1
PMHNP certification Exam 2025(Actual test
verified A+)
1. Which gpatient gis gat ghighest grisk gfor gSI
A. 30y/o gmarried gAA gfemale gwith gprevious gSI gattempt g*1 grisk gfactor
B. 35 gy/o gsingle gAsian gmale gwith gprevious gSI gattempt g*3 grisk gfactors
C. 38 gy/o gsingle gAA gmale gwho gis ga gmanager gof ga gbank g*2 grisk gfactors
D. 68 gy/o gsingle gwhite gmale gwith gdepression g*5 grisk gfactors g(age, gmale, gwhite, gdepression): gD. g68 gy/o gsingle gwhite gmale
gwith gdepression g*5 grisk gfactors g(age, gmale, gwhite, gdepression)
Count gthe grisk gfactors
2. When ginterview gteenagers g(16 gy/o) gthat garrive gwith gtheir gparents gwhat gshould gyou gdo?: ginterview gthem
gseparately gfrom gparents.
-This ghelps gBuild gtherapeutic grapport gwith gteens gby gtelling gthem gthe ginfo gis gconfiden- gtial. gParents gmay gbe gupset gbut gremember
gyou gare gadvocating gfor gthe gchild.
3. Which gEthnic ggroup ghas gthe ghighest grate gof gsuicide?: gNative gAmericans
4. Example gA gpatient gis gbeing gtreated gfor gschizophrenia gwith golanzapine. gWhich gof gthe gfollowing gis gthe gmost
gcommon gside geffect gof golanzapine?
A. Increased gwaist gcircumference
B. EPS g(not gas gcommon gin gatypical gantipsychotics gd/t g5HT2A)-receptor gan- gtagonism
C. Increased gLipids
D. Metabolic g Syndrome: gD. gMetabolic g Syndrome g (UMBRELLA g ANSWER)
5. Which gantipsychotics ghave gthe gleast gweight ggain?: gLatuda, gAbilify, g(also gleast gsedating), gGeodon-if gpatient ghas gmetabolic
gsyndrome gconsider gswitching gto gone gof gthe gmedications gabove. gOr gif gthe gpatient gis goverly gsedated gtry gswitching gto
gABILIFY
6. Which gmood gstabilizer ghave gthe gleast gweight ggain?: gLamictal
-But gremember gall gmood gstabilizers gcause gsome gweight ggain
7. When gpresented gwith ga gquestion gabout gtypical gvs gatypical gantipsychotic gthe ganswer gis gusually gto gstart gof ga:
gatypical
1 g/ g38
, 2
8. A gclient gpresents gwith gcomplains gof gchanges gin gappetite, gfeeling gfatigued, gproblems gwith gsleep-rest gcycle, gand
gchanges gin glibido. gWhat gis gthe gneu- groanatomical garea gof gthe gbrain gthat gis gresponsible gfor gthe gnormal gregulation
gof gthese gfunctions?
A. Thalamus
B. Hypothalamus
C. Limbic gSystem
D. Hippocampus: gHypothalamus
A, gB, g& gD gare gall gpart gof gthe glimbic gsystem gso gyou gcan grule gthat gout
2 g/ g38
, 3
9. When a patient is hesitant to participate in treatment you should encour-
g g g g g g g g g g g g
age?: Bring a support person like a husband
g g g g g g g g
10. Thyroid-Stimulating ghormone gnormal glevel: g0.5-5.0 gMu/L
11. When gT4 gand gT3 gare ghigh gand gTSH gis glow gwhat gis gthe gdiagnosis: gHY- gPERTHYROIDISM, gTSH gsecretion
gdecreases: gTSH gLOW gà gkey gsymptoms gHEAT gINTOLERANCE
12. Key gsymptoms gof gHeat gIntolerance: gHyperthyroidism
13. When gT4 gand gT3 gare gLow gand gTSH gis ghigh gwhat gis gthe gdiagnosis: g(HY- gPOTHYROIDISM) gTSH gsecretion
gincreased: gTSH gHIGH gà gCOLD gINTERANCE
14. Key gsymptoms gof gCold gIntolerance: gHypothyroidism
15. Hyperthyroid gcan gmimic: gMania
16. Hypothyroid gcan gmimic: gDepression
17. A gpatient gon gdepakote gcomplains gof gRUQ gpain gand ghas greddish/brown gurine: gHepatoxicity
-Check gLFTs
18. Signs gof gDepakote gtoxicity: gDisorientation, gconfusion, glethargy
19. You gsuspect gdepakote gtoxicity gwhat gdo gyou gdo?: gCheck
-LFT
-Ammonia
-Depakote gLevel
20. What gherbal gsupplement gcan gcause ghepatoxicity?: gKava gKava
