PMHNP certification Exam 2025(Actual test verified A+)

PMHNPcertificationExam. QuestionsAndAnswers xk kx kx xk xk




Latest Updated 2025Actual test verified By Expert.Top kx kx xk kx kx kx kx xk




RankedQs &Ans. GuaranteedA+….. kx kx xk kx xk




1. Which patient is at highest risk for SI kx kx kx kx kx kx kx




A. 30y/o married AAfemale with previous SI attempt *1risk factor kx kx kx kx kx kx kx kx kx kx




B. 35 y/o single Asian male withprevious SI attempt *3risk factors
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C. 38 y/o single AAmale who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression): D. 68 y/o single white male
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with depression *5 risk factors (age, male, white, depression)
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Count the risk factors kx kx kx




2. Wheninterviewteenagers(16y/o)thatarrivewiththeirparentswhatshouldyoudo?:interviewthemseparately from
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parents.kx




-This helps Build therapeutic rapportwith teens by telling them the info is confidential. Parents may be upset but remember you are
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advocating for the child.
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3. WhichEthnic group has thehighest rate of suicide?: NativeAmericans kx kx kx kx kx kx kx kx kx kx




4. Example Apatient is being treated for schizophreniawitholanzapine. kx x
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kx Which of the following is the most common side effect of olanzapine?
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A. Increasedwaist circumference kx kx




B. EPS(not as commonin atypical antipsychotics d/t 5HT2A)-receptoran-tagonism
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C. Increased Lipids kx




D. MetabolicSyndrome: D.MetabolicSyndrome(UMBRELLAANSWER) x
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5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least sedating), Geodon-if patient has
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kx metabolic syndrome consider switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY
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6. Which mood stabilizer have the least weight gain?: Lamictal -But remember all mood stabilizers cause some weight
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kx gain

7. When presented with a question about typical vs atypical antipsychotic the answer is usually to start of a:
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kx atypical

8. A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and
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kx changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of
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kx these functions? A. Thalamus
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B.Hypothalamus
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C.Limbic System
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1

,D.Hippocampus: Hypothalamus
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A, B, & D are allpart of thelimbic system so you can rule that out
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9. When a patient is hesitant to participate in treatment you should encourage?: Bring a support person like a
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husband
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10. Thyroid-Stimulatinghormonenormallevel: 0.5-5.0Mu/L kx kx kx kx kx




11. When T4 and T3 are high and TSH is low what is the diagnosis: HY- kx kx kx kx kx kx kx kx kx kx kx kx kx kx




PERTHYROIDISM,TSH secretion decreases: TSHLOWà key symptoms HEAT INTOLERANCE
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12. Keysymptoms of Heat Intolerance: Hyperthyroidism kx kx kx kx kx




13. When T4 and T3 are Low and TSH is high what is the diagnosis: (HYPOTHYROIDISM) TSH secretion increased: TSH
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kx HIGH à COLD INTERANCE kx kx kx




14. Keysymptoms of Cold Intolerance: Hypothyroidism kx kx kx kx kx




15. Hyperthyroid can mimic: Mania kx kx kx




16. Hypothyroid can mimic: Depression kx kx kx




17. Apatient ondepakotecomplains of RUQ pain and has reddish/brown urine: Hepatoxicity -Check LFTs
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18. SignsofDepakotetoxicity: Disorientation,confusion,lethargy kx kx kx kx kx kx




19. Yoususpect depakotetoxicitywhat do you do?: Check kx kx kx kx kx kx kx kx




-LFT
-Ammonia
-DepakoteLevel kx




20. Whatherbal supplement cancause hepatoxicity?: KavaKava kx kx kx kx kx kx kx




21. When taking Kava Kava in combinations with other medications you should caution about:
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k x Risk of Hepatoxicity and Sedation k x kx kx kx




22. TCAs carrya risk of: Hepatotoxicity kx kx kx kx kx




23. Signsof Stevens-JohnsonSyndrome: -fever,mouthpain, swelling,burningeyes,blisters,skinpain
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24. twopsychotropics knownto cause steven johnson syndrome: lamictal and tegretol
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25. Whatnationalityis most suseptible of gettingsteven johnson?: Asians kx kx kx kx kx kx kx kx kx




26. Whentreating asianswithtegretal screen for?: HLAB-1502 Allele kx kx kx kx kx kx kx kx




27. Whattwomedicationscause agranulocytosis?: Clozaril& Tegretal kx kx kx kx kx kx kx




28. Agranulocytosiswhentodiscontinuemedication: Lessthan1000 kx kx kx kx kx kx kx




29Whenmonitoring for agranulocytosis in patients look for s/s of what?: Infection
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-Fever,sore throat,fatigue, chills kx kx kx kx




