PMHNP BOARDS - SCIENTIFIC
FOUNDATION AND ADVANCE
PRACTICE SKILLS EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above correct answers >> a. Acute alcohol
intoxication
In the pharmacological treatment of psychosis, when
antipsychotics are administered, which block dopamine, a
secondary effect is blocking in another tract, which causes
potential prolactin problems, such as gynecomastia in males. This
tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical correct answers >> b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not
responded to six months of psychosocial interventions and
continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner
prescribes:
,1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. correct
answers >> 3. risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate correct answers >> 3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis correct answers >> a. D2
blockade in the nigrostriatial tract
Which drug carries a higher risk of metabolic effects than the
other second generation antipsychotics: weight gain, diabetes,
dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon correct answers >> b. Zyprexa
,A patient has not had any relief of symptoms with Fluoxetine, and
is going to be started on an MAOI. How long before starting the
MAOI should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks correct answers >> a. 2 weeks
Which drug can produce serious side effect of rash in some
Asians, and the FDA has mandated genetic testing before the
administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol correct answers >> d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate correct answers >> a. Paroxetine
(Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion,
and aggression; also responsible for connecting sensory smell
information with emotions correct answers >> amygdala
, Regulates memory and converts short-term memory into long-
term memory correct answers >>
Plays key roles in various regulatory functions such as appetite,
sensations of hunger and thirst, water balance, circadian rhythms,
body temperature, libido, and hormonal regulation correct
answers >>
Patient on lithium and cipro Cipro _____________ lithium level
correct answers >>
Patient on psych meds and dexamethasone will complain of
what? correct answers >>
Patient w/ schizophrenia, structural changes of the brain on CT
correct answers >>
Which lab is checked with clozaril? correct answers >> ANC
Lobes of the Brain - Fred Tore his Pants Off correct answers
>> Frontal - executive fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
Parietal (pat) touch
You ask a patient to clench her teeth, which cranial nerve are you
testing? correct answers >> Cranial nerve 5 - TRIGEMINAL
FOUNDATION AND ADVANCE
PRACTICE SKILLS EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above correct answers >> a. Acute alcohol
intoxication
In the pharmacological treatment of psychosis, when
antipsychotics are administered, which block dopamine, a
secondary effect is blocking in another tract, which causes
potential prolactin problems, such as gynecomastia in males. This
tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical correct answers >> b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not
responded to six months of psychosocial interventions and
continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner
prescribes:
,1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. correct
answers >> 3. risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate correct answers >> 3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis correct answers >> a. D2
blockade in the nigrostriatial tract
Which drug carries a higher risk of metabolic effects than the
other second generation antipsychotics: weight gain, diabetes,
dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon correct answers >> b. Zyprexa
,A patient has not had any relief of symptoms with Fluoxetine, and
is going to be started on an MAOI. How long before starting the
MAOI should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks correct answers >> a. 2 weeks
Which drug can produce serious side effect of rash in some
Asians, and the FDA has mandated genetic testing before the
administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol correct answers >> d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate correct answers >> a. Paroxetine
(Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion,
and aggression; also responsible for connecting sensory smell
information with emotions correct answers >> amygdala
, Regulates memory and converts short-term memory into long-
term memory correct answers >>
Plays key roles in various regulatory functions such as appetite,
sensations of hunger and thirst, water balance, circadian rhythms,
body temperature, libido, and hormonal regulation correct
answers >>
Patient on lithium and cipro Cipro _____________ lithium level
correct answers >>
Patient on psych meds and dexamethasone will complain of
what? correct answers >>
Patient w/ schizophrenia, structural changes of the brain on CT
correct answers >>
Which lab is checked with clozaril? correct answers >> ANC
Lobes of the Brain - Fred Tore his Pants Off correct answers
>> Frontal - executive fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
Parietal (pat) touch
You ask a patient to clench her teeth, which cranial nerve are you
testing? correct answers >> Cranial nerve 5 - TRIGEMINAL
