Psychiatric Mental Health Nurse Practitioner (PMHNP) Exam
Prep | Updated 2025 Edition
What is dissemination? - correct answerGetting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answerModerate cognitive impairment
What is Tegretol in the CYP450 system? - correct answerInducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answerInducer - will lower dose of Lamictal
What is a Type I research error? - correct answerThere IS a difference but you say
there isn't a difference.
What is a Type II research error? - correct answerThere is NO difference but you say
there is a difference.
What is pseudo-dementia? - correct answerCognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - correct answerYes.
What is a drug 1/2 life? - correct answerThe time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - correct answerZyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - correct answerSerotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - correct answerHLAB-
1502
When might you see toxic epidermal necrolysis? - correct answerWith worsening of SJS
,How many generations do you include for a genogram? - correct answer1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - correct answerAmino Acids
What is epigenetics? - correct answerFactors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - correct answerBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - correct answerDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer10-25 yo
When do females typically present with schizophrenia? - correct answer25-35 yo
What does Erythromycin to trileptal? - correct answerYou will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - correct answerHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct
answerLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answerAgranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - correct answerCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answerCKMB
What is the risk of a seriously elevated CKMB? - correct answerPolymyositis
Rhabdo
What is a normal CKMB? - correct answer0.3 mcg/L
What psychoactives does Detrol interact with? - correct answerTopamax
KCL
, Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - correct
answerCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answerCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answerSelf-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answerHelps rule-out disease = True Positive = Snout
What is specificity? - correct answerHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answerInflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer0-22 males
0-29 females
What is a retic count? - correct answerMeasures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - correct answerAnemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answerBone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - correct answerDoesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - correct answerIncrease tegretol
levels.
What happens if a pregnant women takes Accutane? - correct answerBirth defects.
What labs do you get with RA? - correct answerSed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Prep | Updated 2025 Edition
What is dissemination? - correct answerGetting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answerModerate cognitive impairment
What is Tegretol in the CYP450 system? - correct answerInducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answerInducer - will lower dose of Lamictal
What is a Type I research error? - correct answerThere IS a difference but you say
there isn't a difference.
What is a Type II research error? - correct answerThere is NO difference but you say
there is a difference.
What is pseudo-dementia? - correct answerCognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - correct answerYes.
What is a drug 1/2 life? - correct answerThe time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - correct answerZyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - correct answerSerotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - correct answerHLAB-
1502
When might you see toxic epidermal necrolysis? - correct answerWith worsening of SJS
,How many generations do you include for a genogram? - correct answer1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - correct answerAmino Acids
What is epigenetics? - correct answerFactors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - correct answerBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - correct answerDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer10-25 yo
When do females typically present with schizophrenia? - correct answer25-35 yo
What does Erythromycin to trileptal? - correct answerYou will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - correct answerHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct
answerLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answerAgranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - correct answerCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answerCKMB
What is the risk of a seriously elevated CKMB? - correct answerPolymyositis
Rhabdo
What is a normal CKMB? - correct answer0.3 mcg/L
What psychoactives does Detrol interact with? - correct answerTopamax
KCL
, Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - correct
answerCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answerCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answerSelf-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answerHelps rule-out disease = True Positive = Snout
What is specificity? - correct answerHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answerInflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer0-22 males
0-29 females
What is a retic count? - correct answerMeasures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - correct answerAnemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answerBone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - correct answerDoesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - correct answerIncrease tegretol
levels.
What happens if a pregnant women takes Accutane? - correct answerBirth defects.
What labs do you get with RA? - correct answerSed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