Page2 of 35 kx kx kx

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30. Before startinganymood stabilizer in a female of childbearing age be sureto check?: HCG
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31. Whichtwo medications maydecrease the riskof suicide?: clozaril and lithium
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32. Medications that increase lithium level: NSAID-ibuprofen, INDOCIN THIAZIDES-hydrochlorithiazide ACE INHIBITORS- kx kx kx kx kx kx kx kx kx




lisinopril
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33. Ace inhibitors are treatment of choice for?: Heart Failure
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34. Certainmedications are knownto increase lithium level, but HOW?: by reducingrenalclearance
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35. Wheneducatinga patient about lithiumteachthem about: HyponatremiaDehydration-hot days,exercise
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36. NormalLithium Level: 0.6-1.2 kx kx kx




37. LithiumToxicity:1.5orabove x
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Discontinue and re-order lithium level
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38. Lithiumlevel of 1.4: Monitor for toxicity kx kx kx kx kx kx




39. Labsbefore startinglithium: TSH,BUN, CREATININE, HCG, U/A to check
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for presenceof protein in the urine (4+ protein is concerning for renal impairment)à4+ proteinin urine=MONITOR FOR TOXICITY
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40. 4+ protein in the urine of a patient onlithium: 4+ protein is concerning for renal impairment 4+
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protein in urine=MONITOR FOR TOXICITY
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41. Lithium side effects: hypothyroid, leukocytosis, maculopapular rash, t-wave inversion, Coarse Hand Tremor, GI upset
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(nausea, vomiting, anorexia)
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-Someof these are also signs of toxicity
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42. Signsof lithiumtoxicity: confusion,ataxia, GIupset, palpitation,tremor
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43. NMS: musclerigidity,mutism (becauseofmusclerigidity),increasedCPK
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(caused by muscle contraction andmuscle destruction), increase WBC, increasedWBC, myoglobinuria(also frommuscle
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destruction)
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44. Cherrycolored urine in a patient that exercises a lot: test formyoglobinuria may be asignofrhabdo
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45 Serotonin Syndrome: With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusio
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myoclonus, cardiovascular instability, flushing, diarrhea, seizures.
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-Treatment:cyproheptadine(5-HT2receptorantagonist). kx xk kx xk




46. Treatmentfor NMS: StopOffendingMedication kx kx kx kx kx




-Dantrolene(musclerelaxer) kx kx




-Bromocriptine(DopamineD2agonist). kx xk kx




*In questionfocus onwhat they are asking for. ........dopamineagonist vs muscle relaxer
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47. Treatmentfor Serotonin Syndrome: StopMed (1 ormore SSRI, SSNRI,TCA,MOAI) kx kx kx kx kx kx kx kx kx kx kx kx




-Cyproheptadine

48. Triptans: Used forMIGRAINES kx kx kx




-ThesemedsincreaseserotoninexampleSUMATRIPTAN
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49. patient takingProzac and started on sumatriptan: -callPCP to ask them to switch the migraine medif patient
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kx already on SUMATRIPTAN do not start antidepressant without talking to PCP
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50. How long do youwait when switching between an SSRI toan MAOI?: 2 weeks
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51. How long do youwaitwhen switching between Prozac andMAOI?: 5-6 weeks washout period
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52. What is the first line treatment for depressionand why?: SSRI-First line treatmentfordepression due to less risk of
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kx injury from OVERDOSE kx kx




53. If a cancer patient hasdepressionwhat should you consider?: Treating with amedicationwithminimal
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kx drug/drug side effects like Lexapro kx kx kx kx




54. Patientwith depression worries about sexual dysfunctionwhat would be the medicationof choice?:
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Wellbutrin

55. Primarysymptoms of depression include fatigue and low energywhat medwould you chose?: Wellbutrin kx kx kx kx kx kx kx kx kx kx kx kx kx kx




56. Wellbutriniscontraindicatedin patientswith: Seizures andanorexia kx kx kx kx kx kx kx kx




57. Whichmedications arebest forneuropathicpain?: SNRI kx kx kx kx kx kx kx




Gabapentin
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TCA
58 Secondary to the black box warning providers caring for patients on antidepressants should assess for?:
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Suicidality,frequency, andseverityat EVERYappointment kx kx kx kx kx kx




59. Whichmedshave theworseserotonin discontinuationsyndrome: Those kx kx kx kx kx kx kx kx




with short half lives such as zoloft
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60. Symptoms of serotonin withdrawal syndrome: Fever, achiness, soreness, lethargy, fatigue, impaired k x k x k x k x k x k x k x k x k x k x




k x memory, decreased concentration, GI UPSET kx kx kx kx




Shitsand Shivers kx kx




61. Ages of onset for schizophreniainmales vs females: -MALES18-25 years kx kx kx kx kx kx kx kx kx kx kx





kx kx