21. When gtaking gKava gKava gin gcombinations gwith gother gmedications gyou gshould gcaution gabout: gRisk gof
gHepatoxicity gand gSedation
22. TCAs gcarry ga grisk gof: gHepatotoxicity
23. Signs gof gStevens-Johnson gSyndrome: g-fever, gmouth gpain, gswelling, gburning geyes, gblisters, gskin gpain
24. two gpsychotropics gknown gto gcause gsteven gjohnson gsyndrome: glamictal gand gtegretol
25. What gnationality gis gmost gsuseptible gof ggetting gsteven gjohnson?: gAsians
26. When gtreating gasians gwith gtegretal gscreen gfor?: gHLAB-1502 gAllele
27. What gtwo gmedications gcause gagranulocytosis?: gClozaril g& gTegretal
28. Agranulocytosis gwhen gto gdiscontinue gmedication: gLess gthan g1000
3 g/ g38
, 4
29. When monitoring for agranulocytosis in patients look for s/s of what?: -
g g g g g g g g g g g g
Infection
-Fever, sore throat, fatigue, chills
g g g g
30. Before gstarting gany gmood gstabilizer gin ga gfemale gof gchildbearing gage gbe gsure gto gcheck?: gHCG
31. Which gtwo gmedications gmay gdecrease gthe grisk gof gsuicide?: gclozaril gand glithium
32. Medications gthat gincrease glithium glevel: gNSAID-ibuprofen, gINDOCIN gTHIAZIDES-hydrochlorithiazide gACE
gINHIBITORS-lisinopril
33. Ace ginhibitors gare gtreatment gof gchoice gfor?: gHeart gFailure
34. Certain gmedications gare gknown gto gincrease glithium glevel, gbut gHOW?: gby greducing grenal gclearance
35. When geducating ga gpatient gabout glithium gteach gthem gabout: gHyponatremia gDehydration-hot gdays, gexercise
36. Normal gLithium gLevel: g0.6-1.2
37. Lithium gToxicity: g1.5 gor gabove gDiscontinue gand
gre-order glithium glevel
38. Lithium glevel gof g1.4: gMonitor gfor gtoxicity
39. Labs gbefore gstarting glithium: gTSH, gBUN, gCREATININE, gHCG, gU/A gto gcheck gfor gpresence gof gprotein gin gthe gurine
g(4+ gprotein gis gconcerning gfor grenal gimpair- gment)à4+ gprotein gin gurine=MONITOR gFOR gTOXICITY
40. 4+ gprotein gin gthe gurine gof ga gpatient gon glithium: g4+ gprotein gis gconcerning gfor grenal gimpairment
4+ gprotein gin gurine=MONITOR gFOR gTOXICITY
41. Lithium gside geffects: ghypothyroid, gleukocytosis, gmaculopapular grash, gt-wave ginversion, gCoarse gHand gTremor, gGI gupset
g(nausea, gvomiting, ganorexia)
-Some gof gthese gare galso gsigns gof gtoxicity
42. Signs gof glithium gtoxicity: gconfusion, gataxia, gGI gupset, gpalpitation, gtremor
43. NMS: gmuscle grigidity, gmutism g(because gof gmuscle grigidity), gincreased gCPK g(caused gby gmuscle gcontraction gand gmuscle
gdestruction), gincrease gWBC, gincreased gWBC, gmyoglobinuria g(also gfrom gmuscle gdestruction)
44. Cherry gcolored gurine gin ga gpatient gthat gexercises ga glot: gtest gfor gmyoglobinuria gmay gbe ga gsign gof grhabdo
4 g/ g38
PMHNP certification Exam 2025(Actual test
verified A+)
1. Which gpatient gis gat ghighest grisk gfor gSI
A. 30y/o gmarried gAA gfemale gwith gprevious gSI gattempt g*1 grisk gfactor
B. 35 gy/o gsingle gAsian gmale gwith gprevious gSI gattempt g*3 grisk gfactors
C. 38 gy/o gsingle gAA gmale gwho gis ga gmanager gof ga gbank g*2 grisk gfactors
D. 68 gy/o gsingle gwhite gmale gwith gdepression g*5 grisk gfactors g(age, gmale, gwhite, gdepression): gD. g68 gy/o gsingle gwhite gmale
gwith gdepression g*5 grisk gfactors g(age, gmale, gwhite, gdepression)
Count gthe grisk gfactors
2. When ginterview gteenagers g(16 gy/o) gthat garrive gwith gtheir gparents gwhat gshould gyou gdo?: ginterview gthem
gseparately gfrom gparents.
