PMHNP Boards - Georgette's | exam questions and
sure answers|latest 2025/2026|A+
When many answers are remarkably similar, they are usually _____________ - ANSWER-
B B B B B B B B B B B
wrong
When two answers are opposites, usually... - ANSWER-one of those two is the correct answer
B B B B B B B B B B B B B B
When looking at questions about intraprofessional communication: ________ don't _______
B B B B B B B B B
__. - ANSWER-collaborate, dont delegate
B B B B
If asked to differentiate #1 from #2; think what is unique about _______. - ANSWER-#1
B B B B B B B B B B B B B B
If a question and an answer use the same words or synonyms, then that answer is usually ___
B B B B B B B B B B B B B B B B B
___. - ANSWER-correct
B B
If an answer has absolutes (only, always) it is usually _________. - ANSWER-wrong
B B B B B B B B B B B B
Levels of prioritization to use when answering questions: three levels. - ANSWER-
B B B B B B B B B B B
1. Airway, breathing, circulation
B B B
2. Maslowes - physiological needs (food, water, warmth, rest), safey and security
B B B B B B B B B B B
3. Nursing process: Assessment, diagnosis, plan, intervention, evaluate, refer out last
B B B B B B B B B B
Lithium levels - Normal and Toxicity - ANSWER-Normal 0.6-1.2
B B B B B B B B
Toxicity > 1.5 B B
Lithium toxicity occurs at levels - ANSWER-> 1.5
B B B B B B B
Signs of Lithium toxicity - ANSWER-
B B B B B
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation
B B B B B B B B B
, coarse hand tremors, unsteady gait
B B B B B
,Lithium is gold standard for - ANSWER-MANIA
B B B B B B
Lithium has evidence shown to (2) - ANSWER-1. reduce suicidal ideation
B B B B B B B B B B
2. Neuroprotective tx of choice for bipolar
B B B B B B
What does lithium cause in neonate, especially 1st trimester - ANSWER-
B B B B B B B B B B
Ebstein anomaly (congenital heart defect)
B B B B
dehydration and hyponatremia cause lithium levels to - ANSWER-rise
B B B B B B B B
Baseline labs before initiation of lithium - ANSWER-TSH
B B B B B B B
creatinine (0.6-1.2) B
BUN (10-20)
B
HCG (all psychotropics females 12-51)
B B B B
EKG 50+
B
Side Effects of Lithium and lithium toxicity - ANSWER-
B B B B B B B B
SIde Effects: hypothyroidism, coarse hand tremors with toxicity, diarrhea, leukocytosis
B B B B B B B B B
Toxicity: N/V, confusion, convulsions, drawsiness, blurred vision, slurred speech, mm weaknes
B B B B B B B B B B
s, heart palpitations, course hand tremors, and unsteadiness when walking (STOP and check le
B B B B B B B B B B B B B
vels)
Why are elderly more sensitive to lithium (5) - ANSWER-
B B B B B B B B B
Decreased intercellular water, protein binding, mm mass, and metabolism
B B B B B B B B
Increased body fat B B
MAOI + tyramine causes - ANSWER-hypertensive crisis - life threatening and emergency
B B B B B B B B B B B
,Symptoms of hypertensive crisis - ANSWER-elevated BP
B B B B B B
sudden explosive occipital headache
B B B
facial flushing
B
palpitations
pupillary dilation B
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - ANSWER-MEPERIDINE
B B B B B B B
STIMULANTS
TCAs
asthma meds B
antipsychotics
Treatment for hypertensive crisis - ANSWER-DC offending agent
B B B B B B B
Administer PHENTOLAMINE B
teratogenic effects of depakote - ANSWER-neural tube defects/spina bifida
B B B B B B B B
Severe side effect of mood stabilizers __ __ __ - ANSWER-Steven Johnson's Syndrome
B B B B B B B B B B B B
Signs of Stevens johnson syndrome (SJS) - ANSWER-FEVER --high yield
B B B B B B B B B
facial swelling
B
tongue swelling
B
burning papule rashe
B B
skin sloughing
B
prodromal headache B
painful mucus membranes
B B
, Side effects of valproic acid/divalproex sodium - ANSWER-hepatotoxicity and pancreatitis
B B B B B B B B B
Carbamazepine (tegretol) black box warning - ANSWER-agranulocytosis (decrease WBCs)
B B B B B B B B
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOB)
B B B B B B B B B B B
Carbamazepine and asians - ANSWER-FDA REQUIRED ccreen for HLAB-B B B B B B B B
1502 allele before initiating, due to high incidence of SJS if positive for allele
B B B B B B B B B B B B B
Child-bearing aged women (Tegretol) - ANSWER- B B B B B
check for pregnancy before starting mood stabilizer
B B B B B B
start on folic acid to support neural tube development during the first month that a woman is
B B B B B B B B B B B B B B B B B
pregnant (0.4-0.5 mg daily) B B B
Clozaril/clozapine can cause - ANSWER-agranulocytosis and neutropenia B B B B B B
For monitoring neutropenia in Clozaril, monitor what lab - ANSWER-
B B B B B B B B B
ANC only (not in conjunction with WBCs)
B B B B B B
DC clozaril if ANC - ANSWER-less than 1000, risk of neuropenia
B B B B B B B B B B
Normal 2500-6000 B
DC clozaril if WBC - ANSWER-2000-3000, risk of agranulocytosis
B B B B B B B B
Normal: 4500-11000 B
Frequency of clozaril labs - ANSWER-First six months - weekly
B B B B B B B B B
Next six months - every two weeks
B B B B B B
