PMHNP MOCK BOARD (FITZGERALD)
NEWEST ACTUAL EXAM 2024-2025
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+
GRADE STUDYGUIDE
Pt has been stable on sertraline 50mg for many years.
Today she is 2 months post-partum. Reports sleep
disturbance, irritability, fatigue, return of anxiety. What lab
do you check? Correct Answer TSH
Which second-generation antipsychotic should be avoided
in an overweight patient at risk for diabetes? Correct
Answer Olanzapine (Zyprexa)
45-year-old man with OCD, schizoid personality disorder,
HTN, hyperlipidemia, Type 2 DM. Which medication would
be considered to manage cholesterol? Correct Answer
Moderate intensity statin therapy
45-year-old man with OCD, schizoid personality disorder,
HTN, hyperlipidemia, Type 2 DM. Pt develops psychotic
symptoms. Based on metabolic profile, which
antipsychotic would be most appropriate? Correct Answer
Ziprasidone
Lab testing of 34-year-old M taking valproate for 2 months
for bipolar disorder reveals:
,AST 240 (ref. 0-40), ALT 132 (ref 0-40)
The PMHNP considers:
Discontinuing valproate therapy
Decreasing the dose
Making no changes and repeat testing in 2 weeks
This is an anticipated elevation Correct Answer
Discontinue valproate therapy
Which neurotransmitter is involved with benzodiazepines?
Correct Answer GABA
Gamma-aminobutyric acid
Which neurotransmitter is involved with venlafaxine?
Correct Answer Serotonin and norepinephrine
Which neurotransmitter is involved with methylphenidate?
Correct Answer Dopamine and norepinephrine
Which neurotransmitter is involved with antipsychotics?
Correct Answer Dopamine
Which neurotransmitter is involved with bupropion?
Correct Answer Dopamine and norepinephrine
A patient diagnosed with Alzheimer's dementia is likely to
have dysfunction of which part of the brain? Correct
Answer Hippocampus
The ability of a person who has had a stroke to regain
speech ability by recruiting other areas of the brain to
, compensate for damaged regions is an example of
Correct Answer Neural plasticity
The dopamine pathway responsible for the positive
symptoms of schizophrenia is the Correct Answer
Mesolimbic dopamine pathway
The dopamine pathway related to prolactin regulation is
the Correct Answer Tuberoinfundibular dopamine pathway
The dopamine pathway related to motor function is the
Correct Answer Nigrostriatal dopamine pathway
The dopamine pathway related to mood disorders is the
Correct Answer Mesolimbic dopamine pathway
The dopamine pathway related to cognition and planning
is the Correct Answer Mesocortical dopamine pathway
Rationalization is an example of what defense
mechanism? Correct Answer Neurotic
While conducting a therapy session with a 24-year-old
male with MDD, all of the following techniques are used
during CBT except:
Downward arrow
Joining statement
Labeling of distortions
Cognitive restructuring Correct Answer Joining statement
NEWEST ACTUAL EXAM 2024-2025
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+
GRADE STUDYGUIDE
Pt has been stable on sertraline 50mg for many years.
Today she is 2 months post-partum. Reports sleep
disturbance, irritability, fatigue, return of anxiety. What lab
do you check? Correct Answer TSH
Which second-generation antipsychotic should be avoided
in an overweight patient at risk for diabetes? Correct
Answer Olanzapine (Zyprexa)
45-year-old man with OCD, schizoid personality disorder,
HTN, hyperlipidemia, Type 2 DM. Which medication would
be considered to manage cholesterol? Correct Answer
Moderate intensity statin therapy
45-year-old man with OCD, schizoid personality disorder,
HTN, hyperlipidemia, Type 2 DM. Pt develops psychotic
symptoms. Based on metabolic profile, which
antipsychotic would be most appropriate? Correct Answer
Ziprasidone
Lab testing of 34-year-old M taking valproate for 2 months
for bipolar disorder reveals:
,AST 240 (ref. 0-40), ALT 132 (ref 0-40)
The PMHNP considers:
Discontinuing valproate therapy
Decreasing the dose
Making no changes and repeat testing in 2 weeks
This is an anticipated elevation Correct Answer
Discontinue valproate therapy
Which neurotransmitter is involved with benzodiazepines?
Correct Answer GABA
Gamma-aminobutyric acid
Which neurotransmitter is involved with venlafaxine?
Correct Answer Serotonin and norepinephrine
Which neurotransmitter is involved with methylphenidate?
Correct Answer Dopamine and norepinephrine
Which neurotransmitter is involved with antipsychotics?
Correct Answer Dopamine
Which neurotransmitter is involved with bupropion?
Correct Answer Dopamine and norepinephrine
A patient diagnosed with Alzheimer's dementia is likely to
have dysfunction of which part of the brain? Correct
Answer Hippocampus
The ability of a person who has had a stroke to regain
speech ability by recruiting other areas of the brain to
, compensate for damaged regions is an example of
Correct Answer Neural plasticity
The dopamine pathway responsible for the positive
symptoms of schizophrenia is the Correct Answer
Mesolimbic dopamine pathway
The dopamine pathway related to prolactin regulation is
the Correct Answer Tuberoinfundibular dopamine pathway
The dopamine pathway related to motor function is the
Correct Answer Nigrostriatal dopamine pathway
The dopamine pathway related to mood disorders is the
Correct Answer Mesolimbic dopamine pathway
The dopamine pathway related to cognition and planning
is the Correct Answer Mesocortical dopamine pathway
Rationalization is an example of what defense
mechanism? Correct Answer Neurotic
While conducting a therapy session with a 24-year-old
male with MDD, all of the following techniques are used
during CBT except:
Downward arrow
Joining statement
Labeling of distortions
Cognitive restructuring Correct Answer Joining statement
