PMHNP FITZGERALD Exam Review|
2026/2027 Edition | Verified Questions
and 100% Correct Answers | Nurse
Practitioner Board Review | GRADE A.
Delirium DSM 5 criteria - 100 correct answer as-A disturbance in attention and
awareness
Presentation
Develops over a short period of time
A change from baseline attention and awareness
Tends to fluctuate in severity during the day
An additional disturbance in cognition
Not better explained by another...
Evidence that disturbance is a direct physiological consequence of a medical condition
Modifiable risk factors for Delirium - 100 correct answer as-Pain
Urinary Catheterization
Medications and polypharmacy
hyponatremia, hypoalbuminemia
infection
Dehydration
Chapter 15 Disorders of Children and Adolescents - 100 correct answer as-
ADHD DSM-5 Criteria - 100 correct answer as--Inattention and/or hyperactivity
that interferes with functioning or development
-6+ symptoms
-Before age 12
-Present in 2+ settings
-Clear evidence of impairment
Oppositional Defiant Disorder - 100 correct answer as-a childhood disorder in
which children are repeatedly argumentative and defiant, angry and irritable, and in
some cases, vindictive
Conduct Disorder - 100 correct answer as-patterns of behavior in which the rights
of others or basic social rules are violated
,Intermittent Explosive Disorder (IED) - 100 correct answer as-A type of impulse-
control disorder characterized by repeated episodes of impulsive, uncontrollable
aggression in which people strike out at others or destroy property
Dysruptive Mood Dysregulation Disorder (DMDD) - 100 correct answer as-
Childhood depressive disorder that is diagnosed in children older than age 6 but
younger than 18
CHRONIC DYSREGULATED MOOD (MOODY)
frequent internse outburst, severe irritability, anger, Treatment: stimulants,
antipsychoitics, antidepressants
Reactive Attachment disorder - 100 correct answer as-in children, a pattern of
inhibited, withdrawn behavior toward adult caregivers
Disinhibited Social Engagement Disorder (DSED) - 100 correct answer as-
Disorder characterized by a pattern of overly familiar and culturally inappropriate
behavior with relative strangers, due to social neglect.
Anorexia Nervosa
Subtypes:
Restricting
Binge-eating/purging type - 100 correct answer as-an eating disorder in which an
irrational fear of weight gain leads people to starve themselves
Bulimia Nervosa
Subtypes
Purging
Nonpurging type - 100 correct answer as-an eating disorder characterized by
episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use,
fasting, or excessive exercise
Tic Disorders - 100 correct answer as-sudden, repetitive, nonrhythmic motor
movements or sounds such as eye blinking, facial grimacing, throat clearing, and
grunting
Chapter 2: Select Special Topics in Psychiatric-Mental Health Practice - 100 correct
answer as-
Clinical Decision Making Process - 100 correct answer as-• ADPIE
-Assessment: 1st step, subjective and objective data
,• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
Aspartate aminotransferase (AST)
Alanine aminotransferase (ALT)
Range?
Measures? - 100 correct answer as-0-40 units/L
0-40 units/L
Hepatocellular damage
Potentially elevated in valproate therapy, hepatitis, cirrhosis
Glutamyltransferase (GGT)
Alkaline phospatase (ALP)
Range?
Measures?
Examples? - 100 correct answer as-0-30 units/L
30-120 international units/L
Cholestasis: bike flow, either extrahepatic or intrahepatic
Elevated in alcohol abuse.
Elevated in gallbladder disease, liver disease. Elevated with bone injury
Creatine Kinase (CK)
Range?
Measures?
Examples? - 100 correct answer as-0-139 units/L
Muscle Injury. muscle enzyme found in skeletal and cardiac muscle;
elevated blood levels associated with heart attack, muscular dystrophy, and other
skeletal muscle pathologies
Urea Nitrogen (BUN)
, Creatinine - 100 correct answer as-8-20 mg/dL
0.6-1.2 mg/dl
Kidney Function
Increased in impaired kidney function
Measured with lithium therapy
Creatinine is more sensitive and specific indicator of kidney disease than BUN.
Measured with lithium therapy.
Glomerular Filtration Rate (GFR)
Range?
Measures?
Examples? - 100 correct answer as->90mL/min.
The best measurement of kidney function.
the amount of filtrate formed per minute by the two kidneys combined
Elderly pts have 30% reduced because of decreased muscle mass
Generally no dose adjustments or contraindications with psychotropics when GFR
>60mL/min
Valproate and select epileptic drugs ex. Carbamazepine.
Lab testing?
Level?
Comment?
Discontinue when? - 100 correct answer as-Liver pane (ALT, AST, ALP, bilirubin,
albumin, total protein), CBC, WBC, platelet count, serum hCG, valproate level.
Level 50-120mcg/ml
Discontinue valproate with AST/ALT elevations >2-3x upper limit of normal.
Valpro ate a folate PLaTe
Lithium
Labs testing?