-This ghelps gBuild gtherapeutic grapport gwith gteens gby gtelling gthem gthe ginfo gis gconfiden- gtial. gParents gmay gbe gupset gbut gremember
gyou gare gadvocating gfor gthe gchild.
3. Which gEthnic ggroup ghas gthe ghighest grate gof gsuicide?: gNative gAmericans
4. Example gA gpatient gis gbeing gtreated gfor gschizophrenia gwith golanzapine. gWhich gof gthe gfollowing gis gthe gmost
gcommon gside geffect gof golanzapine?
A. Increased gwaist gcircumference
B. EPS g(not gas gcommon gin gatypical gantipsychotics gd/t g5HT2A)-receptor gan- gtagonism
C. Increased gLipids
D. Metabolic g Syndrome: gD. gMetabolic g Syndrome g (UMBRELLA g ANSWER)
5. Which gantipsychotics ghave gthe gleast gweight ggain?: gLatuda, gAbilify, g(also gleast gsedating), gGeodon-if gpatient ghas gmetabolic
gsyndrome gconsider gswitching gto gone gof gthe gmedications gabove. gOr gif gthe gpatient gis goverly gsedated gtry gswitching gto
gABILIFY
6. Which gmood gstabilizer ghave gthe gleast gweight ggain?: gLamictal
-But gremember gall gmood gstabilizers gcause gsome gweight ggain
7. When gpresented gwith ga gquestion gabout gtypical gvs gatypical gantipsychotic gthe ganswer gis gusually gto gstart gof ga:
gatypical
1 g/ g38
, 2
8. A gclient gpresents gwith gcomplains gof gchanges gin gappetite, gfeeling gfatigued, gproblems gwith gsleep-rest gcycle, gand
gchanges gin glibido. gWhat gis gthe gneu- groanatomical garea gof gthe gbrain gthat gis gresponsible gfor gthe gnormal gregulation
gof gthese gfunctions?
A. Thalamus
B. Hypothalamus
C. Limbic gSystem
D. Hippocampus: gHypothalamus
A, gB, g& gD gare gall gpart gof gthe glimbic gsystem gso gyou gcan grule gthat gout
2 g/ g38
, 3
9. When a patient is hesitant to participate in treatment you should encour-
g g g g g g g g g g g g
age?: Bring a support person like a husband
g g g g g g g g
10. Thyroid-Stimulating ghormone gnormal glevel: g0.5-5.0 gMu/L
11. When gT4 gand gT3 gare ghigh gand gTSH gis glow gwhat gis gthe gdiagnosis: gHY- gPERTHYROIDISM, gTSH gsecretion
gdecreases: gTSH gLOW gà gkey gsymptoms gHEAT gINTOLERANCE
12. Key gsymptoms gof gHeat gIntolerance: gHyperthyroidism
13. When gT4 gand gT3 gare gLow gand gTSH gis ghigh gwhat gis gthe gdiagnosis: g(HY- gPOTHYROIDISM) gTSH gsecretion
gincreased: gTSH gHIGH gà gCOLD gINTERANCE
14. Key gsymptoms gof gCold gIntolerance: gHypothyroidism
15. Hyperthyroid gcan gmimic: gMania
16. Hypothyroid gcan gmimic: gDepression
17. A gpatient gon gdepakote gcomplains gof gRUQ gpain gand ghas greddish/brown gurine: gHepatoxicity
-Check gLFTs
18. Signs gof gDepakote gtoxicity: gDisorientation, gconfusion, glethargy
19. You gsuspect gdepakote gtoxicity gwhat gdo gyou gdo?: gCheck
-LFT
-Ammonia
-Depakote gLevel
20. What gherbal gsupplement gcan gcause ghepatoxicity?: gKava gKava
