LMR GEORGETTE’S PMHNP CERTIFICATION EXAM ACTUAL
EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS | BRAND NEW
VERSION!
What emergency may be occuring if patient on depakote reports upper
abdominal pain? ---------CORRECT ANSWER-----------------Pancreatitis
What lab should you check if patient has right upper quadrant pain and
dark brown urine? ---------CORRECT ANSWER-----------------LFTs
What lab means pregnancy? ---------CORRECT ANSWER-----------------HCG
Why is Clozaril used? ---------CORRECT ANSWER-----------------Treatment
resistant schizophrenia, improves SI, and improves negative symptoms
of schizophrenia
What two medications have the highest risk of agranulocytosis and
aplastic anemia? ---------CORRECT ANSWER-----------------Clozaril and
Tegretol
,What symptoms may mean a Clozaril induced infection? ---------
CORRECT ANSWER-----------------Sore throats, sores in mouth/gums,
fever
When should you discontinue Clozaril or Tegretol? ---------CORRECT
ANSWER-----------------WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? ---------
CORRECT ANSWER-----------------For the HLA-B*1502 allele (higher risk of
SJS)
What two epidermal issues can arise from Tegretol or Lamictal? ---------
CORRECT ANSWER-----------------Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever
and severe headache? ---------CORRECT ANSWER-----------------Aspetic
meningitis
,What three antipsychotics have very low weight gaining effects? ---------
CORRECT ANSWER-----------------Geodon, Abilify, and Latuda
What does ADPIE stand for? ---------CORRECT ANSWER-----------------
Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up
screaming in the middle of the night? ---------CORRECT ANSWER-----------
------Ask her if it's happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their toenail? ------
---CORRECT ANSWER-----------------Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? ---------
CORRECT ANSWER-----------------Check renal function
, What do you do if a patient presents with fever while on Clozaril? -------
--CORRECT ANSWER-----------------Check ANC level to assess for
agranulocytosis
What can cause serotonin syndrome? ---------CORRECT ANSWER----------
-------Antidepressants, St. John's Wort, Same-E, Kava Kava, and
Tryptophan
What labs are indicative of NMS? ---------CORRECT ANSWER----------------
-Elevated WBC (over 11,000) and elevated CPK
S/S of NMS ---------CORRECT ANSWER-----------------muscle rigidity,
hyperthermia, tachycardia, abnormal bp, sweating, altered mental
status, cherry colored urine
What should you do if a patient presents with cherry colored urine? ----
-----CORRECT ANSWER-----------------Check for rhabdo with CPK
EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS | BRAND NEW
VERSION!
What emergency may be occuring if patient on depakote reports upper
abdominal pain? ---------CORRECT ANSWER-----------------Pancreatitis
What lab should you check if patient has right upper quadrant pain and
dark brown urine? ---------CORRECT ANSWER-----------------LFTs
What lab means pregnancy? ---------CORRECT ANSWER-----------------HCG
Why is Clozaril used? ---------CORRECT ANSWER-----------------Treatment
resistant schizophrenia, improves SI, and improves negative symptoms
of schizophrenia
What two medications have the highest risk of agranulocytosis and
aplastic anemia? ---------CORRECT ANSWER-----------------Clozaril and
Tegretol
,What symptoms may mean a Clozaril induced infection? ---------
CORRECT ANSWER-----------------Sore throats, sores in mouth/gums,
fever
When should you discontinue Clozaril or Tegretol? ---------CORRECT
ANSWER-----------------WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? ---------
CORRECT ANSWER-----------------For the HLA-B*1502 allele (higher risk of
SJS)
What two epidermal issues can arise from Tegretol or Lamictal? ---------
CORRECT ANSWER-----------------Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever
and severe headache? ---------CORRECT ANSWER-----------------Aspetic
meningitis
,What three antipsychotics have very low weight gaining effects? ---------
CORRECT ANSWER-----------------Geodon, Abilify, and Latuda
What does ADPIE stand for? ---------CORRECT ANSWER-----------------
Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up
screaming in the middle of the night? ---------CORRECT ANSWER-----------
------Ask her if it's happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their toenail? ------
---CORRECT ANSWER-----------------Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? ---------
CORRECT ANSWER-----------------Check renal function
, What do you do if a patient presents with fever while on Clozaril? -------
--CORRECT ANSWER-----------------Check ANC level to assess for
agranulocytosis
What can cause serotonin syndrome? ---------CORRECT ANSWER----------
-------Antidepressants, St. John's Wort, Same-E, Kava Kava, and
Tryptophan
What labs are indicative of NMS? ---------CORRECT ANSWER----------------
-Elevated WBC (over 11,000) and elevated CPK
S/S of NMS ---------CORRECT ANSWER-----------------muscle rigidity,
hyperthermia, tachycardia, abnormal bp, sweating, altered mental
status, cherry colored urine
What should you do if a patient presents with cherry colored urine? ----
-----CORRECT ANSWER-----------------Check for rhabdo with CPK
