Georgette Review. PMHNP- 388 QUESTIONS- WITH COMPLETE SOLUTIONS

Georgette Review (PMHNP) | 388 QUESTIONS |
WITH COMPLETE SOLUTIONS | Newest 2026
Update!!!!!!

Whenpmanypanswersparepremarkablypsimilar,ptheyparepusuallyp_____________p-pAnswerp:ppwrong

Interprofessionalpcollaborationpispencouraged.p-pAnswerp:ppCollaboratepispusuallypright.p

Delegatepispusuallypwrong.

ADPIERp-pAnswerp:ppAssessment,pdiagnosis,pPlan,pintervention,pevaluate,preferpoutplast.

Lithiump-pAnswerp:ppNormalp0.6-1.2

Lithiumptoxicitypoccurspatplevelsp-pAnswerp:pp>p1.5

SignspofpLithiumptoxicityp-
pAnswerp:ppseverepnausea,pdiarrhea,pvomiting,pconfusion,pdrowsiness,pmusclepweakness,pheartppalpitatio

n,pcoarsephandptremors,punsteadypgait

Lithiumpispgoldpstandardpforp-pAnswerp:ppMANIA

Lithiumphaspevidencepshownptop-pAnswerp:ppreducepsuicidalpideation

Whatpdoesplithiumpcausepinpneonate,pespeciallyp1stptrimesterp-
pAnswerp:ppEbsteinpanomalyp(congenitalpheartpdefect)


dehydrationpandphyponatremiapcauseplithiumplevelsptop-pAnswerp:pprise

Baselineplabspbeforepinitiationpofplithiump-pAnswerp:ppTSH

creatininep(0.6-1.2)

BUNp(10-20)

HCGp(allppsychotropicspfemalesp12-51)

EKGp50+

Urinalysisp(checkpforpproteins,p4+pmaypindicatepkidneypdisease)

SidepEffectspofpLithiump-pAnswerp:pphypothyroidism

coasephandptremorspwithptoxicity

maculopapularprash

diarrhea,pvomiting,pcramps--signspofptoxicity.pMonitorpclosely.p

anorexia

,tpwavepinversions

leukocytosis

Ptpeducationpforplithimump-pAnswerp:ppstayingphydrated

avoidingpNSAIDS

compliance

Depakotepnormalplevelp-pAnswerp:pp50-125

Depakoteptoxicityplevelp-pAnswerp:ppgreaterpthanp150

TeratogenicpeffectspofpDepakotep-pAnswerp:ppspinapbifida

Adversepeffectspofpdepakotep-pAnswerp:ppalopecia

hepatotoxicityp(RUQppainporpbrown/redpurine--orderpLFTs)pASTp5-40,pALTp5-
35,pyellowingpofpskinporpeyes,pfatigue

SignspofpDepakoteptoxicityp-pAnswerp:ppdisorientation,plethargy,prespiratorypdepression,pnausea/vomiting

Interventionpforpdepakoteptoxicityp-pAnswerp:ppDCpmed

checkplevel

LFT

ammonia

MAOIp+ptyraminepcausesp-pAnswerp:pphypertensivepcrisis

Symptomspofphypertensivepcrisisp-pAnswerp:ppelevatedpBP

suddenpexplosiveplikepheadache

facialpflushing

palpitations

pupillarypdilation

diaphoresis

fever

HypertensivepcrisispoccurspwithpMAOIp+p-pAnswerp:ppMEPERIDINE

STIMULANTS

decongestants

TCAs

atypicals

,St.pJohn'spwart

L-tryptophan

asthmapmeds

Treatmentpforphypertensivepcrisisp-pAnswerp:ppDCpoffendingpagent

AdministerpPHENTOLAMINE

Teratogenicpeffectspofpbenzosp-pAnswerp:ppfloppypbaby,pcleftppalate

Teratogenicpeffectspofptegratolp-pAnswerp:ppneuralptubepdefect

teratogenicpeffectspofplithiump-
pAnswerp:ppebsteinpanomalyp(heartpdefect)p(avoid,pespeciallyp1stptrimester)


