Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
1. What drugs should be avoided Alprazolam, CNS depressants (e.g., phenobarbital,
with Kava Kava? zolpidem)
2. What are the 3 functions of a Cul- Clarify meaning of illness, Empower the patient, Vali-
tural Formulation Interview? date symptoms within the cultural context
3. What does a cultural formulation Cultural assessment
interview do?
4. What is the normal range for TSH? 0.5 - 5.0 mu/L
5. What are lab values in Hyperthy- Decreased TSH, Increased T4 and T3
roidism?
6. What are lab values in Hypothy- Increased TSH, Decreased T4 and T3
roidism?
7. What are 5 primary symptoms of Heat intolerance, Agitation, Anxiety, Irritability, Tachy-
Hyperthyroidism? cardia, Mood swings, Weight loss
8. What are 4 primary symptoms of Cold intolerance, Lethargy, Weight gain, Decreased li-
Hypothyroidism? bido
9. Hypothyroidism mimics symptoms Depression
of what psychiatric disorder?
10. Hyperthyroidism mimics symp- Mania
toms of what psychiatric disorder?
11. What teratogenic effect does Val- Spina bifida (neural tube defect)
proic acid produce?
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
12. What is the primary organ where Liver (hepatotoxicity)
Valproic acid is toxic?
13. What are 4 signs of hepatotoxicity? Abdominal pain in the RUQ, Reddish-brown urine, Yel-
lowing of the skin and sclera, Fatigue
14. What is the therapeutic range for 50-125 mcg/ml
Valproic acid?
15. What is a toxic level of Valproic >150 mcg/ml
acid?
16. What are 4 signs of Valproic acid Disorientation, Lethargy, Respiratory depression, Nau-
toxicity? sea/vomiting
17. With suspected toxicity from Val- D/C drug, Check drug level, Obtain LFTs, Obtain ammo-
proic acid, what labs should be nia level
drawn?
18. What is the major side effect of Liver damage
Kava Kava?
19. What herbal supplement is used Kava Kava
for anxiety, stress, and insomnia?
20. What are 5 symptoms of Stephen's Fever, Body aches, Severe red rash, Peeling skin, Facial
Johnson Syndrome? and tongue swelling
21. Which mood stabilizer causes the Lamotrigine (Lamictal)
least weight gain?
22.
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
Which 3 SGAs cause the least Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone
weight gain? (Geodon)
23. Which SGA is the least sedating? Aripiprazole (Abilify)
24. What are 3 hallmark symptoms of Acute disturbance of LOC, Impaired cognition, Inatten-
delirium? tion
25. How are agitation and psychotic Low dose Haldol
symptoms treated in delirium?
26. What 4 drugs can cause mania? Steroids, Disulfiram (Antabuse), Isoniazid (INH), Anti-
depressants (in BPD)
27. What 6 drugs can induce depres- Steroids, Beta blockers, Interferon, Isotretinoin (Accu-
sion? tane), Retroviral drugs, Antineoplastic drugs, Benzodi-
azepines, Progesterone
28. Steroids can induce what 3 psychi- Mania, Depression, Psychosis
atric states?
29. What medication used to treat Isotretinoin (Accutane)
acne can cause birth defects?
30. What is agranulocytosis? <500 ANC
31. What is neutropenia? <2000 PMNs (neutrophils)
32. What ANC level should clozapine <1000 cells/µL
be stopped?
33. What are 4 symptoms of agranulo- Sudden fever, chills, sore throat, weakness
cytosis?
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
34. What does DIGFAST stand for? Distractibility, Indiscretion, Grandiosity, Flight of Ideas,
Activity increased, Sleep decreased, Talkativeness
35. What are 5 neurological symptoms Blindness, mutism, paralysis, paresthesia (glove and
in Conversion Disorder? stocking syndrome), seizures
36. When do symptoms typically begin After a stressful experience (suddenly)
with Conversion Disorder?
37. What are 5 stressful events in a Family move, parent divorce/separation, loss of pet,
child's life that can cause adjust- birth of sibling, sudden or chronic illness
ment disorder?
38. What symptoms may a child with Not going to school, destroying property, driving reck-
adjustment disorder with distur- lessly, or fighting
bances of conduct exhibit?
39. What is the required duration of 6 months
behavior for a DSM-5 diagnosis
of Oppositional Defiant Disorder
(ODD)?
40. How many symptoms must a child 4
with ODD display to meet DSM-5
criteria?
41. What is the mainstay treatment Therapy
of Oppositional Defiant Disorder
(ODD)?
