PMHNP Certification Exam 2025–2026 Accurate
Real Exam Questions and Verified Correct
Answers JUST RELEASED
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment
B. Dx criteria are used to inform clinical judgement
C. Socially deviant behavior is considered a mental dx
D. A culturally response to a stressor is not a mental health disorder - answer>>>D. A culturally
response to a stressor is not a mental illness
Provide brief supportive therapy
Which of the following interventions by the PMHNP for a person experiencing statue de nervous
demonstrates culturally informed care?
A. Offering brief supportive psychotherapy
B. Offer a brief hospitalization
C. Requesting a family member act as an interpreter
D. Offering a low-dose, short term anxiolytic medication - answer>>>A. Offer the brief supportive
psychotherapy.
Angiotensin covering enzyme (ACE) is used for what? - answer>>>- cardiac disease
- CHF
- HTN
End in "pril"
What medications are used for neuropathic pain? - answer>>>- TCA
- SNRI
- Lyrica
- Elavil
- Pamelor
- Cymbalta
What medications specifically should not be stopped abruptly? - answer>>>snris/ssris
They will cause discontinuation syndome
,When should you stop Tegretol (carbamazepine) or Clozaril immediately - answer>>>less than a
1,000 and repeat labs
A nurse attacked 3 weeks ago in the parking lot and not into an argument with her boss that same
day and is now scared to go to work? What is happening to the nurse?
A. A panic dx
B. Acute stress disorder
C. PTSD
D. GAD - answer>>>B. Acute stress disorder
If PT tells you at an appointment and tells you she was raped, what is priority - answer>>>assure
her of being safe in the environment before proceeding with care
Priority for a PT that comes into the ER after cutting risk - answer>>>first ABC's - check vitals and
then safety first
Should you interview a 15 y/o PT that reports abuse with their parents present? - answer>>>Yes
Less than 18 then interview with parents
A 16 y/o PT comes in with the parent and her BMI is <16, HR 40, amenorrhea. As the provider you
try to admit PT but the parent refuses... What do you do - answer>>>Call CPS
PT must be admitted and if need to be transferred then use squad
If a PT comes in with psychosis, what is priority? - answer>>>check urine/toxicology first before
anything
What would it be called if a PT was not allowed to participate in med trial due to not having
insurance? - answer>>>Justice - you are violating justice (fairness in all aspect)
Which PT's score is most severe for an MMSE score? 17, 20, 30 - answer>>>17 - lowest number is
most severe
What should you do if your PT scores a 27 on the MMSE, and their PCP dx the PT with alzhiemers -
answer>>>rethink the PCP's dx
Can you give erythromycin and tegretol together? - answer>>>Yes, but you need to decrease the
tegretol level because erythromycin is an inhibitor and will cause a toxic level
,A PT is treated for schizo with zyprexa, which of the following is most common side effect of
zyprexa?
A. Increased waist circumference
B. EPS
C. Metabolic syndrome
D. Increased lipids - answer>>>C. Metabolic syndrome
* If a question has more than one correct answer, use the umbrella answer, meaning there may
be more than one correct answer option - look for the answer that covers all the choice options
What differentiates atypical from typical?
A. 5HT2a receptors antagonist properties
B. 5HT2a receptor agonist properties
C. Specific dopamine receptor 3 and 5HT2a blockade
D. Dopamine receptor 2 antagonist properties - answer>>>A. 5HT2a receptors antagonist
properties
Serotonin antagonism differentiates atypical from typical
*There is most of the time a trick for answering questions... If you have 2 answers that are the
exact opposite of each other, then one is likely correct - answer>>>
If a patient presents with the first psychotic episode, you want to place them on what kind of
antipsychotic? - answer>>>Atypical first such as geode, Invega, IM olanzapine
If they are acting out with active psychosis, give IM geodon
DO NOT GIVE ORAL, MUST GIVE IM with active psychosis
What medication should you give if a PT presents with a dx of delirium with psychosis including
paranoid delusions, AH, VH - answer>>>give haloperidol (low dose haldol)
What is the least weight gain causing atypical? - answer>>>Geodon or Latuda
What atypical antipsychotic is the least sedating - answer>>>Abilify
What mood stabilizer causes the least weight gain - answer>>>lamictal
, Erythromycin - answer>>>• Increases Xanax level because Erythromycin is an INHIBITOR
• First sign of temporal frontal dementia - answer>>>• Behavior and personality changes
• For there to be a duty to a patient what must exist? - answer>>>A Relationship
• For there to be damages, what must exist first? - answer>>>• Negligence
What medications are GAL- renal metabolized - answer>>>• Gabapentin
• Acamprostate (Campral)
• Lithium
• Grape-fruit juice and grapefruit are Inhibitors - answer>>>• One glass can reduce absorption
(metabolism of the drug) by 47%
• Blood level of drug will be increased
• Grasp reflex - answer>>>• An infantile reflex in which an infant closes hand into a fist when
palm is touched
• Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The
grasp reflex lasts until about 5 to 6 months of age
• Greatest patient at risk for violence - answer>>>• Substance abuse
• Hamilton anxiety rating scale (HAP-A) - answer>>>• 0-7 normal
• 14-18 moderated
• > 20 Severe depression
• Hamilton D score of 28 - answer>>>• Assess for suicide
• Health care policy Model - answer>>>• Access
• Cost
• Quality
• Health literacy - answer>>>• A person's capacity to learn about and understand basic health
information and services, and to use these resources to promote one's health and wellness
• Man taking insulin - check literacy by asking him to read blood glucose level
• A client with Herpes Zoster - 3 weeks later experiences sleep difficulties and sad mood -
answer>>>• Adjustment Disorder WITH Depressed Mood (lasts less than 6 months requires only 2
symptoms of depression)
Real Exam Questions and Verified Correct
Answers JUST RELEASED
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment
B. Dx criteria are used to inform clinical judgement
C. Socially deviant behavior is considered a mental dx
D. A culturally response to a stressor is not a mental health disorder - answer>>>D. A culturally
response to a stressor is not a mental illness
Provide brief supportive therapy
Which of the following interventions by the PMHNP for a person experiencing statue de nervous
demonstrates culturally informed care?
