Advanced PMHNP Exam ACTUAL EXAM
ADVANCED PMHNP EXAM ACTUAL EXAM NEWEST 2025/2026
COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
45-year-old man was brought to the ED by the police because of loud shouting.
The patient and his wife had engaged in a physical altercation, both are treated for
minor injuries. The PMHNP is called to do a psychiatric evaluation. On review of
the ED records, you find the patient has a 20-year history of bipolar disorder, last
hospitalization was 5 years ago, he reports adherence to his treatment regimen of
lithium and risperidone. When you enter the exam room, you observe that he is
red-faced, sitting cross-legged, and is refusing to answer any questions. Your best
response is:
a. "If you don't start to work with me, I will have to note that in my report."
b. "You're angry because you were brought to the emergency department by the
police."
c. "I'm concerned because if you don't answer my questions, I won't get your story
for the report."
d. "I can see you're angry and that is why you don't want to cooperate." -
ANSWER-b. "You're angry because you were brought to the emergency
department by the police."
Chan, 19, is a college sophomore who is being seen by the PMHNP in follow-up
after discharge from a hospitalization 1-week ago for a psychotic episode. Chan's
parents live in Taiwan, and he lives in an apartment with his brother who is a PhD
student. Chan is polite, well-groomed, and quiet. He answers questions about his
sleep and medication with one word responses and is unable to provide detail
1|Page
, Advanced PMHNP Exam ACTUAL EXAM
when questioned further. He sits on the edge of the couch. His eye contact is
minimal, and he looks frequently to the floor and then to the door. The PMHNP's
next best option is to:
a. Ask his brother to come into the exam room to provide collateral information.
b. Request that Chan sign a release of information to get the discharge summary
from the hospital.
c. Obtain a release of information from Chan to have you speak with his brother.
d. Consider his mannerisms as a part of his culture and proceed with your plan -
ANSWER-c. Obtain a release of information from Chan to have you speak with his
brother.
The PMHNP is called by the group home about Edna, a 72-year-old woman with
stable bipolar illness who was found by the direct service professional (DSP) in her
nightgown talking to no one in particular. The DSP reports that he works in the
home 4 days per week and has known Edna for months and has never seen any
unusual behavior in the past. He last worked 2 days ago when Edna was "her
regular self." An appropriate response by the PMHNP would be to:
a. "Please give her an extra dose of the 'as needed' olanzapine and call me
tomorrow with how she is doing."
b. "Please call Edna's guardian and inform her of these changes and likely new
onset dementia."
c. "Please call her family healthcare provider and see when she can get in for a
follow-up."
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, Advanced PMHNP Exam ACTUAL EXAM
d. "Please take her to the emergency department today and let me know the
outcome." - ANSWER-d. "Please take her to the emergency department today and
let me know the outcome."
When evaluating a patient with schizophrenia, which of the following statements
provides an indication of the patient's judgment?
a. "I apologize that my appearance is a bit shabby today."
b. "I know that some of the things I see are not really there."
c. "I should just quit my job and live in my car for a while."
d. "If I take my medicine every day, I should have less episodes." - ANSWER-c. "I
should just quit my job and live in my car for a while."
A 27-year-old ex-Marine is being evaluated during a follow-up visit for post-
traumatic stress disorder. He has been taking an SSRI for the past 3 weeks but
does not report any improvement in his symptoms. During the evaluation, he
mentions that he has thoughts of suicide and specifically mentions a firearm in his
house. An appropriate next course of action would be to:
a. Increase the dose of the SSRI and re-evaluate in 2 weeks.
b. Schedule cognitive behavioral therapy sessions.
c. Instruct the spouse to hide any firearms in the house.
d. Refer for inpatient care. - ANSWER-d. Refer for inpatient care.
Assessment of the optic disc is a component of the evaluation of cranial nerve:
3|Page
, Advanced PMHNP Exam ACTUAL EXAM
I.
II.
III.
IV. - ANSWER-II.
Of the following, which should be performed initially in assessing a 48-year-old
woman with suicidal ideation?
a. Does she have someone at home to stay with her?
b. What is the content of her thoughts?
c. Does she have access to a firearm?
d. Has she attempted suicide in the past? - ANSWER-b. What is the content of her
thoughts?
An 8-year-old boy presents for an evaluation for possible attention-
deficit/hyperactivity disorder (ADHD). His parents report him to be a healthy 3rd-
grader with "plenty of good friends." They are concerned he could have ADHD
because he is "hyperactive" and because his father had ADHD. The Vanderbilt
screening tools completed by his parents strongly indicate inattention, with
moderate hyperactivity symptoms. Your next best action is to:
a. Prescribe a low dose of methylphenidate.
b. Arrange for parents to obtain Vanderbilt screening tool or other written
feedback from his teacher and return in 2 weeks.
