Georgette S. LMR PMHNP Certification Exam 2025/2026 with Questions & Verified Answers and Detailed Rationales

Georgette S. LMR PMHNP Certification Exam Bank 2025/2026 – Comprehensive Practice Questions with Verified
Answers and Detailed Rationales




Georgette S. LMR PMHNP Certification
Exam 2025/2026 with Questions & Verified
Answers and Detailed Rationales
Question 1
What drugs should be avoided with Kava Kava?
Correct Answer
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)



Question 2
What is the normal range for TSH?
Correct Answer
0.5 - 5.0 mu/L



Question 3
What are lab values in Hyperthyroidism
Correct Answer
Decreased TSH
Increased T4 and T3



Question 4
What are labs in Hypothyroidism?
Correct Answer
Increased TSH
Decreased T4 and T3




Page 1 of 117

,Georgette S. LMR PMHNP Certification Exam Bank 2025/2026 – Comprehensive Practice Questions with Verified
Answers and Detailed Rationales




Question 5
What are 5 primary symptoms of Hyperthyroidism?
Correct Answer
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss



Question 6
What are 4 primary symptoms of Hypothyroidism?
Correct Answer
Cold intolerance
Lethargy
Weight gain
Decreased libido



Question 7
Hypothyroidism mimics symptoms of what psychiatric disorder?
Correct Answer
Depression



Question 8
Hyperthyroidism mimics symptoms of what psychiatric disorder?
Correct Answer
Mania



Question 9
Valproic acid produces what teratogenic effect?
Correct Answer
Spina bifida (neural tube defect)




Page 2 of 117

,Georgette S. LMR PMHNP Certification Exam Bank 2025/2026 – Comprehensive Practice Questions with Verified
Answers and Detailed Rationales




Question 10
What is the primary organ where valproic acid is toxic?
Correct Answer
Liver (hepatoxicity)



Question 11
What are 4 signs of hepatoxicity?
Correct Answer

Abdominal pain in the URQ

Reddish-brown urine

Yellowing of the skin and sclera

Fatigue



Question 12
What is the therapeutic range for valproic acid?
Correct Answer
50-125 mcg/ml



Question 13
What is a toxic level of valproic acid?
Correct Answer
>150 mcg/ml




Page 3 of 117

, Georgette S. LMR PMHNP Certification Exam Bank 2025/2026 – Comprehensive Practice Questions with Verified
Answers and Detailed Rationales




Question 14
What are 4 signs of valproic acid toxicity?
Correct Answer
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting



Question 15
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What
do you suspect? What do you do?
Correct Answer

Hepatotoxicity; hold med, draw LFT's (priority), DVP level



Question 16
With suspected toxicity with valproic acid, what steps/labs should be drawn?
Correct Answer
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level



Question 17
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
Correct Answer

Accutane (used for acne; Causes birth Defects!!!)




Page 4 of 117