Georgette PMHNP Review – 2025–2026 Exam
Questions & Correct Answers | Psychiatric-Mental
Health NP Board Prep
When many answers are remarkably similar, they are usually
_____________ - ✔ANASWER✔-wrong
If given during pregnancy, socium valproate can cause which of the
following medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - ✔ANASWER✔-A. Spina bifida
,Which mood stabilizer is associated with potential life-threatening rash
in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - ✔ANASWER✔-A. Carbamazepine
Bulimia, weight is ___________ - ✔ANASWER✔-within the normal
range.
Pharm treatment for bulimia - ✔ANASWER✔-Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ✔ANASWER✔-low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ✔ANASWER✔-there is none
therapy
,Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ✔ANASWER✔-Low BMI
Interprofessional collaboration is encouraged. - ✔ANASWER✔-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ✔ANASWER✔-Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ✔ANASWER✔-Normal 0.6-1.2
Lithium toxicity occurs at levels - ✔ANASWER✔-> 1.5
Signs of Lithium toxicity - ✔ANASWER✔-severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard for - ✔ANASWER✔-MANIA
, Lithium has evidence shown to - ✔ANASWER✔-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
✔ANASWER✔-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ✔ANASWER✔-
rise
Baseline labs before initiation of lithium - ✔ANASWER✔-TSH
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 - ✔ANASWER✔-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
Questions & Correct Answers | Psychiatric-Mental
Health NP Board Prep
When many answers are remarkably similar, they are usually
_____________ - ✔ANASWER✔-wrong
If given during pregnancy, socium valproate can cause which of the
following medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - ✔ANASWER✔-A. Spina bifida
,Which mood stabilizer is associated with potential life-threatening rash
in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - ✔ANASWER✔-A. Carbamazepine
Bulimia, weight is ___________ - ✔ANASWER✔-within the normal
range.
Pharm treatment for bulimia - ✔ANASWER✔-Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ✔ANASWER✔-low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ✔ANASWER✔-there is none
therapy
,Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ✔ANASWER✔-Low BMI
Interprofessional collaboration is encouraged. - ✔ANASWER✔-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ✔ANASWER✔-Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ✔ANASWER✔-Normal 0.6-1.2
Lithium toxicity occurs at levels - ✔ANASWER✔-> 1.5
Signs of Lithium toxicity - ✔ANASWER✔-severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard for - ✔ANASWER✔-MANIA
, Lithium has evidence shown to - ✔ANASWER✔-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
✔ANASWER✔-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ✔ANASWER✔-
rise
Baseline labs before initiation of lithium - ✔ANASWER✔-TSH
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 - ✔ANASWER✔-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
