CERTIFICATION EXAM LATEST
2025/2026 QUESTIONS AND
CORRECT ANSWERS RATED
A+(VERIFIED ANSWERS)
WhatjdoesjADPIEjstandjfor?j-jCORRECTjANSWERSjAssessment
Diagnosis
Planning
Implementation
Evaluation
Whatjshouldjyoujdojwhenjajmotherjreportsjherjchildjwokejupjscreamingjinjthejmiddlejofjthejnight?j-
jCORRECTjANSWERSjAskjherjifjit'sjhappenedjbeforejtojassessjforjsleepjissuejpatterns
Whatjdojyoujdojifjajpatientjcomesjinjwithjfungusjonjtheirjtoenail?j-
jCORRECTjANSWERSjScrapejnailjandjsendjforjtesting
Whatjdojyoujdojifjajpatientjonjlithiumjhasjdarkjbrownjurine?j-
jCORRECTjANSWERSjCheckjrenaljfunction
WhatjdojyoujdojifjajpatientjpresentsjwithjfeverjwhilejonjClozaril?j-
jCORRECTjANSWERSjCheckjANCjleveljtojassessjforjagranulocytosis
Whatjcanjcausejserotoninjsyndrome?j-jCORRECTjANSWERSjAntidepressants,jSt.jJohn'sjWort,jSame-
E,jKavajKava,jandjTryptophan
,WhatjlabsjarejindicativejofjNMS?j-
jCORRECTjANSWERSjElevatedjWBCj(overj11,000)jandjelevatedjCPK
S/SjofjNMSj-
jCORRECTjANSWERSjmusclejrigidity,jhyperthermia,jtachycardia,jabnormaljbp,jsweating,jalteredjme
ntaljstatus,jcherryjcoloredjurine
Whatjshouldjyoujdojifjajpatientjpresentsjwithjcherryjcoloredjurine?j-
jCORRECTjANSWERSjCheckjforjrhabdojwithjCPK
s/sjofjserotoninjsyndromej-
jCORRECTjANSWERSjhyperreflexia,jmusclejspasms,jmyoclonusj(involuntaryjmusclejjerk),jfever,jtach
ycardia,jHTN,jshitsjandjshivers
WhatjtwojmedicationsjtojgivejwithjNMS?j-jCORRECTjANSWERSjbromocriptinej(Parlodel)-
jD2jagonistjdantrolene-jmusclejrelaxer
WhatjmedicationjtojgivejduringjSS?j-jCORRECTjANSWERSjcyproheptadinej(Periactin)-j5HT-
2Ajreceptorjantagonist
WhatjisjthejonsetjandjtypicaljlengthjofjNMS?j-jCORRECTjANSWERSjSlowjonsetj(1-
2jweeksjafterjchangingjorjstartingjtherapy)jandjresolvesjwithinj9-14jdays
WhatjisjthejonsetjofjSS?j-
jCORRECTjANSWERSjWithinj24jhoursjofjstarting/changingjmedicationjandjresolvesjwithinjajfewjdays
HowjdojyoujdistinguishjbetweenjNMSjandjacutejdystonia?j-
jCORRECTjANSWERSjNMSjhasjajslowerjonsetjwhilejacutejdystoniajoccursjwithinjhours
, WhatjhappensjwithjlithiumjandjNSAIDs?j-
jCORRECTjANSWERSjIncreasedjriskjofjlithiumjtoxicityj(goutjmeds,jibuprophen,jnaproxen,jetc.)
WhatjhappensjwithjlithiumjandjACEjinhibitors?j-
jCORRECTjANSWERSjIncreasedjriskjofjlithiumjtoxicityjrelatedjtojthejincreasedjurinationjfromjthejACE
jinhibitors
Whyjshouldjajpatientjonjlithiumjavoidjcalciumjchanneljblockers?j-
jCORRECTjANSWERSjRiskjofjfataljnephrotoxicity
Whatjisjajfetaljsidejeffectjofjlithium?j-jCORRECTjANSWERSjEpstein'sjanomaly
Whatjlabjshouldjyoujcheckjforjathletesjonjlithium?j-
jCORRECTjANSWERSjSpecificjgravityjtojassessjforjdehydrationj(dehydrationjisj>1.015)
Whatjdojyoujdojifjthejlithiumjleveljisj1.3?j-
jCORRECTjANSWERSjDojnotjgivejthejnextjdosejandjassessjforjs/s
Atjwhatjleveljisjlithiumjtoxicityjajmedicaljemergency?j-jCORRECTjANSWERSj>3
S/Sjofjlithiumjtoxicityj-
jCORRECTjANSWERSjvomiting,jdiarrhea,jslurredjspeech,jhandjtremor,jdryjmouth/thirst,jmusclejwea
kness/twitching
WhyjcheckjanjEKGjwithjlithium?j-jCORRECTjANSWERSjInvertedjT-waves
Whatjmedicationjshouldjtreatjhypothyroidismjcausedjbyjlithiumjuse?j-
jCORRECTjANSWERSjSynthroid