PMHNP Actual Exam Practice
Questions and Correct Answers
(2026/2027 Update)
What is dissemination? Getting the research information out to those
who need to know it!
Publication - highest
level Presenting at
National Conference
Presenting at Local
Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? Moderate cognitive impairment
What is Tegretol in the CYP450 Inducer -->will lower dose of Lamictal and BCP's
system?
What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal
What is a Type I research error? There IS a difference but you say there isn't a
difference.
What is a Type II research error? There is NO difference but you say there is a
difference.
What is pseudo-dementia? Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia
won't improve.
Is it normal for a 1 month old to Yes.
have a palmar grasp?
What is a drug 1/2 life? The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with Zyprexa, Abilify, Seroquel - low doses
teens?
What is a risk of using Tramadol? Serotonin Syndrome as it is very serotonergic.
,What is the allele seen in Asians HLAB-1502
that increase the risk of SJS?
When might you see toxic With worsening of SJS
epidermal necrolysis?
How many generations do you 1st degree - mother,
include for a genogram? father, siblings 2nd
degree - grandparents
& cousins 3rd degree -
What does messenger RNA code Amino Acids
for?
What is epigenetics? Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved Basal
with OCD? Ganglia
Occipito-
Frontal
What happens to the brain during Dendritic pruning
adolescence? Emotions are controlled
by amygdala By
adulthood, PFC
involved as well
When do males typically present 10-25 yo
with schizophrenia?
When do females typically present 25-35 yo
with schizophrenia?
What does Erythromycin to You will need to decreases the level because
trileptal? Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of Heart
choice for what? Failure
HTN
What are some psychiatric side Leukotriene receptor agonists - singulair,
effects seen with some asthma accolade, zyflo = agitation, aggression, anxiety,
,drugs hallucinations, depression, insomnia, SI, tremor
What should you watch for with Agranulocytosis and Hyponatremia
Tegretol?
What are the 3 CK muscle enzyme CKBB, CKMM, CKMB
tests?
Which one of the 3 muscle CKMB
enzymes are related to cardiac
muscle damage?
What is the risk of a seriously Polymy
elevated CKMB? ositis
Rhabd
o
What is a normal CKMB? 0.3 mcg/L
What psychoactives does Detrol Topa
interact with? max
KCL
Zonegran
What CN are you assessing when CN XI - Spinal Accessory
you have the patient shrug their
shoulders?
, What do you see in labs with HIV CD4 <200
& Dementia? Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Self-Report - 0-63
Depression Inventory? 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Helps rule-out disease = True Positive = Snout
What is specificity? Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in
1 hour.
What is a normal sed rate or ESR? 0-22 males
0-29 females
What is a retic count? Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are
being produced by bone marrow.
What does a decreased retic count Anemia - acute or chronic bleeding
indicate?
What does an increased retic Bone marrow disorder or Vitamin Deficiency
count indicate?
What does an abnormal retic ount Doesn't diagnose anything. First step is ID source
indicate in general? of the issue.
What happens when you mix Increase tegretol levels.
tegretol and macrolides?
What happens if a pregnant women Birth defects.
takes Accutane?
What labs do you get with RA? Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in
osteoarthritis.
Where does the NP Code of Ethics ANA
come from?
Questions and Correct Answers
(2026/2027 Update)
What is dissemination? Getting the research information out to those
who need to know it!
Publication - highest
level Presenting at
National Conference
Presenting at Local
Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? Moderate cognitive impairment
What is Tegretol in the CYP450 Inducer -->will lower dose of Lamictal and BCP's
system?
What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal
What is a Type I research error? There IS a difference but you say there isn't a
difference.
What is a Type II research error? There is NO difference but you say there is a
difference.
What is pseudo-dementia? Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia
won't improve.
Is it normal for a 1 month old to Yes.
have a palmar grasp?
What is a drug 1/2 life? The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with Zyprexa, Abilify, Seroquel - low doses
teens?
What is a risk of using Tramadol? Serotonin Syndrome as it is very serotonergic.
,What is the allele seen in Asians HLAB-1502
that increase the risk of SJS?
When might you see toxic With worsening of SJS
epidermal necrolysis?
How many generations do you 1st degree - mother,
include for a genogram? father, siblings 2nd
degree - grandparents
& cousins 3rd degree -
What does messenger RNA code Amino Acids
for?
What is epigenetics? Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved Basal
with OCD? Ganglia
Occipito-
Frontal
What happens to the brain during Dendritic pruning
adolescence? Emotions are controlled
by amygdala By
adulthood, PFC
involved as well
When do males typically present 10-25 yo
with schizophrenia?
When do females typically present 25-35 yo
with schizophrenia?
What does Erythromycin to You will need to decreases the level because
trileptal? Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of Heart
choice for what? Failure
HTN
What are some psychiatric side Leukotriene receptor agonists - singulair,
effects seen with some asthma accolade, zyflo = agitation, aggression, anxiety,
,drugs hallucinations, depression, insomnia, SI, tremor
What should you watch for with Agranulocytosis and Hyponatremia
Tegretol?
What are the 3 CK muscle enzyme CKBB, CKMM, CKMB
tests?
Which one of the 3 muscle CKMB
enzymes are related to cardiac
muscle damage?
What is the risk of a seriously Polymy
elevated CKMB? ositis
Rhabd
o
What is a normal CKMB? 0.3 mcg/L
What psychoactives does Detrol Topa
interact with? max
KCL
Zonegran
What CN are you assessing when CN XI - Spinal Accessory
you have the patient shrug their
shoulders?
, What do you see in labs with HIV CD4 <200
& Dementia? Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Self-Report - 0-63
Depression Inventory? 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Helps rule-out disease = True Positive = Snout
What is specificity? Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in
1 hour.
What is a normal sed rate or ESR? 0-22 males
0-29 females
What is a retic count? Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are
being produced by bone marrow.
What does a decreased retic count Anemia - acute or chronic bleeding
indicate?
What does an increased retic Bone marrow disorder or Vitamin Deficiency
count indicate?
What does an abnormal retic ount Doesn't diagnose anything. First step is ID source
indicate in general? of the issue.
What happens when you mix Increase tegretol levels.
tegretol and macrolides?
What happens if a pregnant women Birth defects.
takes Accutane?
What labs do you get with RA? Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in
osteoarthritis.
Where does the NP Code of Ethics ANA
come from?
