Chamberlain University-Illinois NR 607
LMR Georgette’s PMHNP
Certification Exam Latest 2026
Questions And Correct
Answers(Verified Answers)
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her Ask her if it's happened before to assess for sleep issue patterns
child woke up screaming in the middle of the
night?
What do you do if a patient comes in with fungus Scrape nail and send for testing
on their toenail?
What do you do if a patient on lithium has dark Check renal function
brown urine?
What do you do if a patient presents with fever Check ANC level to assess for agranulocytosis
while on Clozaril?
What can cause serotonin syndrome? Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating,
altered mental status, cherry colored urine
What should you do if a patient presents with Check for rhabdo with CPK
cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk),
fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor antagonist
What is the onset and typical length of NMS? Slow onset (1-2 weeks after changing or starting therapy) and resolves
within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication and resolves within a
few days
How do you distinguish between NMS and acute NMS has a slower onset while acute dystonia occurs within hours
dystonia?
, What happens with lithium and NSAIDs? Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.)
What happens with lithium and ACE inhibitors? Increased risk of lithium toxicity related to the increased urination
from the ACE inhibitors
Why should a patient on lithium avoid calcium Risk of fatal nephrotoxicity
channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for athletes on lithium? Specific gravity to assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? Do not give the next dose and assess for s/s
At what level is lithium toxicity a medical >3
emergency?
S/S of lithium toxicity vomiting, diarrhea, slurred speech, hand tremor, dry mouth/thirst,
muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat hypothyroidism Synthroid
caused by lithium use?
What do you do if patient is prescribed both Decreased lamictal dose by 50%
depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be occuring if patient on Pancreatitis
depakote reports upper abdominal pain?
What lab should you check if patient has LFTs
right upper quadrant pain and dark brown
urine?
What lab means pregnancy? HCG
Why is Clozaril used? Treatment resistant schizophrenia, improves SI, and improves negative
symptoms of schizophrenia
What two medications have the highest risk Clozaril and Tegretol
of agranulocytosis and aplastic anemia?
What symptoms may mean a Clozaril Sore throats, sores in mouth/gums, fever
induced infection?
When should you discontinue Clozaril or Tegretol? WBC < 2000 or ANC <1000
What should you check in Asian patients taking For the HLA-B*1502 allele (higher risk of SJS)
Tegretol?
What two epidermal issues can arise from Tegretol Toxic epidermal necrosis and SJS
or Lamictal?
What may be the issue if a patient on
Aspetic meningitis
LMR Georgette’s PMHNP
Certification Exam Latest 2026
Questions And Correct
Answers(Verified Answers)
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her Ask her if it's happened before to assess for sleep issue patterns
child woke up screaming in the middle of the
night?
What do you do if a patient comes in with fungus Scrape nail and send for testing
on their toenail?
What do you do if a patient on lithium has dark Check renal function
brown urine?
What do you do if a patient presents with fever Check ANC level to assess for agranulocytosis
while on Clozaril?
What can cause serotonin syndrome? Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating,
altered mental status, cherry colored urine
What should you do if a patient presents with Check for rhabdo with CPK
cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk),
fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor antagonist
What is the onset and typical length of NMS? Slow onset (1-2 weeks after changing or starting therapy) and resolves
within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication and resolves within a
few days
How do you distinguish between NMS and acute NMS has a slower onset while acute dystonia occurs within hours
dystonia?
, What happens with lithium and NSAIDs? Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.)
What happens with lithium and ACE inhibitors? Increased risk of lithium toxicity related to the increased urination
from the ACE inhibitors
Why should a patient on lithium avoid calcium Risk of fatal nephrotoxicity
channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for athletes on lithium? Specific gravity to assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? Do not give the next dose and assess for s/s
At what level is lithium toxicity a medical >3
emergency?
S/S of lithium toxicity vomiting, diarrhea, slurred speech, hand tremor, dry mouth/thirst,
muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat hypothyroidism Synthroid
caused by lithium use?
What do you do if patient is prescribed both Decreased lamictal dose by 50%
depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be occuring if patient on Pancreatitis
depakote reports upper abdominal pain?
What lab should you check if patient has LFTs
right upper quadrant pain and dark brown
urine?
What lab means pregnancy? HCG
Why is Clozaril used? Treatment resistant schizophrenia, improves SI, and improves negative
symptoms of schizophrenia
What two medications have the highest risk Clozaril and Tegretol
of agranulocytosis and aplastic anemia?
What symptoms may mean a Clozaril Sore throats, sores in mouth/gums, fever
induced infection?
When should you discontinue Clozaril or Tegretol? WBC < 2000 or ANC <1000
What should you check in Asian patients taking For the HLA-B*1502 allele (higher risk of SJS)
Tegretol?
What two epidermal issues can arise from Tegretol Toxic epidermal necrosis and SJS
or Lamictal?
What may be the issue if a patient on
Aspetic meningitis