2026/2027 Edition | Verified Questions
and 100% Correct Answers | Nurse
Practitioner Board Review | GRADE A.
Delirium DSM 5 criteria - 100 correct answer as-A disturbance in attention and
awareness
Presentation
Develops over a short period of time
A change from baseline attention and awareness
Tends to fluctuate in severity during the day
An additional disturbance in cognition
Not better explained by another...
Evidence that disturbance is a direct physiological consequence of a medical condition
Modifiable risk factors for Delirium - 100 correct answer as-Pain
Urinary Catheterization
Medications and polypharmacy
hyponatremia, hypoalbuminemia
infection
Dehydration
Chapter 15 Disorders of Children and Adolescents - 100 correct answer as-
ADHD DSM-5 Criteria - 100 correct answer as--Inattention and/or hyperactivity
that interferes with functioning or development
-6+ symptoms
-Before age 12
-Present in 2+ settings
-Clear evidence of impairment
Oppositional Defiant Disorder - 100 correct answer as-a childhood disorder in
which children are repeatedly argumentative and defiant, angry and irritable, and in
some cases, vindictive
Conduct Disorder - 100 correct answer as-patterns of behavior in which the rights
of others or basic social rules are violated
,Intermittent Explosive Disorder (IED) - 100 correct answer as-A type of impulse-
control disorder characterized by repeated episodes of impulsive, uncontrollable
aggression in which people strike out at others or destroy property
Dysruptive Mood Dysregulation Disorder (DMDD) - 100 correct answer as-
Childhood depressive disorder that is diagnosed in children older than age 6 but
younger than 18
CHRONIC DYSREGULATED MOOD (MOODY)
frequent internse outburst, severe irritability, anger, Treatment: stimulants,
antipsychoitics, antidepressants
Reactive Attachment disorder - 100 correct answer as-in children, a pattern of
inhibited, withdrawn behavior toward adult caregivers
Disinhibited Social Engagement Disorder (DSED) - 100 correct answer as-
Disorder characterized by a pattern of overly familiar and culturally inappropriate
behavior with relative strangers, due to social neglect.
Anorexia Nervosa
Subtypes:
Restricting
Binge-eating/purging type - 100 correct answer as-an eating disorder in which an
irrational fear of weight gain leads people to starve themselves
Bulimia Nervosa
Subtypes
Purging
Nonpurging type - 100 correct answer as-an eating disorder characterized by
episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use,
fasting, or excessive exercise
Tic Disorders - 100 correct answer as-sudden, repetitive, nonrhythmic motor
movements or sounds such as eye blinking, facial grimacing, throat clearing, and
grunting
Chapter 2: Select Special Topics in Psychiatric-Mental Health Practice - 100 correct
answer as-
Clinical Decision Making Process - 100 correct answer as-• ADPIE
-Assessment: 1st step, subjective and objective data
,• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
Aspartate aminotransferase (AST)
Alanine aminotransferase (ALT)
Range?
Measures? - 100 correct answer as-0-40 units/L
0-40 units/L
Hepatocellular damage
Potentially elevated in valproate therapy, hepatitis, cirrhosis
Glutamyltransferase (GGT)
Alkaline phospatase (ALP)
Range?
Measures?
Examples? - 100 correct answer as-0-30 units/L
30-120 international units/L
Cholestasis: bike flow, either extrahepatic or intrahepatic
Elevated in alcohol abuse.
Elevated in gallbladder disease, liver disease. Elevated with bone injury
Creatine Kinase (CK)
Range?
Measures?
Examples? - 100 correct answer as-0-139 units/L
Muscle Injury. muscle enzyme found in skeletal and cardiac muscle;
elevated blood levels associated with heart attack, muscular dystrophy, and other
skeletal muscle pathologies
Urea Nitrogen (BUN)
, Creatinine - 100 correct answer as-8-20 mg/dL
0.6-1.2 mg/dl
Kidney Function
Increased in impaired kidney function
Measured with lithium therapy
Creatinine is more sensitive and specific indicator of kidney disease than BUN.
Measured with lithium therapy.
Glomerular Filtration Rate (GFR)
Range?
Measures?
Examples? - 100 correct answer as->90mL/min.
The best measurement of kidney function.
the amount of filtrate formed per minute by the two kidneys combined
Elderly pts have 30% reduced because of decreased muscle mass
Generally no dose adjustments or contraindications with psychotropics when GFR
>60mL/min
Valproate and select epileptic drugs ex. Carbamazepine.
Lab testing?
Level?
Comment?
Discontinue when? - 100 correct answer as-Liver pane (ALT, AST, ALP, bilirubin,
albumin, total protein), CBC, WBC, platelet count, serum hCG, valproate level.
Level 50-120mcg/ml
Discontinue valproate with AST/ALT elevations >2-3x upper limit of normal.
Valpro ate a folate PLaTe
Lithium
Labs testing?
