GEORGETTE’S LMR PMHNP CERTIFICATION
EXAM QUESTIONS 2026|GURANTEED ACCURATE
ANSWERS |VERIFIED
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother Ask her if it's happened before to assess for sleep
reports her child woke up screaming issue patterns
in the middle of the night?
What do you do if a patient comes in Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranulocytosis
with fever while on Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava,
syndrome? and Tryptophan
, What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia,
abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with bromocriptine (Parlodel)- D2 agonist dantrolene-
NMS? muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length Slow onset (1-2 weeks after changing or starting
of NMS? therapy) and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS has a slower onset while acute dystonia
NMS and acute dystonia? occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout meds,
NSAIDs? ibuprophen, naproxen, etc.)
What happens with lithium and ACE Increased risk of lithium toxicity related to the
inhibitors? increased urination from the ACE inhibitors
EXAM QUESTIONS 2026|GURANTEED ACCURATE
ANSWERS |VERIFIED
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother Ask her if it's happened before to assess for sleep
reports her child woke up screaming issue patterns
in the middle of the night?
What do you do if a patient comes in Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranulocytosis
with fever while on Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava,
syndrome? and Tryptophan
, What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia,
abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with bromocriptine (Parlodel)- D2 agonist dantrolene-
NMS? muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length Slow onset (1-2 weeks after changing or starting
of NMS? therapy) and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS has a slower onset while acute dystonia
NMS and acute dystonia? occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout meds,
NSAIDs? ibuprophen, naproxen, etc.)
What happens with lithium and ACE Increased risk of lithium toxicity related to the
inhibitors? increased urination from the ACE inhibitors
