1|Page
GEORGETTE EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 79-year old female with no past psychiatric history is admitted
with new onset AH. The patient states her most bothersome
symptom is the voices which have kept her from sleeping through
the night for the last 3 weeks and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime
for sleep?
A. olanzapine 2.5mg PO
B. lorazepam 1mg PO
C. chlorpromazine 50mg PO
D. sertraline 50mg PO - ANSWERS-A. olanzapine 2.5mg PO
A 16-year-old male with a history of smoking cigarettes and
marijuana is being evaluated at the request of the school and
parents. The child states that the reason he smokes is it "helps
calm me down" as he is anxious all of the time. Which of the
following medications would be the best choice?
,2|Page
A. fluoxetine 20mg PO daily
B. clonazepam 0.5mg PO daily
C. vortioxetine 20mg PO daily
D. citalopram 5mg PO daily - ANSWERS-A. fluoxetine 20mg PO
daily
Fluoxetine is an SSRI with a long half-life, approved in
children for depression and anxiety. Children's doses should
be started at the usual (not lower dose) due to their fast
metabolisms.
Clonazepam should be avoided in children due to high abuse
potential.
Vortioxetine is not approved in children.
Citalopram is approved for children but the starting dose is
too low.
A patient has had a pharmacogenomic test, which reveals he is
an extensive metabolizer of CYP450, 1A2, 2D6, and 3A4. The
PMHNP should prescribe:
,3|Page
A. a lower-than-usual dose
B. the usual dose
C. a higher than usual dose
D. a different medication - ANSWERS-B. the usual dose
Extensive metabolizers are normal, and medications should
be prescribed according to the prescriber's information. Poor
metabolizers have two defective genes and require lower
doses of medicine and longer titration schedule and may not
be able to reach therapeutic effect. Slow metabolizers need
lower doses of medicine. Ultra-rapid metabolizers need
higher doses of the drug.
A woman in her 20th week of pregnancy has been resumed on
lithium for bipolar disorder. The PMHNP knows that the patient
may become subtherapeutic despite taking the medication as
prescribed due to:
a. Increased blood volume
, 4|Page
b. Increased fetal metabolism
c. Reduced muscle mass
d. Reduced blood volume - ANSWERS-a. Increased blood
volume
Increased blood volume occurs as pregnancy progresses
and patients may need higher doses of medication to
maintain concentration effects.
Fetal metabolism has no impact on maternal metabolism, but
caution is exercised for potential adverse effects to the fetus.
Pregnant women do not have decreased blood volume or
muscle mass.
The PMHNP knows the relationship between drug concentration
and effect on the body is known as:
A. pharmacology
B. pharmacokinetics
C. pharmacodynamics
D. physiology - ANSWERS-C. pharmacodynamics
GEORGETTE EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 79-year old female with no past psychiatric history is admitted
with new onset AH. The patient states her most bothersome
symptom is the voices which have kept her from sleeping through
the night for the last 3 weeks and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime
for sleep?
A. olanzapine 2.5mg PO
B. lorazepam 1mg PO
C. chlorpromazine 50mg PO
D. sertraline 50mg PO - ANSWERS-A. olanzapine 2.5mg PO
A 16-year-old male with a history of smoking cigarettes and
marijuana is being evaluated at the request of the school and
parents. The child states that the reason he smokes is it "helps
calm me down" as he is anxious all of the time. Which of the
following medications would be the best choice?
,2|Page
A. fluoxetine 20mg PO daily
B. clonazepam 0.5mg PO daily
C. vortioxetine 20mg PO daily
D. citalopram 5mg PO daily - ANSWERS-A. fluoxetine 20mg PO
daily
Fluoxetine is an SSRI with a long half-life, approved in
children for depression and anxiety. Children's doses should
be started at the usual (not lower dose) due to their fast
metabolisms.
Clonazepam should be avoided in children due to high abuse
potential.
Vortioxetine is not approved in children.
Citalopram is approved for children but the starting dose is
too low.
A patient has had a pharmacogenomic test, which reveals he is
an extensive metabolizer of CYP450, 1A2, 2D6, and 3A4. The
PMHNP should prescribe:
,3|Page
A. a lower-than-usual dose
B. the usual dose
C. a higher than usual dose
D. a different medication - ANSWERS-B. the usual dose
Extensive metabolizers are normal, and medications should
be prescribed according to the prescriber's information. Poor
metabolizers have two defective genes and require lower
doses of medicine and longer titration schedule and may not
be able to reach therapeutic effect. Slow metabolizers need
lower doses of medicine. Ultra-rapid metabolizers need
higher doses of the drug.
A woman in her 20th week of pregnancy has been resumed on
lithium for bipolar disorder. The PMHNP knows that the patient
may become subtherapeutic despite taking the medication as
prescribed due to:
a. Increased blood volume
, 4|Page
b. Increased fetal metabolism
c. Reduced muscle mass
d. Reduced blood volume - ANSWERS-a. Increased blood
volume
Increased blood volume occurs as pregnancy progresses
and patients may need higher doses of medication to
maintain concentration effects.
Fetal metabolism has no impact on maternal metabolism, but
caution is exercised for potential adverse effects to the fetus.
Pregnant women do not have decreased blood volume or
muscle mass.
The PMHNP knows the relationship between drug concentration
and effect on the body is known as:
A. pharmacology
B. pharmacokinetics
C. pharmacodynamics
D. physiology - ANSWERS-C. pharmacodynamics
