Page 1 of 45
2025/2026 LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM COMPLETE CURRENT
TESTING QUESTION AND DETAILED CORRECT
(VERIFIED) ANSWER/GURANTEED PASS/TOP-RATED
A+.
PMHNP
Ace your PMHNP Certification Exam with this comprehensive
guide from LMR Georgette, designed to master psychiatric
assessment, psychopharmacology, and evidence-based
psychotherapeutic interventions. This resource delivers high-
yield, scenario-based questions covering lifespan mental
health, complex comorbidities, and treatment planning.
What lab should you check for athletes on lithium? ......
ANSWER ....... Specific gravity to assess for dehydration
(dehydration is >1.015)
What do you do if the lithium level is 1.3? ...... ANSWER
....... Do not give the next dose and assess for s/s
At what level is lithium toxicity a medical emergency? ......
ANSWER ....... >3
, Page 2 of 45
S/S of lithium toxicity ...... ANSWER ....... vomiting,
diarrhea, slurred speech, hand tremor, dry mouth/thirst,
muscle weakness/twitching
Why check an EKG with lithium? ...... ANSWER .......
Inverted T-waves
What medication should treat hypothyroidism caused by
lithium use? ...... ANSWER ....... Synthroid
What do you do if patient is prescribed both depakote and
lamictal? ...... ANSWER ....... Decreased lamictal dose
by 50%
Depakote and pregnancy ...... ANSWER ....... Spina
bifida
What emergency may be occuring if patient on depakote
reports upper abdominal pain? ...... ANSWER .......
Pancreatitis
, Page 3 of 45
What lab should you check if patient has right upper
quadrant pain and dark brown urine? ...... ANSWER .......
LFTs
What lab means pregnancy? ...... ANSWER ....... HCG
Why is Clozaril used? ...... ANSWER ....... Treatment
resistant schizophrenia, improves SI, and improves
negative symptoms of schizophrenia
What two medications have the highest risk of
agranulocytosis and aplastic anemia? ...... ANSWER .......
Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection?
...... ANSWER ....... Sore throats, sores in mouth/gums,
fever
When should you discontinue Clozaril or Tegretol? ......
ANSWER ....... WBC < 2000 or ANC <1000
, Page 4 of 45
What should you check in Asian patients taking Tegretol?
...... ANSWER ....... For the HLA-B*1502 allele (higher risk
of SJS)
What two epidermal issues can arise from Tegretol or
Lamictal? ...... ANSWER ....... Toxic epidermal necrosis
and SJS
What may be the issue if a patient on Lamictal presents with
a fever and severe headache? ...... ANSWER ....... Aspetic
meningitis
What three antipsychotics have very low weight gaining
effects? ...... ANSWER ....... Geodon, Abilify, and
Latuda
Mini-Cog ...... ANSWER ....... 3 word recall and
clock drawing
2025/2026 LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM COMPLETE CURRENT
TESTING QUESTION AND DETAILED CORRECT
(VERIFIED) ANSWER/GURANTEED PASS/TOP-RATED
A+.
PMHNP
Ace your PMHNP Certification Exam with this comprehensive
guide from LMR Georgette, designed to master psychiatric
assessment, psychopharmacology, and evidence-based
psychotherapeutic interventions. This resource delivers high-
yield, scenario-based questions covering lifespan mental
health, complex comorbidities, and treatment planning.
What lab should you check for athletes on lithium? ......
ANSWER ....... Specific gravity to assess for dehydration
(dehydration is >1.015)
What do you do if the lithium level is 1.3? ...... ANSWER
....... Do not give the next dose and assess for s/s
At what level is lithium toxicity a medical emergency? ......
ANSWER ....... >3
, Page 2 of 45
S/S of lithium toxicity ...... ANSWER ....... vomiting,
diarrhea, slurred speech, hand tremor, dry mouth/thirst,
muscle weakness/twitching
Why check an EKG with lithium? ...... ANSWER .......
Inverted T-waves
What medication should treat hypothyroidism caused by
lithium use? ...... ANSWER ....... Synthroid
What do you do if patient is prescribed both depakote and
lamictal? ...... ANSWER ....... Decreased lamictal dose
by 50%
Depakote and pregnancy ...... ANSWER ....... Spina
bifida
What emergency may be occuring if patient on depakote
reports upper abdominal pain? ...... ANSWER .......
Pancreatitis
, Page 3 of 45
What lab should you check if patient has right upper
quadrant pain and dark brown urine? ...... ANSWER .......
LFTs
What lab means pregnancy? ...... ANSWER ....... HCG
Why is Clozaril used? ...... ANSWER ....... Treatment
resistant schizophrenia, improves SI, and improves
negative symptoms of schizophrenia
What two medications have the highest risk of
agranulocytosis and aplastic anemia? ...... ANSWER .......
Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection?
...... ANSWER ....... Sore throats, sores in mouth/gums,
fever
When should you discontinue Clozaril or Tegretol? ......
ANSWER ....... WBC < 2000 or ANC <1000
, Page 4 of 45
What should you check in Asian patients taking Tegretol?
...... ANSWER ....... For the HLA-B*1502 allele (higher risk
of SJS)
What two epidermal issues can arise from Tegretol or
Lamictal? ...... ANSWER ....... Toxic epidermal necrosis
and SJS
What may be the issue if a patient on Lamictal presents with
a fever and severe headache? ...... ANSWER ....... Aspetic
meningitis
What three antipsychotics have very low weight gaining
effects? ...... ANSWER ....... Geodon, Abilify, and
Latuda
Mini-Cog ...... ANSWER ....... 3 word recall and
clock drawing
