LMR Georgette’s PMHNP Certification
Exam Latest 2025 Questions And
Correct Answers(Verified Answers)
What does ADPIE stand for? - 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? - 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? - Answer-Scrape
nail and send for testing
What do you do if a patient on lithium has dark brown urine? - Answer-Check renal
function
What do you do if a patient presents with fever while on Clozaril? - Answer-Check
ANC level to assess for agranulocytosis
What can cause serotonin syndrome? - Answer-Antidepressants, St. John's Wort,
Same-E, Kava Kava, and Tryptophan
What labs are indicative of NMS? - Answer-Elevated WBC (over 11,000) and
elevated CPK
S/S of NMS - 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? - Answer-Check
for rhabdo with CPK
s/s of serotonin syndrome - Answer-hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? - Answer-bromocriptine (Parlodel)- D2
agonist dantrolene- muscle relaxer
What medication to give during SS? - Answer-cyproheptadine (Periactin)- 5HT-2A
receptor antagonist
What is the onset and typical length of NMS? - Answer-Slow onset (1-2 weeks after
changing or starting therapy) and resolves within 9-14 days
, What is the onset of SS? - Answer-Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS and acute dystonia? - Answer-NMS has a
slower onset while acute dystonia occurs within hours
What happens with lithium and NSAIDs? - Answer-Increased risk of lithium toxicity
(gout meds, ibuprophen, naproxen, etc.)
What happens with lithium and ACE inhibitors? - Answer-Increased risk of lithium
toxicity related to the increased urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel blockers? - Answer-Risk of
fatal nephrotoxicity
What is a fetal side effect of lithium? - Answer-Epstein's anomaly
What lab should you check for athletes on lithium? - Answer-Specific gravity to
assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? - Answer-Do not give the next dose and
assess for s/s
At what level is lithium toxicity a medical emergency? - Answer->3
S/S of lithium toxicity - Answer-vomiting, diarrhea, slurred speech, hand tremor, dry
mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? - Answer-Inverted T-waves
What medication should treat hypothyroidism caused by lithium use? - Answer-
Synthroid
What do you do if patient is prescribed both depakote and lamictal? - Answer-
Decreased lamictal dose by 50%
Depakote and pregnancy - Answer-Spina bifida
What emergency may be occuring if patient on depakote reports upper abdominal
pain? - Answer-Pancreatitis
What lab should you check if patient has right upper quadrant pain and dark brown
urine? - Answer-LFTs
What lab means pregnancy? - Answer-HCG
Why is Clozaril used? - Answer-Treatment resistant schizophrenia, improves SI, and
improves negative symptoms of schizophrenia
Exam Latest 2025 Questions And
Correct Answers(Verified Answers)
What does ADPIE stand for? - 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? - 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? - Answer-Scrape
nail and send for testing
What do you do if a patient on lithium has dark brown urine? - Answer-Check renal
function
What do you do if a patient presents with fever while on Clozaril? - Answer-Check
ANC level to assess for agranulocytosis
What can cause serotonin syndrome? - Answer-Antidepressants, St. John's Wort,
Same-E, Kava Kava, and Tryptophan
What labs are indicative of NMS? - Answer-Elevated WBC (over 11,000) and
elevated CPK
S/S of NMS - 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? - Answer-Check
for rhabdo with CPK
s/s of serotonin syndrome - Answer-hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? - Answer-bromocriptine (Parlodel)- D2
agonist dantrolene- muscle relaxer
What medication to give during SS? - Answer-cyproheptadine (Periactin)- 5HT-2A
receptor antagonist
What is the onset and typical length of NMS? - Answer-Slow onset (1-2 weeks after
changing or starting therapy) and resolves within 9-14 days
, What is the onset of SS? - Answer-Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS and acute dystonia? - Answer-NMS has a
slower onset while acute dystonia occurs within hours
What happens with lithium and NSAIDs? - Answer-Increased risk of lithium toxicity
(gout meds, ibuprophen, naproxen, etc.)
What happens with lithium and ACE inhibitors? - Answer-Increased risk of lithium
toxicity related to the increased urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel blockers? - Answer-Risk of
fatal nephrotoxicity
What is a fetal side effect of lithium? - Answer-Epstein's anomaly
What lab should you check for athletes on lithium? - Answer-Specific gravity to
assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? - Answer-Do not give the next dose and
assess for s/s
At what level is lithium toxicity a medical emergency? - Answer->3
S/S of lithium toxicity - Answer-vomiting, diarrhea, slurred speech, hand tremor, dry
mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? - Answer-Inverted T-waves
What medication should treat hypothyroidism caused by lithium use? - Answer-
Synthroid
What do you do if patient is prescribed both depakote and lamictal? - Answer-
Decreased lamictal dose by 50%
Depakote and pregnancy - Answer-Spina bifida
What emergency may be occuring if patient on depakote reports upper abdominal
pain? - Answer-Pancreatitis
What lab should you check if patient has right upper quadrant pain and dark brown
urine? - Answer-LFTs
What lab means pregnancy? - Answer-HCG
Why is Clozaril used? - Answer-Treatment resistant schizophrenia, improves SI, and
improves negative symptoms of schizophrenia
