GEORGETTE REVIEW PMHNP EXAM PREPARATION
NEWEST 2026-2027 WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS |BRAND NEW VERSION!
1. A patient taking lithium reports nausea and tremors. What
is the nurse’s priority action?
A. Reassure the patient
B. Check the lithium level
C. Encourage fluids only
D. Hold the next dose
Answer: B
Rationale: Nausea and tremor may indicate toxicity; serum
lithium level must be assessed first.
2. Which neurotransmitter is most associated with
depression?
A. Dopamine
B. Serotonin
C. Acetylcholine
D. GABA
Answer: B
Rationale: Low serotonin levels are strongly linked with
depressive symptoms.
,3. A hallmark symptom of schizophrenia is:
A. Flight of ideas
B. Command hallucinations
C. Memory loss
D. Confabulation
Answer: B
Rationale: Positive symptoms of schizophrenia include
hallucinations and delusions.
4. Which medication requires monitoring for agranulocytosis?
A. Risperidone
B. Clozapine
C. Haloperidol
D. Fluoxetine
Answer: B
Rationale: Clozapine can cause severe neutropenia; routine
CBC monitoring is required.
5. The first-line treatment for generalized anxiety disorder is:
A. Benzodiazepines
B. SSRIs
C. Antipsychotics
D. Barbiturates
Answer: B
Rationale: SSRIs/SNRIs are preferred due to safety and efficacy.
,6. A patient with mania is most likely to exhibit:
A. Psychomotor retardation
B. Decreased need for sleep
C. Social withdrawal
D. Flat affect
Answer: B
Rationale: Reduced need for sleep is a classic manic symptom.
7. Which defense mechanism involves refusing to accept
reality?
A. Projection
B. Denial
C. Displacement
D. Sublimation
Answer: B
Rationale: Denial is the unconscious refusal to acknowledge
reality.
8. What is the priority intervention for a patient expressing
suicidal ideation with a plan?
A. Offer PRN medication
B. Schedule therapy next week
C. Ensure patient safety
D. Encourage journaling
, Answer: C
Rationale: Immediate safety (close observation, removal of
means) is the top priority.
9. Which symptom best differentiates delirium from
dementia?
A. Memory loss
B. Gradual onset
C. Fluctuating consciousness
D. Poor judgment
Answer: C
Rationale: Delirium presents with acute onset and fluctuating
level of consciousness.
10. A common side effect of SSRIs is:
A. Hypertensive crisis
B. Sexual dysfunction
C. Severe sedation
D. Agranulocytosis
Answer: B
Rationale: Sexual side effects are frequently reported with
SSRIs.
11. Which therapy focuses on identifying and changing
negative thought patterns?
NEWEST 2026-2027 WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS |BRAND NEW VERSION!
1. A patient taking lithium reports nausea and tremors. What
is the nurse’s priority action?
A. Reassure the patient
B. Check the lithium level
C. Encourage fluids only
D. Hold the next dose
Answer: B
Rationale: Nausea and tremor may indicate toxicity; serum
lithium level must be assessed first.
2. Which neurotransmitter is most associated with
depression?
A. Dopamine
B. Serotonin
C. Acetylcholine
D. GABA
Answer: B
Rationale: Low serotonin levels are strongly linked with
depressive symptoms.
,3. A hallmark symptom of schizophrenia is:
A. Flight of ideas
B. Command hallucinations
C. Memory loss
D. Confabulation
Answer: B
Rationale: Positive symptoms of schizophrenia include
hallucinations and delusions.
4. Which medication requires monitoring for agranulocytosis?
A. Risperidone
B. Clozapine
C. Haloperidol
D. Fluoxetine
Answer: B
Rationale: Clozapine can cause severe neutropenia; routine
CBC monitoring is required.
5. The first-line treatment for generalized anxiety disorder is:
A. Benzodiazepines
B. SSRIs
C. Antipsychotics
D. Barbiturates
Answer: B
Rationale: SSRIs/SNRIs are preferred due to safety and efficacy.
,6. A patient with mania is most likely to exhibit:
A. Psychomotor retardation
B. Decreased need for sleep
C. Social withdrawal
D. Flat affect
Answer: B
Rationale: Reduced need for sleep is a classic manic symptom.
7. Which defense mechanism involves refusing to accept
reality?
A. Projection
B. Denial
C. Displacement
D. Sublimation
Answer: B
Rationale: Denial is the unconscious refusal to acknowledge
reality.
8. What is the priority intervention for a patient expressing
suicidal ideation with a plan?
A. Offer PRN medication
B. Schedule therapy next week
C. Ensure patient safety
D. Encourage journaling
, Answer: C
Rationale: Immediate safety (close observation, removal of
means) is the top priority.
9. Which symptom best differentiates delirium from
dementia?
A. Memory loss
B. Gradual onset
C. Fluctuating consciousness
D. Poor judgment
Answer: C
Rationale: Delirium presents with acute onset and fluctuating
level of consciousness.
10. A common side effect of SSRIs is:
A. Hypertensive crisis
B. Sexual dysfunction
C. Severe sedation
D. Agranulocytosis
Answer: B
Rationale: Sexual side effects are frequently reported with
SSRIs.
11. Which therapy focuses on identifying and changing
negative thought patterns?
