©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
PMHNP Boards - Scientific Foundation
and Advance Practice Skills Exam Q&A
100% Solved
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are
administered, which block dopamine, a secondary effect is blocking in
another tract, which causes potential prolactin problems, such as
gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔b. tuberoinfundibular
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
A six-year-old patient with autism spectrum disorder has not responded to
six months of psychosocial interventions and continues to demonstrate
aggressive tendencies toward a younger sibling. The psychiatric-mental
health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔3. risperidone
(Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
d. D2 blockade in the HPA axis - ✔✔a. D2 blockade in the nigrostriatial
tract
Which drug carries a higher risk of metabolic effects than the other second
generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going
to be started on an MAOI. How long before starting the MAOI should the
Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔a. 2 weeks
Which drug can produce serious side effect of rash in some Asians, and
the FDA has mandated genetic testing before the administration of this
drug?
a. Dilantin
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
b. Lamictal
c. Depakote
d. Tegretol - ✔✔d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate - ✔✔a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and
aggression; also responsible for connecting sensory smell information with
emotions - ✔✔amygdala
Regulates memory and converts short-term memory into long-term memory
- ✔✔
Plays key roles in various regulatory functions such as appetite, sensations
of hunger and thirst, water balance, circadian rhythms, body temperature,
libido, and hormonal regulation - ✔✔
Patient on lithium and cipro Cipro _____________ lithium level - ✔✔
Patient on psych meds and dexamethasone will complain of what? - ✔✔
PMHNP Boards - Scientific Foundation
and Advance Practice Skills Exam Q&A
100% Solved
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are
administered, which block dopamine, a secondary effect is blocking in
another tract, which causes potential prolactin problems, such as
gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔b. tuberoinfundibular
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
A six-year-old patient with autism spectrum disorder has not responded to
six months of psychosocial interventions and continues to demonstrate
aggressive tendencies toward a younger sibling. The psychiatric-mental
health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔3. risperidone
(Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
d. D2 blockade in the HPA axis - ✔✔a. D2 blockade in the nigrostriatial
tract
Which drug carries a higher risk of metabolic effects than the other second
generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going
to be started on an MAOI. How long before starting the MAOI should the
Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔a. 2 weeks
Which drug can produce serious side effect of rash in some Asians, and
the FDA has mandated genetic testing before the administration of this
drug?
a. Dilantin
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
b. Lamictal
c. Depakote
d. Tegretol - ✔✔d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate - ✔✔a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and
aggression; also responsible for connecting sensory smell information with
emotions - ✔✔amygdala
Regulates memory and converts short-term memory into long-term memory
- ✔✔
Plays key roles in various regulatory functions such as appetite, sensations
of hunger and thirst, water balance, circadian rhythms, body temperature,
libido, and hormonal regulation - ✔✔
Patient on lithium and cipro Cipro _____________ lithium level - ✔✔
Patient on psych meds and dexamethasone will complain of what? - ✔✔
