GEORGETTE REVIEW PMHNP (2025) EXAM QUESTIONS AND ALL CORRECT ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!

11/08/2025, 08:22 GEORGETTE REVIEW PMHNP (2025) EXAM QUESTIONS AND ALL CORRECT ANSWERS 100% SOLVED AND GUARANTEE…




GEORGETTE REVIEW PMHNP (2025) EXAM
QUESTIONS AND ALL CORRECT ANSWERS 100%
SOLVED AND GUARANTEED SUCCESS!!

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Terms in this set (388)


When many answers are wrong
remarkably similar, they
are usually _____________

Interprofessional Collaborate is usually right.
collaboration is Delegate is usually wrong.
encouraged.

Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.

Lithium Normal 0.6-1.2

Lithium toxicity occurs at > 1.5
levels

severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait

Lithium is gold standard MANIA
for

Lithium has evidence reduce suicidal ideation
shown to



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What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester

dehydration and rise
hyponatremia cause
lithium levels to

TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51)
initiation of lithium
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)

hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
Side Effects of Lithium
closely.
anorexia
t wave inversions
leukocytosis

staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance

Depakote normal level 50-125

Depakote toxicity level greater than 150

Teratogenic effects of spina bifida
Depakote

alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order
depakote LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes,
fatigue



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disorientation, lethargy, respiratory depression,
Signs of Depakote toxicity
nausea/vomiting

DC med
Intervention for depakote check level
toxicity LFT
ammonia

MAOI + tyramine causes hypertensive crisis

elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive
palpitations
crisis
pupillary dilation
diaphoresis
fever

MEPERIDINE
STIMULANTS
decongestants
Hypertensive crisis occurs TCAs
with MAOI + atypicals
St. John's wart
L-tryptophan
asthma meds

Treatment for DC offending agent
hypertensive crisis Administer PHENTOLAMINE

Teratogenic effects of floppy baby, cleft palate
benzos

Teratogenic effects of neural tube defect
tegratol

teratogenic effects of ebstein anomaly (heart defect) (avoid, especially 1st
lithium trimester)

teratogenic effects of neural tube defects/spina bifida
depakote


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Adverse reaction to Steven Johnson's Syndrome
Lamictal

FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
Signs of SJS skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes

Lamotrigine is least likely sedation or weight gain
to cause

agranulocytosis (decrease WBCs)
Carbamazepine (tegretol)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds,
black box warning
bleeding gums, skin rash, SOA)

Carbamazepine and Screen for HLAB-1502 allele before initiating, due to
asians high incidence of SJS if positive for allele.

check for pregnancy before starting mood stabilizer
Child-bearing aged start on folic acid to support neural tube
women development during the first month that a woman is
pregnant

Clozaril/clozapine can agranulocytosis and neutropenia
cause

For monitoring ANC
neutropenia in Clozaril,
monitor

DC clozarli if ANC less than 1000

DC clozaril if WBC 2000-3000, risk of agranulocytosis




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