PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
1. Lurasidone (Latuda) atypical antipsychotic
2. Lithium Normal levels 0.6-1.2 mEq/l,
3. Lithium toxic level 1.5 mEq/l (D/C lithium and check levels)
4. Benefits of lithium Evidence of anti suicidal effect, Neuroprotective (protects nerve cell
from
damage)
5. Lithium Baseline Thyroid panel, Serum creatinine (0.6-1.2), Blood urea nitrogen
labs before (BUN)(10-20), Pregnancy test, UA for protein, ECG for clients older
initiation than age 50
impaired thyroid functioning, fine hand tremors (can see it, not fine),
6. Lithium Clinically mac- ulopapular rash, GI symptoms, T-wave inversion,
sig- nificant side leukocytosis, polyuria, polydipsia
effects
lithium
7. Gold standard
treat- ment for
manic episodes severe GI, confusion, drowsiness, weakness, palpitations, coarse
hand tremor
8. Lithium Signs of
toxic- ity Kidney disease or drugs that reduce renal clearance can increase
serum
9. What can increase
serum levels of lithium concentration: NSAIDS, thiazides, ACE inhibitors
10. Dehydration and can in- crease?
hy- ponatremia
1/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
11. Causes Ebstein lithium levels
anom- aly (cardiac
defect) not
lithium
2/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
recommended in
first trimester
12. Hypertensive Crisis occurs when MAOIs are taken in conjunction with foods
containing tyramine, a dietary precursor to norepinephrine.
13. Meds that cause by
hy- pertensive
crisis 18. Neural tube defects specifically spina bi
fida and atrial sep- tal defect and cleft
palate and possi- ble long-term de-
14. Symptoms of
hyper- tensive
crisis
15. Treatment of
hyper- tensive
crisis
16. Floppy baby
syn- drome,
cleft palate
caused by,
17. Neural tube
defects caused
3/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
Meperidine, Decongestants,
TCAs, Atypical antipsychotics, nzodiazepines
St. John's wort, L-tryptophan, •
Stimulants and other
sympathomimetics, Asthma
Carbamazepine (Tegretol):
medica- tions
•
Divalproex sodium (Depakote)
Sudden, explosive-like
headache, usually in
occipital region , Elevated
blood pressure, Facial flushing,
Palpitations, Pupillary dilation.
Diaphore- sis, Fever (think
about what happens with
hypertension)
•
Discontinue the MAOI, Give
phentolamine (binds with
norepinephrine receptor
sites, blocks
norepinephrine).
•
B
e
4/
84
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
1. Lurasidone (Latuda) atypical antipsychotic
2. Lithium Normal levels 0.6-1.2 mEq/l,
3. Lithium toxic level 1.5 mEq/l (D/C lithium and check levels)
4. Benefits of lithium Evidence of anti suicidal effect, Neuroprotective (protects nerve cell
from
damage)
5. Lithium Baseline Thyroid panel, Serum creatinine (0.6-1.2), Blood urea nitrogen
labs before (BUN)(10-20), Pregnancy test, UA for protein, ECG for clients older
initiation than age 50
impaired thyroid functioning, fine hand tremors (can see it, not fine),
6. Lithium Clinically mac- ulopapular rash, GI symptoms, T-wave inversion,
sig- nificant side leukocytosis, polyuria, polydipsia
effects
lithium
7. Gold standard
treat- ment for
manic episodes severe GI, confusion, drowsiness, weakness, palpitations, coarse
hand tremor
8. Lithium Signs of
toxic- ity Kidney disease or drugs that reduce renal clearance can increase
serum
9. What can increase
serum levels of lithium concentration: NSAIDS, thiazides, ACE inhibitors
10. Dehydration and can in- crease?
hy- ponatremia
1/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
11. Causes Ebstein lithium levels
anom- aly (cardiac
defect) not
lithium
2/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
recommended in
first trimester
12. Hypertensive Crisis occurs when MAOIs are taken in conjunction with foods
containing tyramine, a dietary precursor to norepinephrine.
13. Meds that cause by
hy- pertensive
crisis 18. Neural tube defects specifically spina bi
fida and atrial sep- tal defect and cleft
palate and possi- ble long-term de-
14. Symptoms of
hyper- tensive
crisis
15. Treatment of
hyper- tensive
crisis
16. Floppy baby
syn- drome,
cleft palate
caused by,
17. Neural tube
defects caused
3/
84
,PMHNP TEST LMR QUESTIONS & DETAILED
COMPLETE SOLUTIONS 100% VERIFIED &
APPROVED
Meperidine, Decongestants,
TCAs, Atypical antipsychotics, nzodiazepines
St. John's wort, L-tryptophan, •
Stimulants and other
sympathomimetics, Asthma
Carbamazepine (Tegretol):
medica- tions
•
Divalproex sodium (Depakote)
Sudden, explosive-like
headache, usually in
occipital region , Elevated
blood pressure, Facial flushing,
Palpitations, Pupillary dilation.
Diaphore- sis, Fever (think
about what happens with
hypertension)
•
Discontinue the MAOI, Give
phentolamine (binds with
norepinephrine receptor
sites, blocks
norepinephrine).
•
B
e
4/
84
