GEORGETTE REVIEW PMHNP EXAM LATEST 2025 UPDATED
QUESTIONS AND CORRECT DETAILED ANSWERS||ALREADY GRADED
A+ PROFESSOR VERIFIED
When many CORRECT ANSWERs are remarkably similar, they are usually _____________ -
CORRECT ANSWERwrong
Interprofessional collaboration is encouraged. -CORRECT ANSWERCollaborate is usually
right.
Delegate is usually wrong.
ADPIER -CORRECT ANSWERAssessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium -CORRECT ANSWERNormal 0.6-1.2
Lithium toxicity occurs at levels -CORRECT ANSWER> 1.5
Signs of Lithium toxicity -CORRECT ANSWERsevere nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for -CORRECT ANSWERMANIA
Lithium has evidence shown to -CORRECT ANSWERreduce suicidal ideation
,What does lithium cause in neonate, especially 1st trimester -CORRECT ANSWEREbstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -CORRECT ANSWERrise
Baseline labs before initiation of lithium -CORRECT ANSWERTSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium -CORRECT ANSWERhypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum -CORRECT ANSWERstaying hydrated
avoiding NSAIDS
compliance
Depakote normal level -CORRECT ANSWER50-125
,Depakote toxicity level -CORRECT ANSWERgreater than 150
Teratogenic effects of Depakote -CORRECT ANSWERspina bifida
Adverse effects of depakote -CORRECT ANSWERalopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin
or eyes, fatigue
Signs of Depakote toxicity -CORRECT ANSWERdisorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity -CORRECT ANSWERDC med
check level
LFT
ammonia
MAOI + tyramine causes -CORRECT ANSWERhypertensive crisis
Symptoms of hypertensive crisis -CORRECT ANSWERelevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + -CORRECT ANSWERMEPERIDINE
, STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis -CORRECT ANSWERDC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos -CORRECT ANSWERfloppy baby, cleft palate
Teratogenic effects of tegratol -CORRECT ANSWERneural tube defect
teratogenic effects of lithium -CORRECT ANSWERebstein anomaly (heart defect) (avoid,
especially 1st trimester)
teratogenic effects of depakote -CORRECT ANSWERneural tube defects/spina bifida
Adverse reaction to Lamictal -CORRECT ANSWERSteven Johnson's Syndrome
Signs of SJS -CORRECT ANSWERFEVER --high yield
sore throat
facial swelling
tongue swelling
QUESTIONS AND CORRECT DETAILED ANSWERS||ALREADY GRADED
A+ PROFESSOR VERIFIED
When many CORRECT ANSWERs are remarkably similar, they are usually _____________ -
CORRECT ANSWERwrong
Interprofessional collaboration is encouraged. -CORRECT ANSWERCollaborate is usually
right.
Delegate is usually wrong.
ADPIER -CORRECT ANSWERAssessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium -CORRECT ANSWERNormal 0.6-1.2
Lithium toxicity occurs at levels -CORRECT ANSWER> 1.5
Signs of Lithium toxicity -CORRECT ANSWERsevere nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for -CORRECT ANSWERMANIA
Lithium has evidence shown to -CORRECT ANSWERreduce suicidal ideation
,What does lithium cause in neonate, especially 1st trimester -CORRECT ANSWEREbstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -CORRECT ANSWERrise
Baseline labs before initiation of lithium -CORRECT ANSWERTSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium -CORRECT ANSWERhypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum -CORRECT ANSWERstaying hydrated
avoiding NSAIDS
compliance
Depakote normal level -CORRECT ANSWER50-125
,Depakote toxicity level -CORRECT ANSWERgreater than 150
Teratogenic effects of Depakote -CORRECT ANSWERspina bifida
Adverse effects of depakote -CORRECT ANSWERalopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin
or eyes, fatigue
Signs of Depakote toxicity -CORRECT ANSWERdisorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity -CORRECT ANSWERDC med
check level
LFT
ammonia
MAOI + tyramine causes -CORRECT ANSWERhypertensive crisis
Symptoms of hypertensive crisis -CORRECT ANSWERelevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + -CORRECT ANSWERMEPERIDINE
, STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis -CORRECT ANSWERDC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos -CORRECT ANSWERfloppy baby, cleft palate
Teratogenic effects of tegratol -CORRECT ANSWERneural tube defect
teratogenic effects of lithium -CORRECT ANSWERebstein anomaly (heart defect) (avoid,
especially 1st trimester)
teratogenic effects of depakote -CORRECT ANSWERneural tube defects/spina bifida
Adverse reaction to Lamictal -CORRECT ANSWERSteven Johnson's Syndrome
Signs of SJS -CORRECT ANSWERFEVER --high yield
sore throat
facial swelling
tongue swelling
