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MHNP Exam Reported Questions – Practice Questions, Study Guide, and Certification Exam Review

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This document provides comprehensive preparation for the Psychiatric-Mental Health Nurse Practitioner (PMHNP) certification exam, featuring exam-style practice questions and review material covering the core competencies commonly assessed for board certification. It includes psychiatric assessment, diagnosis, psychopharmacology, psychotherapy, neurobiology, therapeutic communication, ethical and legal considerations, evidence-based practice, and clinical decision-making to help candidates strengthen their knowledge and prepare confidently for the exam.

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Institution
PMHNP
Course
PMHNP

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PMHNP EXAM REPORTED
QUESTIONS WITH VERIFIED
ANSWERS GRADED A+ - LATEST
VERSION 2026
What is dissemination? - answer-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? - answer-Moderate cognitive impairment



What is Tegretol in the CYP450 system? - answer-Inducer -->will lower dose of Lamictal
and BCP's



What do BCP's do to Lamictal? - answer-Inducer - will lower dose of Lamictal



What is a Type I research error? - answer-There IS a difference but you say there isn't a
difference.



What is a Type II research error? - answer-There is NO difference but you say there is a
difference.



What is pseudo-dementia? - answer-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 have a palmar grasp? - answer-Yes.



What is a drug 1/2 life? - answer-The time it takes for 50% of a drug to be eliminated from
the body.



What 3 atypicals can be used with teens? - answer-Zyprexa, Abilify, Seroquel - low
doses



What is a risk of using Tramadol? - answer-Serotonin Syndrome as it is very
serotonergic.



What is the allele seen in Asians that increase the risk of SJS? - answer-HLAB-1502



When might you see toxic epidermal necrolysis? - answer-With worsening of SJS



How many generations do you include for a genogram? - answer-1st degree - mother,
father, siblings

2nd degree - grandparents & cousins

3rd degree -



What does messenger RNA code for? - answer-Amino Acids



What is epigenetics? - answer-Factors that affect genes - environmental, smoking,
stress, etc...



What part of the brain is involved with OCD? - answer-Basal Ganglia

Occipito-Frontal



What happens to the brain during adolescence? - answer-Dendritic pruning

,Emotions are controlled by amygdala

By adulthood, PFC involved as well



When do males typically present with schizophrenia? - answer-10-25 yo



When do females typically present with schizophrenia? - answer-25-35 yo



What does Erythromycin to trileptal? - answer-You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor



ACE Inhibitors are the drug of choice for what? - answer-Heart Failure

HTN



What are some psychiatric side effects seen with some asthma drugs - answer-
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor



What should you watch for with Tegretol? - answer-Agranulocytosis and Hyponatremia



What are the 3 CK muscle enzyme tests? - answer-CKBB, CKMM, CKMB



Which one of the 3 muscle enzymes are related to cardiac muscle damage? - answer-
CKMB



What is the risk of a seriously elevated CKMB? - answer-Polymyositis

Rhabdo



What is a normal CKMB? - answer-0.3 mcg/L

, What psychoactives does Detrol interact with? - answer-Topamax

KCL

Zonegran



What CN are you assessing when you have the patient shrug their shoulders? - answer-
CN XI - Spinal Accessory



What do you see in labs with HIV & Dementia? - answer-CD4 <200

Viral Load is high

<20% get it with antiretroviral treatment



What is the scoring with the Beck Depression Inventory? - answer-Self-Report - 0-63

0-13 - minimal

14-19 - mild

20-28 - moderate

29-63 - severe



What is sensitivity? - answer-Helps rule-out disease = True Positive = Snout



What is specificity? - answer-Helps rule-in disease = True Negative = Spin



What does a sed rate measure? - answer-Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.



What is a normal sed rate or ESR? - answer-0-22 males

0-29 females



What is a retic count? - answer-Measures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.

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Institution
PMHNP
Course
PMHNP

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