teratogenicpeffectspofpdepakotep-pAnswerp:ppneuralptubepdefects/spinapbifida

AdversepreactionptopLamictalp-pAnswerp:ppStevenpJohnson'spSyndrome

SignspofpSJSp-pAnswerp:ppFEVERp--highpyield

sorepthroat

facialpswelling

tonguepswelling

redprash

skinpsloughing

bodypaches

prodromalpheadache

malaise

arthralgia

painfulpmucuspmembranes

Lamotriginepispleastplikelyptopcausep-pAnswerp:ppsedationporpweightpgain

Carbamazepinep(tegretol)pblackpboxpwarningp-pAnswerp:ppagranulocytosisp(decreasepWBCs)

aplasticpanemiap(pallor,pfatigue,pHA,pfever,pnosebleeds,pbleedingpgums,pskinprash,pSOA)

Carbamazepinepandpasiansp-pAnswerp:ppScreenpforpHLAB-
1502pallelepbeforepinitiating,pdueptophighpincidencepofpSJSpifppositivepforpallele.

Child-bearingpagedpwomenp-pAnswerp:ppcheckpforppregnancypbeforepstartingpmoodpstabilizer

startponpfolicpacidptopsupportpneuralptubepdevelopmentpduringpthepfirstpmonthpthatpapwomanpisppregnan
t

, Clozaril/clozapinepcanpcausep-pAnswerp:ppagranulocytosispandpneutropenia

ForpmonitoringpneutropeniapinpClozaril,pmonitorp-pAnswerp:ppANC

DCpclozarlipifpANCp-pAnswerp:pplesspthanp1000

DCpclozarilpifpWBCp-pAnswerp:pp2000-3000,priskpofpagranulocytosis

Whenponpclozarilpmonitorpforp-
pAnswerp:ppsignspandpsymptomspofpinfection:psuddenpfever,pchills,psorepthroat,pweakness


Clozarilponlypknownpantipsychoticptop-pAnswerp:ppdecreasepriskpofpsuicidepinppatientspwithpschizophrenia.

Yourppatientpwithpbipolarpdisorderpispadmittedptopapmedicalphospital.pThepinternistpcontactspyourpofficepa
ndpaskspwhetherptheplithiumpyoupprescribedphimpispeffectingphispECG.pHowpdopyouprespond?

A.pLithiumpcanpprolongpthepQTpinterval

B.pLithiumphaspnopeffectponphispECG

C.pLithiumpcanpinvertptheptpwaves

D.pLithiumpcanpshortenpthepPRpintervalp-pAnswerp:ppAnswer:pLithiumpcanpinvertptheptpwaves.

Marypispap45-year-
oldpAfricanpAmericanpfemalepwhophaspbeenptreatedponpIsocarboxazidp(Marplan)pforpoverp6pyears.pMarypi
spgoingpinpforpapsurgicalpprocedure.pWhichpmedicationpispstrictlypcontraindicatedpwithpIsocarboxazid?

A.pMorphine

B.pNSAIDS

C.pMethylphenidate

D.pAcetaminophenp-pAnswerp:ppAnswer:pMethylphenidate

Youpareptreatingpapclientpwithpschizophreniapwhoptakespclozapine.pWhatplabpvaluespwillpindicatepthepclien
tpneedsptopdiscontinueptreatment?

A.pWBCplesspthanp1800pandpANCplesspthanp1200

B.pANCplesspthanp1,000

C.pWBCplesspthanp5,000

D.pANCplesspthanp2000p-pAnswerp:ppAnswer:pANCplesspthanp1000

Ifpgivenpduringppregnancy,psociumpvalproatepcanpcausepwhichpofpthepfollowingpmedicalpproblemspinpthep
baby?

A.pSJS

B.pEbstein'spanomaly

C.pSpinapbifida