21. When gtaking gKava gKava gin gcombinations gwith gother gmedications gyou gshould gcaution gabout: gRisk gof
gHepatoxicity gand gSedation
22. TCAs gcarry ga grisk gof: gHepatotoxicity
23. Signs gof gStevens-Johnson gSyndrome: g-fever, gmouth gpain, gswelling, gburning geyes, gblisters, gskin gpain
24. two gpsychotropics gknown gto gcause gsteven gjohnson gsyndrome: glamictal gand gtegretol
25. What gnationality gis gmost gsuseptible gof ggetting gsteven gjohnson?: gAsians
26. When gtreating gasians gwith gtegretal gscreen gfor?: gHLAB-1502 gAllele
27. What gtwo gmedications gcause gagranulocytosis?: gClozaril g& gTegretal
28. Agranulocytosis gwhen gto gdiscontinue gmedication: gLess gthan g1000
3 g/ g38
, 4
29. When monitoring for agranulocytosis in patients look for s/s of what?: -
g g g g g g g g g g g g
Infection
-Fever, sore throat, fatigue, chills
g g g g
30. Before gstarting gany gmood gstabilizer gin ga gfemale gof gchildbearing gage gbe gsure gto gcheck?: gHCG
31. Which gtwo gmedications gmay gdecrease gthe grisk gof gsuicide?: gclozaril gand glithium
32. Medications gthat gincrease glithium glevel: gNSAID-ibuprofen, gINDOCIN gTHIAZIDES-hydrochlorithiazide gACE
gINHIBITORS-lisinopril
33. Ace ginhibitors gare gtreatment gof gchoice gfor?: gHeart gFailure
34. Certain gmedications gare gknown gto gincrease glithium glevel, gbut gHOW?: gby greducing grenal gclearance
35. When geducating ga gpatient gabout glithium gteach gthem gabout: gHyponatremia gDehydration-hot gdays, gexercise
36. Normal gLithium gLevel: g0.6-1.2
37. Lithium gToxicity: g1.5 gor gabove gDiscontinue gand
gre-order glithium glevel
38. Lithium glevel gof g1.4: gMonitor gfor gtoxicity
39. Labs gbefore gstarting glithium: gTSH, gBUN, gCREATININE, gHCG, gU/A gto gcheck gfor gpresence gof gprotein gin gthe gurine
g(4+ gprotein gis gconcerning gfor grenal gimpair- gment)à4+ gprotein gin gurine=MONITOR gFOR gTOXICITY
40. 4+ gprotein gin gthe gurine gof ga gpatient gon glithium: g4+ gprotein gis gconcerning gfor grenal gimpairment
4+ gprotein gin gurine=MONITOR gFOR gTOXICITY
41. Lithium gside geffects: ghypothyroid, gleukocytosis, gmaculopapular grash, gt-wave ginversion, gCoarse gHand gTremor, gGI gupset
g(nausea, gvomiting, ganorexia)
-Some gof gthese gare galso gsigns gof gtoxicity
42. Signs gof glithium gtoxicity: gconfusion, gataxia, gGI gupset, gpalpitation, gtremor
43. NMS: gmuscle grigidity, gmutism g(because gof gmuscle grigidity), gincreased gCPK g(caused gby gmuscle gcontraction gand gmuscle
gdestruction), gincrease gWBC, gincreased gWBC, gmyoglobinuria g(also gfrom gmuscle gdestruction)
44. Cherry gcolored gurine gin ga gpatient gthat gexercises ga glot: gtest gfor gmyoglobinuria gmay gbe ga gsign gof grhabdo
4 g/ g38