A. Offering brief supportive psychotherapy
B. Offer a brief hospitalization
C. Requesting a family member act as an interpreter
D. Offering a low-dose, short term anxiolytic medication - answer>>>A. Offer the brief supportive
psychotherapy.
Angiotensin covering enzyme (ACE) is used for what? - answer>>>- cardiac disease
- CHF
- HTN
End in "pril"
What medications are used for neuropathic pain? - answer>>>- TCA
- SNRI
- Lyrica
- Elavil
- Pamelor
- Cymbalta
What medications specifically should not be stopped abruptly? - answer>>>snris/ssris
They will cause discontinuation syndome
,When should you stop Tegretol (carbamazepine) or Clozaril immediately - answer>>>less than a
1,000 and repeat labs
A nurse attacked 3 weeks ago in the parking lot and not into an argument with her boss that same
day and is now scared to go to work? What is happening to the nurse?
A. A panic dx
B. Acute stress disorder
C. PTSD
D. GAD - answer>>>B. Acute stress disorder
If PT tells you at an appointment and tells you she was raped, what is priority - answer>>>assure
her of being safe in the environment before proceeding with care
Priority for a PT that comes into the ER after cutting risk - answer>>>first ABC's - check vitals and
then safety first
Should you interview a 15 y/o PT that reports abuse with their parents present? - answer>>>Yes
Less than 18 then interview with parents
A 16 y/o PT comes in with the parent and her BMI is <16, HR 40, amenorrhea. As the provider you
try to admit PT but the parent refuses... What do you do - answer>>>Call CPS
PT must be admitted and if need to be transferred then use squad
If a PT comes in with psychosis, what is priority? - answer>>>check urine/toxicology first before
anything
What would it be called if a PT was not allowed to participate in med trial due to not having
insurance? - answer>>>Justice - you are violating justice (fairness in all aspect)
Which PT's score is most severe for an MMSE score? 17, 20, 30 - answer>>>17 - lowest number is
most severe
What should you do if your PT scores a 27 on the MMSE, and their PCP dx the PT with alzhiemers -
answer>>>rethink the PCP's dx
Can you give erythromycin and tegretol together? - answer>>>Yes, but you need to decrease the
tegretol level because erythromycin is an inhibitor and will cause a toxic level
,A PT is treated for schizo with zyprexa, which of the following is most common side effect of
zyprexa?
A. Increased waist circumference
B. EPS
C. Metabolic syndrome
D. Increased lipids - answer>>>C. Metabolic syndrome
* If a question has more than one correct answer, use the umbrella answer, meaning there may
be more than one correct answer option - look for the answer that covers all the choice options
What differentiates atypical from typical?
A. 5HT2a receptors antagonist properties
B. 5HT2a receptor agonist properties
C. Specific dopamine receptor 3 and 5HT2a blockade
D. Dopamine receptor 2 antagonist properties - answer>>>A. 5HT2a receptors antagonist
properties
Serotonin antagonism differentiates atypical from typical
*There is most of the time a trick for answering questions... If you have 2 answers that are the
exact opposite of each other, then one is likely correct - answer>>>
If a patient presents with the first psychotic episode, you want to place them on what kind of
antipsychotic? - answer>>>Atypical first such as geode, Invega, IM olanzapine
If they are acting out with active psychosis, give IM geodon
DO NOT GIVE ORAL, MUST GIVE IM with active psychosis
What medication should you give if a PT presents with a dx of delirium with psychosis including
paranoid delusions, AH, VH - answer>>>give haloperidol (low dose haldol)
What is the least weight gain causing atypical? - answer>>>Geodon or Latuda
What atypical antipsychotic is the least sedating - answer>>>Abilify
What mood stabilizer causes the least weight gain - answer>>>lamictal
, Erythromycin - answer>>>• Increases Xanax level because Erythromycin is an INHIBITOR
• First sign of temporal frontal dementia - answer>>>• Behavior and personality changes
• For there to be a duty to a patient what must exist? - answer>>>A Relationship
• For there to be damages, what must exist first? - answer>>>• Negligence
What medications are GAL- renal metabolized - answer>>>• Gabapentin
• Acamprostate (Campral)
• Lithium
• Grape-fruit juice and grapefruit are Inhibitors - answer>>>• One glass can reduce absorption
(metabolism of the drug) by 47%
• Blood level of drug will be increased
• Grasp reflex - answer>>>• An infantile reflex in which an infant closes hand into a fist when
palm is touched
• Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The
grasp reflex lasts until about 5 to 6 months of age
• Greatest patient at risk for violence - answer>>>• Substance abuse
• Hamilton anxiety rating scale (HAP-A) - answer>>>• 0-7 normal
• 14-18 moderated
• > 20 Severe depression
• Hamilton D score of 28 - answer>>>• Assess for suicide
• Health care policy Model - answer>>>• Access
• Cost
• Quality
• Health literacy - answer>>>• A person's capacity to learn about and understand basic health
information and services, and to use these resources to promote one's health and wellness
• Man taking insulin - check literacy by asking him to read blood glucose level
• A client with Herpes Zoster - 3 weeks later experiences sleep difficulties and sad mood -
answer>>>• Adjustment Disorder WITH Depressed Mood (lasts less than 6 months requires only 2
symptoms of depression)
