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GEORGETTE REVIEW PMHNP
EXAM 2026/2027 ACTUAL
QUESTIONS WITH VERIFIED
ANSWERS.
When many answers are remarkably similar, they are usually
_____________ - ANSWER-wrong
Interprofessional collaboration is encouraged. - ANSWER-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER-Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER-> 1.5
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Signs of Lithium toxicity - ANSWER-severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - ANSWER-MANIA
Lithium has evidence shown to - ANSWER-reduce suicidal
ideation
What does lithium cause in neonate, especially 1st trimester -
ANSWER-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -
ANSWER-rise
Baseline labs before initiation of lithium - ANSWER-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
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EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - ANSWER-50-125
Depakote toxicity level - ANSWER-greater than 150
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Teratogenic effects of Depakote - ANSWER-spina bifida
Adverse effects of depakote - ANSWER-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST
5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - ANSWER-disorientation, lethargy,
respiratory depression, nausea/vomiting
Intervention for depakote toxicity - ANSWER-DC med
check level
LFT
ammonia
MAOI + tyramine causes - ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - ANSWER-elevated BP
sudden explosive like headache
facial flushing
GEORGETTE REVIEW PMHNP
EXAM 2026/2027 ACTUAL
QUESTIONS WITH VERIFIED
ANSWERS.
When many answers are remarkably similar, they are usually
_____________ - ANSWER-wrong
Interprofessional collaboration is encouraged. - ANSWER-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER-Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER-> 1.5
,2 | Page
Signs of Lithium toxicity - ANSWER-severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - ANSWER-MANIA
Lithium has evidence shown to - ANSWER-reduce suicidal
ideation
What does lithium cause in neonate, especially 1st trimester -
ANSWER-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -
ANSWER-rise
Baseline labs before initiation of lithium - ANSWER-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
,3 | Page
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - ANSWER-50-125
Depakote toxicity level - ANSWER-greater than 150
, 4 | Page
Teratogenic effects of Depakote - ANSWER-spina bifida
Adverse effects of depakote - ANSWER-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST
5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - ANSWER-disorientation, lethargy,
respiratory depression, nausea/vomiting
Intervention for depakote toxicity - ANSWER-DC med
check level
LFT
ammonia
MAOI + tyramine causes - ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - ANSWER-elevated BP
sudden explosive like headache
facial flushing
