ADVANCED PMHNP EXAM LATEST VERSION
2026 /2026 WITH VERIFIED QUESTIONS AND
ANSWERS GRADED A+ /100% ACCURATE
Of the following, which should be performed initially in assessing a
48-year-old woman with suicidal ideation?
a. Does she have someone at home to stay with her?
b. What is the content of her thoughts?
c. Does she have access to a firearm?
d. Has she attempted suicide in the past? - CORRECT ANSWER - b.
What is the content of her thoughts?
An 8-year-old boy presents for an evaluation for possible attention-
deficit/hyperactivity disorder (ADHD). His parents report him to be a
healthy 3rd-grader with "plenty of good friends." They are concerned
he could have ADHD because he is "hyperactive" and because his
father had ADHD. The Vanderbilt screening tools completed by his
parents strongly indicate inattention, with moderate hyperactivity
symptoms. Your next best action is to:
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,a. Prescribe a low dose of methylphenidate.
b. Arrange for parents to obtain Vanderbilt screening tool or other
written feedback from his teacher and return in 2 weeks.
c. Order a screening head computed topography (CT), complete blood
count (CBC) and thyroid-stimulating hormone (TSH).
d. Advise to restrict refined carbohydrates, especially high sugar
cereals in the morning prior to school. - CORRECT ANSWER - b.
Arrange for parents to obtain Vanderbilt screening tool or other
written feedback from his teacher and return in 2 weeks.
You have been asked by the director of a large primary care office to
serve as a consultant to a primary care clinic to improve access to
mental health care services for their patients. Which of the following
actions by the PMHNP is recognized as an innovative, best practice
model?
a. Schedule lunch and learn sessions to advise the providers about
how to improve treatment of mental health disorders with their
patients.
2|Page
,b. Provide the nursing staff with a list of referral agencies.
c. Collaborate with the director to plan for implementation of on-site
behavioral health specialists imbedded into the primary care clinic.
d. Arrange your psychiatric clinic to have 2 appointments per week
available for the primary care patients. - CORRECT ANSWER - c.
Collaborate with the director to plan for implementation of on-site
behavioral health specialists imbedded into the primary care clinic.
A 60-year-old female who is being treated for stable major depressive
disorder and generalized anxiety disorder presents for a follow-up
appointment. She mentions that she sometimes forgets where she has
left her car keys. The NP's next step is to:
a. Refer for neuropsychological testing.
b. Administer a Montreal cognitive assessment (MoCA) test.
c. Increase the dose of her SSRI.
d. Schedule laboratory testing for TSH, CBC. - CORRECT ANSWER - b.
Administer a Montreal cognitive assessment (MoCA) test.
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, For a patient receiving valproate therapy, regular monitoring for all of
the following is recommended except:
a. ALT and AST.
b. Bilirubin.
c. TSH.
d. Platelet count. - CORRECT ANSWER - c. TSH.
A 76-year-old woman presents with worsening fatigue during the past
6 months. She is currently being treated with an SSRI for major
depressive disorder. Her laboratory results are as follows:
Hb=9.3 g/dL (13-17) (93 g/L [130-170])
MCV=71 fL (80-96 fL)
This most likely represents:
a. Folate-deficiency anemia.
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2026 /2026 WITH VERIFIED QUESTIONS AND
ANSWERS GRADED A+ /100% ACCURATE
Of the following, which should be performed initially in assessing a
48-year-old woman with suicidal ideation?
a. Does she have someone at home to stay with her?
b. What is the content of her thoughts?
c. Does she have access to a firearm?
d. Has she attempted suicide in the past? - CORRECT ANSWER - b.
What is the content of her thoughts?
An 8-year-old boy presents for an evaluation for possible attention-
deficit/hyperactivity disorder (ADHD). His parents report him to be a
healthy 3rd-grader with "plenty of good friends." They are concerned
he could have ADHD because he is "hyperactive" and because his
father had ADHD. The Vanderbilt screening tools completed by his
parents strongly indicate inattention, with moderate hyperactivity
symptoms. Your next best action is to:
1|Page
,a. Prescribe a low dose of methylphenidate.
b. Arrange for parents to obtain Vanderbilt screening tool or other
written feedback from his teacher and return in 2 weeks.
c. Order a screening head computed topography (CT), complete blood
count (CBC) and thyroid-stimulating hormone (TSH).
d. Advise to restrict refined carbohydrates, especially high sugar
cereals in the morning prior to school. - CORRECT ANSWER - b.
Arrange for parents to obtain Vanderbilt screening tool or other
written feedback from his teacher and return in 2 weeks.
You have been asked by the director of a large primary care office to
serve as a consultant to a primary care clinic to improve access to
mental health care services for their patients. Which of the following
actions by the PMHNP is recognized as an innovative, best practice
model?
a. Schedule lunch and learn sessions to advise the providers about
how to improve treatment of mental health disorders with their
patients.
2|Page
,b. Provide the nursing staff with a list of referral agencies.
c. Collaborate with the director to plan for implementation of on-site
behavioral health specialists imbedded into the primary care clinic.
d. Arrange your psychiatric clinic to have 2 appointments per week
available for the primary care patients. - CORRECT ANSWER - c.
Collaborate with the director to plan for implementation of on-site
behavioral health specialists imbedded into the primary care clinic.
A 60-year-old female who is being treated for stable major depressive
disorder and generalized anxiety disorder presents for a follow-up
appointment. She mentions that she sometimes forgets where she has
left her car keys. The NP's next step is to:
a. Refer for neuropsychological testing.
b. Administer a Montreal cognitive assessment (MoCA) test.
c. Increase the dose of her SSRI.
d. Schedule laboratory testing for TSH, CBC. - CORRECT ANSWER - b.
Administer a Montreal cognitive assessment (MoCA) test.
3|Page
, For a patient receiving valproate therapy, regular monitoring for all of
the following is recommended except:
a. ALT and AST.
b. Bilirubin.
c. TSH.
d. Platelet count. - CORRECT ANSWER - c. TSH.
A 76-year-old woman presents with worsening fatigue during the past
6 months. She is currently being treated with an SSRI for major
depressive disorder. Her laboratory results are as follows:
Hb=9.3 g/dL (13-17) (93 g/L [130-170])
MCV=71 fL (80-96 fL)
This most likely represents:
a. Folate-deficiency anemia.
4|Page