4|Page
ADVANCED PMHNP EXAM ACTUAL EXAM NEWEST 2025/2026
COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
45-year-old man was brought to the ED by the police because of loud shouting.
The patient and his wife had engaged in a physical altercation, both are treated for
minor injuries. The PMHNP is called to do a psychiatric evaluation. On review of
the ED records, you find the patient has a 20-year history of bipolar disorder, last
hospitalization was 5 years ago, he reports adherence to his treatment regimen of
lithium and risperidone. When you enter the exam room, you observe that he is
red-faced, sitting cross-legged, and is refusing to answer any questions. Your best
response is:
a. "If you don't start to work with me, I will have to note that in my report."
b. "You're angry because you were brought to the emergency department by the
police."
c. "I'm concerned because if you don't answer my questions, I won't get your story
for the report."
d. "I can see you're angry and that is why you don't want to cooperate." -
ANSWER-b. "You're angry because you were brought to the emergency
department by the police."
Chan, 19, is a college sophomore who is being seen by the PMHNP in follow-up
after discharge from a hospitalization 1-week ago for a psychotic episode. Chan's
parents live in Taiwan, and he lives in an apartment with his brother who is a PhD
student. Chan is polite, well-groomed, and quiet. He answers questions about his
sleep and medication with one word responses and is unable to provide detail
1|Page
, Advanced PMHNP Exam ACTUAL EXAM
when questioned further. He sits on the edge of the couch. His eye contact is
minimal, and he looks frequently to the floor and then to the door. The PMHNP's
next best option is to:
a. Ask his brother to come into the exam room to provide collateral information.
b. Request that Chan sign a release of information to get the discharge summary
from the hospital.
c. Obtain a release of information from Chan to have you speak with his brother.
d. Consider his mannerisms as a part of his culture and proceed with your plan -
ANSWER-c. Obtain a release of information from Chan to have you speak with his
brother.
The PMHNP is called by the group home about Edna, a 72-year-old woman with
stable bipolar illness who was found by the direct service professional (DSP) in her
nightgown talking to no one in particular. The DSP reports that he works in the
home 4 days per week and has known Edna for months and has never seen any
unusual behavior in the past. He last worked 2 days ago when Edna was "her
regular self." An appropriate response by the PMHNP would be to:
a. "Please give her an extra dose of the 'as needed' olanzapine and call me
tomorrow with how she is doing."
b. "Please call Edna's guardian and inform her of these changes and likely new
onset dementia."
c. "Please call her family healthcare provider and see when she can get in for a
follow-up."
2|Page
, Advanced PMHNP Exam ACTUAL EXAM
d. "Please take her to the emergency department today and let me know the
outcome." - ANSWER-d. "Please take her to the emergency department today and
let me know the outcome."
When evaluating a patient with schizophrenia, which of the following statements
provides an indication of the patient's judgment?
a. "I apologize that my appearance is a bit shabby today."
b. "I know that some of the things I see are not really there."
c. "I should just quit my job and live in my car for a while."
d. "If I take my medicine every day, I should have less episodes." - ANSWER-c. "I
should just quit my job and live in my car for a while."
A 27-year-old ex-Marine is being evaluated during a follow-up visit for post-
traumatic stress disorder. He has been taking an SSRI for the past 3 weeks but
does not report any improvement in his symptoms. During the evaluation, he
mentions that he has thoughts of suicide and specifically mentions a firearm in his
house. An appropriate next course of action would be to:
a. Increase the dose of the SSRI and re-evaluate in 2 weeks.
b. Schedule cognitive behavioral therapy sessions.
c. Instruct the spouse to hide any firearms in the house.
d. Refer for inpatient care. - ANSWER-d. Refer for inpatient care.
Assessment of the optic disc is a component of the evaluation of cranial nerve:
3|Page
, Advanced PMHNP Exam ACTUAL EXAM
I.
II.
III.
IV. - ANSWER-II.
Of the following, which should be performed initially in assessing a 48-year-old
woman with suicidal ideation?
a. Does she have someone at home to stay with her?
b. What is the content of her thoughts?
c. Does she have access to a firearm?
d. Has she attempted suicide in the past? - ANSWER-b. What is the content of her
thoughts?
An 8-year-old boy presents for an evaluation for possible attention-
deficit/hyperactivity disorder (ADHD). His parents report him to be a healthy 3rd-
grader with "plenty of good friends." They are concerned he could have ADHD
because he is "hyperactive" and because his father had ADHD. The Vanderbilt
screening tools completed by his parents strongly indicate inattention, with
moderate hyperactivity symptoms. Your next best action is to:
a. Prescribe a low dose of methylphenidate.
b. Arrange for parents to obtain Vanderbilt screening tool or other written
feedback from his teacher and return in 2 weeks.
4|Page
