PMHNP certification Exam (2025/2026) Questions And Answers (Actual test verified Grade A+).

PMHNPcertificationExam.QuestionsAndAnswers jf jf jf jf jf




LatestUpdated2025ActualtestverifiedByExpert.Top jf jf jf jf jf jf jf jf




RankedQs&Ans. GuaranteedA+….. jf jf jf jf jf




1. Whichpatientisat highestriskforSI jf jf jf jf jf jf jf




A. 30y/omarried AAfemalewithpreviousSI attempt*1risk factor jf jf jf jf jf jf jf jf jf jf




B. 35y/o single AsianmalewithpreviousSI attempt*3riskfactors
jf jf jf jf jf jf jf jf jf jf jf




C. 38 y/o single AAmalewhois a manager of abank*2 risk factors
jf jf jf jf jf jf jf jf jf jf jf jf jf jf




D. 68 y/o singlewhite male with depression *5 risk factors (age, male,white, depression): D. 68 y/o single white male
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf with depression *5 risk factors (age, male, white, depression)
jf jf jf jf jf jf jf jf




Count the riskfactors jf jf jf




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




parents. jf




-This helps Buildtherapeutic rapportwith teens bytelling them the info isconfidential.Parents maybe upsetbut remember you are
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




advocating for the child.
jf jf jf jf




3. WhichEthnicgrouphasthehighestrate ofsuicide?: NativeAmericans jf jf jf jf jf jf jf jf jf jf




4. Example Apatientisbeingtreatedforschizophreniawitholanzapine. jf jf jf jf jf jf jf jf jf




jf Which of the following is the most common side effect of olanzapine?
jf jf jf jf jf jf jf jf jf jf jf




A. Increasedwaistcircumference jf jf




B. EPS(notascommoninatypicalantipsychoticsd/t5HT2A)-receptoran-tagonism
jf jf jf jf jf jf jf jf jf




C. IncreasedLipids jf




D. MetabolicSyndrome:D.MetabolicSyndrome(UMBRELLAANSWER) jf jf jf jf jf jf




5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least sedating), Geodon-if patient has jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf metabolic syndrome consider switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




6. Which mood stabilizer have the least weight gain?: Lamictal -But remember all mood stabilizers cause some weight
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf gain

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




jf atypical

8. A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of these
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf functions? A. Thalamus jf jf




B.Hypothalamus
jf




C.LimbicSystem
jf jf




1

,D.Hippocampus:Hypothalamus
jf jf




A,B, &D are allpartof thelimbic systemso youcanrule thatout
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




9. When a patient is hesitant to participate in treatment you should encourage?: Bring a support person like a husband
jf jf jf jf jf jf jf jf jf jf jf j f jf jf jf jf jf jf




10. Thyroid-Stimulatinghormonenormallevel:0.5-5.0Mu/L jf jf jf jf jf




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




jf PERTHYROIDISM,TSHsecretiondecreases:TSHLOWàkey symptoms HEATINTOLERANCE jf jf jf jf jf jf jf jf jf jf




12. KeysymptomsofHeatIntolerance:Hyperthyroidism jf jf jf jf jf




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




jf à COLD INTERANCE
jf jf




14. Keysymptomsof ColdIntolerance: Hypothyroidism jf jf jf jf jf




15. Hyperthyroidcanmimic:Mania jf jf jf




16. Hypothyroidcanmimic:Depression jf jf jf




17. Apatientondepakotecomplainsof RUQpainandhasreddish/brownurine: Hepatoxicity -Check LFTs
jf jf jf jf jf jf jf jf jf jf jf jf jf jf




18. SignsofDepakotetoxicity:Disorientation,confusion,lethargy jf jf jf jf jf jf




19. Yoususpect depakotetoxicitywhatdoyou do?: Check jf jf jf jf jf jf jf jf




-LFT
-Ammonia
-DepakoteLevel jf




20. Whatherbalsupplementcancausehepatoxicity?: KavaKava jf jf jf jf jf jf jf




21. When taking Kava Kava in combinations with other medications you should caution about:
j f j f j f j f j f j f j f j f j f j f j f j f




j f Risk of Hepatoxicity and Sedation j f jf jf jf




22. TCAscarrya risk of: Hepatotoxicity jf jf jf jf jf




23. SignsofStevens-JohnsonSyndrome:-fever,mouthpain,swelling,burningeyes,blisters,skinpain jf jf jf jf jf jf jf jf jf jf jf jf




24. twopsychotropicsknowntocausestevenjohnsonsyndrome: lamictal andtegretol
jf jf jf jf jf jf jf jf jf jf




25. Whatnationalityismostsuseptibleofgettingstevenjohnson?: Asians jf jf jf jf jf jf jf jf jf




26. Whentreatingasianswithtegretalscreenfor?:HLAB-1502Allele jf jf jf jf jf jf jf jf




27. Whattwomedicationscauseagranulocytosis?: Clozaril&Tegretal jf jf jf jf jf jf jf




28. Agranulocytosiswhentodiscontinuemedication:Lessthan1000 jf jf jf jf jf jf jf




29Whenmonitoringforagranulocytosisinpatientslookfors/sofwhat?: Infection
jf jf jf jf jf jf jf jf jf jf jf jf




-Fever,sorethroat,fatigue, chills jf jf jf jf




Page2 of35 jf jf jf

, .




