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PMHNP
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER CERTIFICATION EXAM
2026-2027 UPDATE EXAM
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➤ 249 Questions and Answers
➤ 100% Guarantee Pass
➤ Verified Correct Answers
➤ Comprehensive High-Yield PMHNP Review
➤ Expert-Verified Explanations
PASS
100%
GUARANTEED
,LMR PMHNP CERTIFICATION EXAM — 2026-2027 UPDATE EXAM
1. What does ADPIE stand for?
Correct answer: Assessment Diagnosis Planning Implementation Evaluation ✔✔
2. What should you do when a mother reports her child woke up screaming in the middle of the night?
Correct answer: Ask her if it's happened before to assess for sleep issue patterns ✔✔
3. What do you do if a patient comes in with fungus on their toenail?
Correct answer: Scrape nail and send for testing ✔✔
4. What do you do if a patient on lithium has dark brown urine?
Correct answer: Check renal function ✔✔
5. What do you do if a patient presents with fever while on Clozaril?
Correct answer: Check ANC level to assess for agranulocytosis ✔✔
6. What can cause serotonin syndrome?
Correct answer: Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan ✔✔
7. What labs are indicative of NMS?
Correct answer: Elevated WBC (over 11,000) and elevated CPK ✔✔
8. S/S of NMS
Correct answer: muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental status,
cherry colored urine ✔✔
9. What should you do if a patient presents with cherry colored urine?
Correct answer: Check for rhabdo with CPK ✔✔
10. s/s of serotonin syndrome
Correct answer: hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia,
HTN, shits and shivers ✔✔
Page 2
, LMR PMHNP CERTIFICATION EXAM — 2026-2027 UPDATE EXAM
11. What two medications to give with NMS?
Correct answer: bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer ✔✔
12. What medication to give during SS?
Correct answer: cyproheptadine (Periactin)- 5HT-2A receptor antagonist ✔✔
13. What is the onset and typical length of NMS?
Correct answer: Slow onset (1-2 weeks after changing or starting therapy) and resolves within 9-14 days
✔✔
14. What is the onset of SS?
Correct answer: Within 24 hours of starting/changing medication and resolves within a few days ✔✔
15. How do you distinguish between NMS and acute dystonia?
Correct answer: NMS has a slower onset while acute dystonia occurs within hours ✔✔
16. What happens with lithium and NSAIDs?
Correct answer: Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.) ✔✔
17. What happens with lithium and ACE inhibitors?
Correct answer: Increased risk of lithium toxicity related to the increased urination from the ACE
inhibitors ✔✔
18. Why should a patient on lithium avoid calcium channel blockers?
Correct answer: Risk of fatal nephrotoxicity ✔✔
19. What is a fetal side effect of lithium?
Correct answer: Epstein's anomaly ✔✔
20. What lab should you check for athletes on lithium?
Correct answer: Specific gravity to assess for dehydration (dehydration is >1.015) ✔✔
Page 3
PMHNP
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER CERTIFICATION EXAM
2026-2027 UPDATE EXAM
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➤ 249 Questions and Answers
➤ 100% Guarantee Pass
➤ Verified Correct Answers
➤ Comprehensive High-Yield PMHNP Review
➤ Expert-Verified Explanations
PASS
100%
GUARANTEED
,LMR PMHNP CERTIFICATION EXAM — 2026-2027 UPDATE EXAM
1. What does ADPIE stand for?
Correct answer: Assessment Diagnosis Planning Implementation Evaluation ✔✔
2. What should you do when a mother reports her child woke up screaming in the middle of the night?
Correct answer: Ask her if it's happened before to assess for sleep issue patterns ✔✔
3. What do you do if a patient comes in with fungus on their toenail?
Correct answer: Scrape nail and send for testing ✔✔
4. What do you do if a patient on lithium has dark brown urine?
Correct answer: Check renal function ✔✔
5. What do you do if a patient presents with fever while on Clozaril?
Correct answer: Check ANC level to assess for agranulocytosis ✔✔
6. What can cause serotonin syndrome?
Correct answer: Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan ✔✔
7. What labs are indicative of NMS?
Correct answer: Elevated WBC (over 11,000) and elevated CPK ✔✔
8. S/S of NMS
Correct answer: muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental status,
cherry colored urine ✔✔
9. What should you do if a patient presents with cherry colored urine?
Correct answer: Check for rhabdo with CPK ✔✔
10. s/s of serotonin syndrome
Correct answer: hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia,
HTN, shits and shivers ✔✔
Page 2
, LMR PMHNP CERTIFICATION EXAM — 2026-2027 UPDATE EXAM
11. What two medications to give with NMS?
Correct answer: bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer ✔✔
12. What medication to give during SS?
Correct answer: cyproheptadine (Periactin)- 5HT-2A receptor antagonist ✔✔
13. What is the onset and typical length of NMS?
Correct answer: Slow onset (1-2 weeks after changing or starting therapy) and resolves within 9-14 days
✔✔
14. What is the onset of SS?
Correct answer: Within 24 hours of starting/changing medication and resolves within a few days ✔✔
15. How do you distinguish between NMS and acute dystonia?
Correct answer: NMS has a slower onset while acute dystonia occurs within hours ✔✔
16. What happens with lithium and NSAIDs?
Correct answer: Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.) ✔✔
17. What happens with lithium and ACE inhibitors?
Correct answer: Increased risk of lithium toxicity related to the increased urination from the ACE
inhibitors ✔✔
18. Why should a patient on lithium avoid calcium channel blockers?
Correct answer: Risk of fatal nephrotoxicity ✔✔
19. What is a fetal side effect of lithium?
Correct answer: Epstein's anomaly ✔✔
20. What lab should you check for athletes on lithium?
Correct answer: Specific gravity to assess for dehydration (dehydration is >1.015) ✔✔
Page 3
