PMHNP Exam ACTUAL EXAM
PMHNP EXAM ACTUAL EXAM NEWEST 2025/2026 COMPLETE
ALL 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
What psychoactives are first line treatment for fibro? - ANSWER-Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
What is the purpose of telepsychiatry? - ANSWER-Increase the ability to reach
rural and underserved areas.
What is the purpose of Motivational Interviewing? - ANSWER-Explore ambiguity
Maintain passive position
What is required for Medicare submission? - ANSWER-ICD 10 and narrative or CPT
What is the neurotransmitter problem in Schizophrenia? - ANSWER-Excess
dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD? - ANSWER-Dopamine,
norepinephrine and serotonergic dysfunction
1|Page
, PMHNP Exam ACTUAL EXAM
What is the benefit of play therapy? - ANSWER-Don't have to confront emotions
head on.
What neurotransmitters are involved in the bioamine hypothesis of depression? -
ANSWER-Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in
the amount in the synapse.
How do you test CN XII? - ANSWER-Stick out your tongue.
What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ANSWER-CN V - Trigeminal
What are two important things to measure when using Zyprexa? - ANSWER-Lipid
level and abdominal circumference
What is included in the mini-cognitive exam? - ANSWER-Clock, memory questions
from MSE.
What is HIV related dementia often mistaken for, especially at the beginning? -
ANSWER-Depression
2|Page
, PMHNP Exam ACTUAL EXAM
What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ANSWER-Stop and repeat lab.
Normal is 1500-8000 mm3
Can you take Buspar during pregnancy? - ANSWER-Category B - ok if really
needed.
Can you take Klonopin during pregnancy? - ANSWER-Category C - avoid if possible;
does excrete into breast-milk and infant could get withdrawal symptoms.
What is the concern when prescribing Lamictal with Depakote? - ANSWER-Both
are CYP450 inducers of the other and therefore together will lower the level of
both drugs.
Can asthma medications cause depression? - ANSWER-Yes.
If a patient has muscle pain and red urine with an elevated leukocyte esterase.
What lab do you order? - ANSWER-Microalbumin?
What is often common to patients with fibro? - ANSWER-Sexual abuse
How is telepsychiatry evaluated? - ANSWER-Outcome based - measure at
intervals.
3|Page
, PMHNP Exam ACTUAL EXAM
What happens with a patient taking Lithium and who gets dehydrated? - ANSWER-
Levels increase
What happens with a patient taking Lithium who decreases sodium intake? -
ANSWER-Levels increase
What happens with a patient taking Lithium and drinks a lot of water? - ANSWER-
Levels decrease
What is dissemination? - ANSWER-Getting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER-Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER-Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER-Inducer - will lower dose of Lamictal
4|Page
PMHNP EXAM ACTUAL EXAM NEWEST 2025/2026 COMPLETE
ALL 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
What psychoactives are first line treatment for fibro? - ANSWER-Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
What is the purpose of telepsychiatry? - ANSWER-Increase the ability to reach
rural and underserved areas.
What is the purpose of Motivational Interviewing? - ANSWER-Explore ambiguity
Maintain passive position
What is required for Medicare submission? - ANSWER-ICD 10 and narrative or CPT
What is the neurotransmitter problem in Schizophrenia? - ANSWER-Excess
dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD? - ANSWER-Dopamine,
norepinephrine and serotonergic dysfunction
1|Page
, PMHNP Exam ACTUAL EXAM
What is the benefit of play therapy? - ANSWER-Don't have to confront emotions
head on.
What neurotransmitters are involved in the bioamine hypothesis of depression? -
ANSWER-Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in
the amount in the synapse.
How do you test CN XII? - ANSWER-Stick out your tongue.
What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ANSWER-CN V - Trigeminal
What are two important things to measure when using Zyprexa? - ANSWER-Lipid
level and abdominal circumference
What is included in the mini-cognitive exam? - ANSWER-Clock, memory questions
from MSE.
What is HIV related dementia often mistaken for, especially at the beginning? -
ANSWER-Depression
2|Page
, PMHNP Exam ACTUAL EXAM
What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ANSWER-Stop and repeat lab.
Normal is 1500-8000 mm3
Can you take Buspar during pregnancy? - ANSWER-Category B - ok if really
needed.
Can you take Klonopin during pregnancy? - ANSWER-Category C - avoid if possible;
does excrete into breast-milk and infant could get withdrawal symptoms.
What is the concern when prescribing Lamictal with Depakote? - ANSWER-Both
are CYP450 inducers of the other and therefore together will lower the level of
both drugs.
Can asthma medications cause depression? - ANSWER-Yes.
If a patient has muscle pain and red urine with an elevated leukocyte esterase.
What lab do you order? - ANSWER-Microalbumin?
What is often common to patients with fibro? - ANSWER-Sexual abuse
How is telepsychiatry evaluated? - ANSWER-Outcome based - measure at
intervals.
3|Page
, PMHNP Exam ACTUAL EXAM
What happens with a patient taking Lithium and who gets dehydrated? - ANSWER-
Levels increase
What happens with a patient taking Lithium who decreases sodium intake? -
ANSWER-Levels increase
What happens with a patient taking Lithium and drinks a lot of water? - ANSWER-
Levels decrease
What is dissemination? - ANSWER-Getting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER-Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER-Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER-Inducer - will lower dose of Lamictal
4|Page
