Georgette Review PMHNP -questions and answers |latest 2025/2026 |100% correct

When many answers are remarkably similar, they are usually _____________ - ANSWER-
B B B B B B B B B B B



wrong



Interprofessional collaboration is encouraged. - ANSWER-Collaborate is usually right.
B B B B B B B B B




Delegate is usually wrong.
B B B




ADPIER - ANSWER-Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
B B B B B B B B B




Lithium - ANSWER-Normal 0.6-1.2
B 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 - ANSWER-reduce suicidal ideation
B B 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




Urinalysis (check for proteins, 4+ may indicate kidney disease)
B B B B B B B B




Side Effects of Lithium - ANSWER-hypothyroidism
B B B B B




coase hand tremors with toxicity
B B B B




maculopapular rash B




diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
B B B B B B B




anorexia

t wave inversions
B B




leukocytosis



Pt education for lithimum - ANSWER-staying hydrated
B B B B B B




avoiding NSAIDS B




compliance



Depakote normal level - ANSWER-50-125 B B B B




Depakote toxicity level - ANSWER-greater than 150
B B B B B B




Teratogenic effects of Depakote - ANSWER-spina bifida
B B B B B B




Adverse effects of depakote - ANSWER-alopecia
B B B B B




hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-
B B B B B B B B B B



35, yellowing of skin or eyes, fatigue
B B B B B B




Signs of Depakote toxicity - ANSWER-
B B B B B



disorientation, lethargy, respiratory depression, nausea/vomiting
B B B B

,Intervention for depakote toxicity - ANSWER-DC med
B B B B B B




check level B




LFT

ammonia



MAOI + tyramine causes - ANSWER-hypertensive crisis
B B B B B B




Symptoms of hypertensive crisis - ANSWER-elevated BP
B B B B B B




sudden explosive like 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

decongestants

TCAs

atypicals

St. John's wart
B B




L-tryptophan

asthma meds B




Treatment for hypertensive crisis - ANSWER-DC offending agent
B B B B B B B




Administer PHENTOLAMINE B

, Teratogenic effects of benzos - ANSWER-floppy baby, cleft palate
B B B B B B B B




Teratogenic effects of tegratol - ANSWER-neural tube defect
B B B B B B B




teratogenic effects of lithium - ANSWER-
B B B B B



ebstein anomaly (heart defect) (avoid, especially 1st trimester)
B B B B B B B




teratogenic effects of depakote - ANSWER-neural tube defects/spina bifida
B B B B B B B B




Adverse reaction to Lamictal - ANSWER-Steven Johnson's Syndrome
B B B B B B B




Signs of SJS - ANSWER-FEVER --high yield
B B B B B B




sore throat
B




facial swelling
B




tongue swellingB




red rash
B




skin sloughing
B




body aches B




prodromal headache B




malaise

arthralgia

painful mucus membranes
B B




Lamotrigine is least likely to cause - ANSWER-sedation or weight gain
B 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, SOA)
B B B B B B B B B B B