42. Child and parent problem-solving skills training
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
1. What drugs should be avoided Alprazolam, CNS depressants (e.g., phenobarbital,
with Kava Kava? zolpidem)
2. What are the 3 functions of a Cul- Clarify meaning of illness, Empower the patient, Vali-
tural Formulation Interview? date symptoms within the cultural context
3. What does a cultural formulation Cultural assessment
interview do?
4. What is the normal range for TSH? 0.5 - 5.0 mu/L
5. What are lab values in Hyperthy- Decreased TSH, Increased T4 and T3
roidism?
6. What are lab values in Hypothy- Increased TSH, Decreased T4 and T3
roidism?
7. What are 5 primary symptoms of Heat intolerance, Agitation, Anxiety, Irritability, Tachy-
Hyperthyroidism? cardia, Mood swings, Weight loss
8. What are 4 primary symptoms of Cold intolerance, Lethargy, Weight gain, Decreased li-
Hypothyroidism? bido
9. Hypothyroidism mimics symptoms Depression
of what psychiatric disorder?
10. Hyperthyroidism mimics symp- Mania
toms of what psychiatric disorder?
11. What teratogenic effect does Val- Spina bifida (neural tube defect)
proic acid produce?
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
12. What is the primary organ where Liver (hepatotoxicity)
Valproic acid is toxic?
13. What are 4 signs of hepatotoxicity? Abdominal pain in the RUQ, Reddish-brown urine, Yel-
lowing of the skin and sclera, Fatigue
14. What is the therapeutic range for 50-125 mcg/ml
Valproic acid?
15. What is a toxic level of Valproic >150 mcg/ml
acid?
16. What are 4 signs of Valproic acid Disorientation, Lethargy, Respiratory depression, Nau-
toxicity? sea/vomiting
17. With suspected toxicity from Val- D/C drug, Check drug level, Obtain LFTs, Obtain ammo-
proic acid, what labs should be nia level
drawn?
18. What is the major side effect of Liver damage
Kava Kava?
19. What herbal supplement is used Kava Kava
for anxiety, stress, and insomnia?
20. What are 5 symptoms of Stephen's Fever, Body aches, Severe red rash, Peeling skin, Facial
Johnson Syndrome? and tongue swelling
21. Which mood stabilizer causes the Lamotrigine (Lamictal)
least weight gain?
22.
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
Which 3 SGAs cause the least Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone
weight gain? (Geodon)
23. Which SGA is the least sedating? Aripiprazole (Abilify)
24. What are 3 hallmark symptoms of Acute disturbance of LOC, Impaired cognition, Inatten-
delirium? tion
25. How are agitation and psychotic Low dose Haldol
symptoms treated in delirium?
26. What 4 drugs can cause mania? Steroids, Disulfiram (Antabuse), Isoniazid (INH), Anti-
depressants (in BPD)
27. What 6 drugs can induce depres- Steroids, Beta blockers, Interferon, Isotretinoin (Accu-
sion? tane), Retroviral drugs, Antineoplastic drugs, Benzodi-
azepines, Progesterone
28. Steroids can induce what 3 psychi- Mania, Depression, Psychosis
atric states?
29. What medication used to treat Isotretinoin (Accutane)
acne can cause birth defects?
30. What is agranulocytosis? <500 ANC
31. What is neutropenia? <2000 PMNs (neutrophils)
32. What ANC level should clozapine <1000 cells/µL
be stopped?
33. What are 4 symptoms of agranulo- Sudden fever, chills, sore throat, weakness
cytosis?
, Georgette's LMR PMHNP Certification Exam Review QUESTIONS AND VER
IFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!
34. What does DIGFAST stand for? Distractibility, Indiscretion, Grandiosity, Flight of Ideas,
Activity increased, Sleep decreased, Talkativeness
35. What are 5 neurological symptoms Blindness, mutism, paralysis, paresthesia (glove and
in Conversion Disorder? stocking syndrome), seizures
36. When do symptoms typically begin After a stressful experience (suddenly)
with Conversion Disorder?
37. What are 5 stressful events in a Family move, parent divorce/separation, loss of pet,
child's life that can cause adjust- birth of sibling, sudden or chronic illness
ment disorder?
38. What symptoms may a child with Not going to school, destroying property, driving reck-
adjustment disorder with distur- lessly, or fighting
bances of conduct exhibit?
39. What is the required duration of 6 months
behavior for a DSM-5 diagnosis
of Oppositional Defiant Disorder
(ODD)?
40. How many symptoms must a child 4
with ODD display to meet DSM-5
criteria?
41. What is the mainstay treatment Therapy
of Oppositional Defiant Disorder
(ODD)?
42. Child and parent problem-solving skills training
