GEORGETTE REVIEW PMHNP EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
Which cytochrome enzyme is implicated as a tobacco inducer when an individual is
treated with clozapine
a. 2D6
b. 1A2
c. 2C19
d. 2C9
1A2
(want A 2 cigarette break)
When treating older adults, you should keep in mind that they are more sensitive to
issues of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration
Decreased protein binding
For 12 years, a 65 year old patient with bipolar affective disorder has been treated with
lithium 900 mg daily. When oral HCTC 12.5 daily is added for hypertension, the patient
develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum
lithium level is 2.0. The interaction of the lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
D. Decreased renal clearance of lithium
A. decreased renal clearance of lithium
Where is norepinephrine produced
locus coeruleus and medullary reticular formation
1|Page
,Norepinephrine is associated with
mood disorders
Serotonin is made where in the brain
raphe nuclei of the brainsteam
Serotonin is associated with
sleep and mood disorder
Dopamine is made in
substantia nigra, central tegmental area, ventral tegmental area,
Dopamine is associated with
addiction and psychosis
Acetylcholine is made
basal nucleus of Meynert
Most abundant inhibitory neurotransmitter in the brain
GABA
I don't have enough GABA, my anxiety is high
Med used to increase GABA
benzos
Fred flinstone needs a Zanny, Gabba dabba do.
Most excitatory neutransmitter
glutamate
Increased level of corticotropin releasing hormone in the amygdala, hippocampus and
locus coeruleus
increases symptoms of anxiety.
Autism
deficits in social communication and social interaction across multiple settings
Parents of kids with autism may report
No response when called by name
Little or no eye contact
Children with autism often like to line up, stack, or organize objects and toys.
2|Page
,Screenings for autism
ADOS
M-CHAT
ASQ
Pharm management for autism
antipsychotics are effective for symptoms such as tantrums, aggressive behaviors, self-
injurious behaviors
Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of the
brain has a large majority of serotonin neurons?
A. raphe nuclei
B. Nucleus acumbuns
C. Locus coeruleus
D. Amygdala
raphe nuclei
Executive functioning, thinking, planning, organizing, and problem solving, emotions,
and behavioral control, personality
frontal lobe
memory, understanding, language
temporal lobe
Both hemispheres of the brain are connected by the
corpus callosum
Area of sensorimotor information exchange between two hemispheres
corpus callosum
When there is disturbances in clock drawing test, which hemisphere is compromised
right hemisphere/right parietal lobe
Area for expressive speech
frontal lobe
Broca's Area
Problems in the frontal lobe can lead to
personality changes, emotional changes, and intellectual changes, social skills
problems, and behavior changes
3|Page
, Area for receptive speech and language comprehension
Temporal lobe
Wernicke's area
Problems in the temporal lobe can lead to
auditory hallucinations, aphasia, and amnesia
Occipital lobe
primary visual area
problems in the occipital lobe can lead to
Visual field deficits, blindness and visual hallucinations.
primary sensory area of the brain
parietal lobe
problems in the parietal lobe can lead to
Sensory-perceptual disturbances and agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
Cerebellum is responsible for
gross motor skills
fine motor skills
balance
A client experiencing difficulties with working memory, planning, and prioritizing, insight
into his problems, and impulse control presents for assessment. In planning his care,
the PMHNP should apply his knowledge that these symptoms represent problems with
the
A. frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe
frontal lobe
Impairments in the clock drawing test can be associated with
damage to the right parietal lobe
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
Which cytochrome enzyme is implicated as a tobacco inducer when an individual is
treated with clozapine
a. 2D6
b. 1A2
c. 2C19
d. 2C9
1A2
(want A 2 cigarette break)
When treating older adults, you should keep in mind that they are more sensitive to
issues of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration
Decreased protein binding
For 12 years, a 65 year old patient with bipolar affective disorder has been treated with
lithium 900 mg daily. When oral HCTC 12.5 daily is added for hypertension, the patient
develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum
lithium level is 2.0. The interaction of the lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
D. Decreased renal clearance of lithium
A. decreased renal clearance of lithium
Where is norepinephrine produced
locus coeruleus and medullary reticular formation
1|Page
,Norepinephrine is associated with
mood disorders
Serotonin is made where in the brain
raphe nuclei of the brainsteam
Serotonin is associated with
sleep and mood disorder
Dopamine is made in
substantia nigra, central tegmental area, ventral tegmental area,
Dopamine is associated with
addiction and psychosis
Acetylcholine is made
basal nucleus of Meynert
Most abundant inhibitory neurotransmitter in the brain
GABA
I don't have enough GABA, my anxiety is high
Med used to increase GABA
benzos
Fred flinstone needs a Zanny, Gabba dabba do.
Most excitatory neutransmitter
glutamate
Increased level of corticotropin releasing hormone in the amygdala, hippocampus and
locus coeruleus
increases symptoms of anxiety.
Autism
deficits in social communication and social interaction across multiple settings
Parents of kids with autism may report
No response when called by name
Little or no eye contact
Children with autism often like to line up, stack, or organize objects and toys.
2|Page
,Screenings for autism
ADOS
M-CHAT
ASQ
Pharm management for autism
antipsychotics are effective for symptoms such as tantrums, aggressive behaviors, self-
injurious behaviors
Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of the
brain has a large majority of serotonin neurons?
A. raphe nuclei
B. Nucleus acumbuns
C. Locus coeruleus
D. Amygdala
raphe nuclei
Executive functioning, thinking, planning, organizing, and problem solving, emotions,
and behavioral control, personality
frontal lobe
memory, understanding, language
temporal lobe
Both hemispheres of the brain are connected by the
corpus callosum
Area of sensorimotor information exchange between two hemispheres
corpus callosum
When there is disturbances in clock drawing test, which hemisphere is compromised
right hemisphere/right parietal lobe
Area for expressive speech
frontal lobe
Broca's Area
Problems in the frontal lobe can lead to
personality changes, emotional changes, and intellectual changes, social skills
problems, and behavior changes
3|Page
, Area for receptive speech and language comprehension
Temporal lobe
Wernicke's area
Problems in the temporal lobe can lead to
auditory hallucinations, aphasia, and amnesia
Occipital lobe
primary visual area
problems in the occipital lobe can lead to
Visual field deficits, blindness and visual hallucinations.
primary sensory area of the brain
parietal lobe
problems in the parietal lobe can lead to
Sensory-perceptual disturbances and agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
Cerebellum is responsible for
gross motor skills
fine motor skills
balance
A client experiencing difficulties with working memory, planning, and prioritizing, insight
into his problems, and impulse control presents for assessment. In planning his care,
the PMHNP should apply his knowledge that these symptoms represent problems with
the
A. frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe
frontal lobe
Impairments in the clock drawing test can be associated with
damage to the right parietal lobe
4|Page