30. Beforestartinganymoodstabilizerinafemaleofchildbearingagebesuretocheck?: HCG jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




31. Whichtwomedicationsmaydecreasetheriskof suicide?: clozarilandlithium jf jf jf jf jf jf jf jf jf jf jf




32. Medicationsthat increase lithium level: NSAID-ibuprofen, INDOCINTHIAZIDES-hydrochlorithiazide ACE INHIBITORS- jf jf jf jf jf jf jf jf jf




jf lisinopril

33. Aceinhibitorsaretreatmentofchoicefor?: Heart Failurejf jf jf jf jf jf jf jf




34. Certainmedicationsare knowntoincreaselithiumlevel,butHOW?:byreducingrenalclearance jf jf jf jf jf jf jf jf jf jf jf jf jf




35. Wheneducatingapatientaboutlithiumteachthemabout:HyponatremiaDehydration-hotdays,exercise
jf jf jf jf jf jf jf jf jf jf jf jf




36. NormalLithiumLevel:0.6-1.2 jf jf jf




37. LithiumToxicity:1.5orabove jf jf jf jf




jf Discontinue and re-order lithium level jf jf jf jf




38. Lithiumlevelof1.4:Monitorfor toxicity jf jf jf jf jf jf




39. Labsbeforestartinglithium: TSH,BUN,CREATININE,HCG,U/Ato check
jf jf jf jf jf jf jf jf jf jf




forpresenceof proteinin the urine (4+ proteinis concerningfor renalimpairment)à4+proteinin urine=MONITOR FOR TOXICITY
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




40. 4+ proteinintheurineof apatientonlithium: 4+ proteinis concerningfor renalimpairment 4+
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf protein in urine=MONITOR FOR TOXICITY
jf jf jf jf




41. Lithium side effects: hypothyroid, leukocytosis, maculopapular rash, t-wave inversion, Coarse Hand Tremor, GI upset
jf jf jf jf jf jf jf jf jf jf jf jf jf




jf (nausea, vomiting, anorexia) jf jf




-Someofthese arealso signs oftoxicity
jf jf jf jf jf jf jf




42. Signsoflithiumtoxicity: confusion,ataxia,GIupset,palpitation,tremor jf jf jf jf jf jf jf jf jf




43. NMS:musclerigidity,mutism(becauseofmusclerigidity),increasedCPKjf jf jf jf jf jf jf jf jf




(causedbymuscle contractionandmuscle destruction),increase WBC, increasedWBC,myoglobinuria(alsofrommuscle destruction)
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




44. Cherrycoloredurineinapatientthatexercisesalot: testformyoglobinuriamaybe asignofrhabdo
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf





jf jf

, .



45 Serotonin Syndrome: With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion
j f j f j f j f j f j f j f j f j f j f j f j f j f j f j f




myoclonus, cardiovascular instability, flushing, diarrhea, seizures.
jf jf jf jf jf jf




-Treatment:cyproheptadine(5-HT2receptorantagonist). jf jf jf jf




46. TreatmentforNMS:StopOffendingMedication jf jf jf jf jf




-Dantrolene(musclerelaxer) jf jf




-Bromocriptine(DopamineD2agonist). jf jf jf




*Inquestionfocus onwhatthey are askingfor. ........ dopamineagonistvsmusclerelaxer
jf jf jf jf jf jf jf jf jf jf jf jf




47. TreatmentforSerotoninSyndrome: StopMed(1ormoreSSRI,SSNRI,TCA,MOAI) jf jf jf jf jf jf jf jf jf jf jf jf




-Cyproheptadine

48. Triptans:UsedforMIGRAINES jf jf jf




-ThesemedsincreaseserotoninexampleSUMATRIPTAN
jf jf jf jf jf




49. patienttakingProzacandstarted onsumatriptan: -callPCPto askthem to switch themigrainemedif patient already jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf on SUMATRIPTAN do not start antidepressant without talking to PCP
jf jf jf jf jf jf jf jf jf




50. Howlongdoyouwaitwhenswitchingbetweenan SSRItoanMAOI?: 2weeks jf jf jf jf jf jf jf jf jf jf jf jf jf jf




51. HowlongdoyouwaitwhenswitchingbetweenProzacandMAOI?: 5-6weeks washoutperiod jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




52. Whatis thefirst linetreatmentfor depressionandwhy?: SSRI-First linetreatmentfordepressiondue tolessrisk of injury
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf from OVERDOSE jf




53. Ifa cancerpatient hasdepressionwhat should you consider?: Treatingwithamedicationwithminimal
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




jf drug/drug side effects like Lexapro jf jf jf jf




54. Patientwith depressionworriesaboutsexualdysfunctionwhatwouldbethe medicationofchoice?: jf jf jf jf jf jf jf jf jf jf jf jf jf




Wellbutrin

55. Primarysymptoms of depressionincludefatigueandlow energywhat medwouldyouchose?: Wellbutrin jf jf jf jf jf jf jf jf jf jf jf jf jf jf




56. Wellbutriniscontraindicatedinpatientswith: Seizuresandanorexia jf jf jf jf jf jf jf jf




57. Whichmedicationsarebestforneuropathicpain?:SNRI jf jf jf jf jf jf jf




Gabapentin
jf




TCA
58 Secondary to the black box warning providers caring for patients on antidepressants should assess for?:
jf jf jf jf jf jf jf jf jf jf jf jf jf jf jf




Suicidality,frequency,andseverityatEVERYappointment jf jf jf jf jf jf




59. Whichmedshavetheworseserotonindiscontinuationsyndrome: Those with jf jf jf jf jf jf jf jf jf




jf short half lives such as zoloft
jf jf jf jf jf




60. Symptoms of serotonin withdrawal syndrome: Fever, achiness, soreness, lethargy, fatigue, impaired j f j f j f j f j f j f j f j f j f j f




j f memory, decreased concentration, GI UPSET jf jf jf jf




ShitsandShivers jf jf




61. Agesofonsetforschizophreniainmalesvsfemales: -MALES18-25years jf jf jf jf jf jf jf jf jf jf jf




jf jf