
.that .a .woman .is .pregnant
Clozaril/clozapine .can .cause .- .CORRECT .ANSWER-agranulocytosis .and
.neutropenia
For .monitoring .neutropenia .in .Clozaril, .monitor .- .CORRECT .ANSWER-ANC
, DC .clozarli .if .ANC .- .CORRECT .ANSWER-less .than .1000
DC .clozaril .if .WBC .- .CORRECT .ANSWER-2000-3000, .risk .of .agranulocytosis
When .on .clozaril .monitor .for .- .CORRECT .ANSWER-signs .and .symptoms .of
.infection: .sudden .fever, .chills, .sore .throat, .weakness
Clozaril .only .known .antipsychotic .to .- .CORRECT .ANSWER-decrease .risk .of
.suicide .in .patients .with .schizophrenia.
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
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
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.
EXAM QUESTIONS AND VERIFIED
ANSWERS GET IT 100% ACCURATE
ALREADY GRADED A+
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
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
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
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
teratogenic .effects .of .lithium .- .CORRECT .ANSWER-ebstein .anomaly .(heart
.defect) .(avoid, .especially .1st .trimester)
teratogenic .effects .of .depakote .- .CORRECT .ANSWER-neural .tube .defects/spina
.bifida
Adverse .reaction .to .Lamictal .- .CORRECT .ANSWER-Steven .Johnson's .Syndrome
Signs .of .SJS .- .CORRECT .ANSWER-FEVER .--high .yield
sore .throat
facial .swelling
tongue .swelling
red .rash
skin .sloughing
body .aches
prodromal .headache
malaise
arthralgia
painful .mucus .membranes
Lamotrigine .is .least .likely .to .cause .- .CORRECT .ANSWER-sedation .or .weight
.gain
Carbamazepine .(tegretol) .black .box .warning .- .CORRECT .ANSWER-
agranulocytosis .(decrease .WBCs)
aplastic .anemia .(pallor, .fatigue, .HA, .fever, .nosebleeds, .bleeding .gums, .skin
.rash, .SOA)
Carbamazepine .and .asians .- .CORRECT .ANSWER-Screen .for .HLAB-1502 .allele
.before .initiating, .due .to .high .incidence .of .SJS .if .positive .for .allele.
Child-bearing .aged .women .- .CORRECT .ANSWER-check .for .pregnancy .before
.starting .mood .stabilizer
start .on .folic .acid .to .support .neural .tube .development .during .the .first .month
.that .a .woman .is .pregnant
Clozaril/clozapine .can .cause .- .CORRECT .ANSWER-agranulocytosis .and
.neutropenia
For .monitoring .neutropenia .in .Clozaril, .monitor .- .CORRECT .ANSWER-ANC
, DC .clozarli .if .ANC .- .CORRECT .ANSWER-less .than .1000
DC .clozaril .if .WBC .- .CORRECT .ANSWER-2000-3000, .risk .of .agranulocytosis
When .on .clozaril .monitor .for .- .CORRECT .ANSWER-signs .and .symptoms .of
.infection: .sudden .fever, .chills, .sore .throat, .weakness
Clozaril .only .known .antipsychotic .to .- .CORRECT .ANSWER-decrease .risk .of
.suicide .in .patients .with .schizophrenia.
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
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
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.