Then monthly if ANC normal
B B B B
sure answers|latest 2025/2026|A+
When many answers are remarkably similar, they are usually _____________ - ANSWER-
B B B B B B B B B B B
wrong
When two answers are opposites, usually... - ANSWER-one of those two is the correct answer
B B B B B B B B B B B B B B
When looking at questions about intraprofessional communication: ________ don't _______
B B B B B B B B B
__. - ANSWER-collaborate, dont delegate
B B B B
If asked to differentiate #1 from #2; think what is unique about _______. - ANSWER-#1
B B B B B B B B B B B B B B
If a question and an answer use the same words or synonyms, then that answer is usually ___
B B B B B B B B B B B B B B B B B
___. - ANSWER-correct
B B
If an answer has absolutes (only, always) it is usually _________. - ANSWER-wrong
B B B B B B B B B B B B
Levels of prioritization to use when answering questions: three levels. - ANSWER-
B B B B B B B B B B B
1. Airway, breathing, circulation
B B B
2. Maslowes - physiological needs (food, water, warmth, rest), safey and security
B B B B B B B B B B B
3. Nursing process: Assessment, diagnosis, plan, intervention, evaluate, refer out last
B B B B B B B B B B
Lithium levels - Normal and Toxicity - ANSWER-Normal 0.6-1.2
B B B B B B B B
Toxicity > 1.5 B B
Lithium toxicity occurs at levels - ANSWER-> 1.5
B B B B B B B
Signs of Lithium toxicity - ANSWER-
B B B B B
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation
B B B B B B B B B
, coarse hand tremors, unsteady gait
B B B B B
,Lithium is gold standard for - ANSWER-MANIA
B B B B B B
Lithium has evidence shown to (2) - ANSWER-1. reduce suicidal ideation
B B B B B B B B B B
2. Neuroprotective tx of choice for bipolar
B B B B B B
What does lithium cause in neonate, especially 1st trimester - ANSWER-
B B B B B B B B B B
Ebstein anomaly (congenital heart defect)
B B B B
dehydration and hyponatremia cause lithium levels to - ANSWER-rise
B B B B B B B B
Baseline labs before initiation of lithium - ANSWER-TSH
B B B B B B B
creatinine (0.6-1.2) B
BUN (10-20)
B
HCG (all psychotropics females 12-51)
B B B B
EKG 50+
B
Side Effects of Lithium and lithium toxicity - ANSWER-
B B B B B B B B
SIde Effects: hypothyroidism, coarse hand tremors with toxicity, diarrhea, leukocytosis
B B B B B B B B B
Toxicity: N/V, confusion, convulsions, drawsiness, blurred vision, slurred speech, mm weaknes
B B B B B B B B B B
s, heart palpitations, course hand tremors, and unsteadiness when walking (STOP and check le
B B B B B B B B B B B B B
vels)
Why are elderly more sensitive to lithium (5) - ANSWER-
B B B B B B B B B
Decreased intercellular water, protein binding, mm mass, and metabolism
B B B B B B B B
Increased body fat B B
MAOI + tyramine causes - ANSWER-hypertensive crisis - life threatening and emergency
B B B B B B B B B B B
,Symptoms of hypertensive crisis - ANSWER-elevated BP
B B B B B B
sudden explosive occipital headache
B B B
facial flushing
B
palpitations
pupillary dilation B
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - ANSWER-MEPERIDINE
B B B B B B B
STIMULANTS
TCAs
asthma meds B
antipsychotics
Treatment for hypertensive crisis - ANSWER-DC offending agent
B B B B B B B
Administer PHENTOLAMINE B
teratogenic effects of depakote - ANSWER-neural tube defects/spina bifida
B B B B B B B B
Severe side effect of mood stabilizers __ __ __ - ANSWER-Steven Johnson's Syndrome
B B B B B B B B B B B B
Signs of Stevens johnson syndrome (SJS) - ANSWER-FEVER --high yield
B B B B B B B B B
facial swelling
B
tongue swelling
B
burning papule rashe
B B
skin sloughing
B
prodromal headache B
painful mucus membranes
B B
, Side effects of valproic acid/divalproex sodium - ANSWER-hepatotoxicity and pancreatitis
B B B B B B B B B
Carbamazepine (tegretol) black box warning - ANSWER-agranulocytosis (decrease WBCs)
B B B B B B B B
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOB)
B B B B B B B B B B B
Carbamazepine and asians - ANSWER-FDA REQUIRED ccreen for HLAB-B B B B B B B B
1502 allele before initiating, due to high incidence of SJS if positive for allele
B B B B B B B B B B B B B
Child-bearing aged women (Tegretol) - ANSWER- B B B B B
check for pregnancy before starting mood stabilizer
B B B B B B
start on folic acid to support neural tube development during the first month that a woman is
B B B B B B B B B B B B B B B B B
pregnant (0.4-0.5 mg daily) B B B
Clozaril/clozapine can cause - ANSWER-agranulocytosis and neutropenia B B B B B B
For monitoring neutropenia in Clozaril, monitor what lab - ANSWER-
B B B B B B B B B
ANC only (not in conjunction with WBCs)
B B B B B B
DC clozaril if ANC - ANSWER-less than 1000, risk of neuropenia
B B B B B B B B B B
Normal 2500-6000 B
DC clozaril if WBC - ANSWER-2000-3000, risk of agranulocytosis
B B B B B B B B
Normal: 4500-11000 B
Frequency of clozaril labs - ANSWER-First six months - weekly
B B B B B B B B B
Next six months - every two weeks
B B B B B B
Then monthly if ANC normal
B B B B
