LMR Georgette’s PMHNP Certification Exam Latest Questions And Correct Answers(Verified Answers)

LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)


What does ADPIE stand for? - (ANSWER)Assessment

Diagnosis

Planning

Implementation

Evaluation



What should you do when a mother reports her child woke up screaming in the middle of the
night? - (ANSWER)Ask her if it's happened before to assess for sleep issue patterns

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What do you do if a patient comes in with fungus on their toenail? - (ANSWER)Scrape nail and
send for testing



What do you do if a patient on lithium has dark brown urine? - (ANSWER)Check renal function



What do you do if a patient presents with fever while on Clozaril? - (ANSWER)Check ANC level
to assess for agranulocytosis



What can cause serotonin syndrome? - (ANSWER)Antidepressants, St. John's Wort, Same-E,
Kava Kava, and Tryptophan



What labs are indicative of NMS? - (ANSWER)Elevated WBC (over 11,000) and elevated CPK



S/S of NMS - (ANSWER)muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating,
altered mental status, cherry colored urine



What should you do if a patient presents with cherry colored urine? - (ANSWER)Check for
rhabdo with CPK

,LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)




s/s of serotonin syndrome - (ANSWER)hyperreflexia, muscle spasms, myoclonus (involuntary
muscle jerk), fever, tachycardia, HTN, shits and shivers



What two medications to give with NMS? - (ANSWER)bromocriptine (Parlodel)- D2 agonist
dantrolene- muscle relaxer



What medication to give during SS? - (ANSWER)cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
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What is the onset and typical length of NMS? - (ANSWER)Slow onset (1-2 weeks after changing
or starting therapy) and resolves within 9-14 days



What is the onset of SS? - (ANSWER)Within 24 hours of starting/changing medication and
resolves within a few days



How do you distinguish between NMS and acute dystonia? - (ANSWER)NMS has a slower onset
while acute dystonia occurs within hours



What happens with lithium and NSAIDs? - (ANSWER)Increased risk of lithium toxicity (gout
meds, ibuprophen, naproxen, etc.)



What happens with lithium and ACE inhibitors? - (ANSWER)Increased risk of lithium toxicity
related to the increased urination from the ACE inhibitors



Why should a patient on lithium avoid calcium channel blockers? - (ANSWER)Risk of fatal
nephrotoxicity

, LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)


What is a fetal side effect of lithium? - (ANSWER)Epstein's anomaly



What lab should you check for athletes on lithium? - (ANSWER)Specific gravity to assess for
dehydration (dehydration is >1.015)



What do you do if the lithium level is 1.3? - (ANSWER)Do not give the next dose and assess for
s/s



At what level is lithium toxicity a medical emergency? - (ANSWER)>3
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S/S of lithium toxicity - (ANSWER)vomiting, diarrhea, slurred speech, hand tremor, dry
mouth/thirst, muscle weakness/twitching



Why check an EKG with lithium? - (ANSWER)Inverted T-waves



What medication should treat hypothyroidism caused by lithium use? - (ANSWER)Synthroid



What do you do if patient is prescribed both depakote and lamictal? - (ANSWER)Decreased
lamictal dose by 50%



Depakote and pregnancy - (ANSWER)Spina bifida



What emergency may be occuring if patient on depakote reports upper abdominal pain? -
(ANSWER)Pancreatitis



What lab should you check if patient has right upper quadrant pain and dark brown urine? -
(ANSWER)LFTs