PMHNP Exam AANP/ANCC 2025/2026 With Correct Answers.
What is dissemination? - correct answer Getting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answer Moderate cognitive impairment
What is Tegretol in the CYP450 system? - correct answer Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answer Inducer - will lower dose of Lamictal
What is a Type I research error? - correct answer There IS a difference but you say
there isn't a difference.
What is a Type II research error? - correct answer There is NO difference but you say
there is a difference.
What is pseudo-dementia? - correct answer Cognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - correct answer Yes.
What is a drug 1/2 life? - correct answer The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - correct answer Zyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - correct answer Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - correct answer HLAB-
1502
When might you see toxic epidermal necrolysis? - correct answer With worsening of
SJS
How many generations do you include for a genogram? - correct answer 1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
,3rd degree -
What does messenger RNA code for? - correct answer Amino Acids
What is epigenetics? - correct answer Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - correct answer Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - correct answer Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer 10-25 yo
When do females typically present with schizophrenia? - correct answer 25-35 yo
What does Erythromycin to trileptal? - correct answer You will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - correct answer Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct answer
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answer Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - correct answer CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answer CKMB
What is the risk of a seriously elevated CKMB? - correct answer Polymyositis
Rhabdo
What is a normal CKMB? - correct answer 0.3 mcg/L
What psychoactives does Detrol interact with? - correct answer Topamax
KCL
Zonegran
, What CN are you assessing when you have the patient shrug their shoulders? - correct
answer CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answer CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answer Self-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answer Helps rule-out disease = True Positive = Snout
What is specificity? - correct answer Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answer Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer 0-22 males
0-29 females
What is a retic count? - correct answer Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - correct answer Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answer Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - correct answer Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - correct answer Increase
tegretol levels.
What happens if a pregnant women takes Accutane? - correct answer Birth defects.
What labs do you get with RA? - correct answer Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - correct answer ANA
What is dissemination? - correct answer Getting the research information out to those
who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answer Moderate cognitive impairment
What is Tegretol in the CYP450 system? - correct answer Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answer Inducer - will lower dose of Lamictal
What is a Type I research error? - correct answer There IS a difference but you say
there isn't a difference.
What is a Type II research error? - correct answer There is NO difference but you say
there is a difference.
What is pseudo-dementia? - correct answer Cognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - correct answer Yes.
What is a drug 1/2 life? - correct answer The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - correct answer Zyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - correct answer Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - correct answer HLAB-
1502
When might you see toxic epidermal necrolysis? - correct answer With worsening of
SJS
How many generations do you include for a genogram? - correct answer 1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
,3rd degree -
What does messenger RNA code for? - correct answer Amino Acids
What is epigenetics? - correct answer Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - correct answer Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - correct answer Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer 10-25 yo
When do females typically present with schizophrenia? - correct answer 25-35 yo
What does Erythromycin to trileptal? - correct answer You will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - correct answer Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct answer
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answer Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - correct answer CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answer CKMB
What is the risk of a seriously elevated CKMB? - correct answer Polymyositis
Rhabdo
What is a normal CKMB? - correct answer 0.3 mcg/L
What psychoactives does Detrol interact with? - correct answer Topamax
KCL
Zonegran
, What CN are you assessing when you have the patient shrug their shoulders? - correct
answer CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answer CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answer Self-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answer Helps rule-out disease = True Positive = Snout
What is specificity? - correct answer Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answer Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer 0-22 males
0-29 females
What is a retic count? - correct answer Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - correct answer Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answer Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - correct answer Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - correct answer Increase
tegretol levels.
What happens if a pregnant women takes Accutane? - correct answer Birth defects.
What labs do you get with RA? - correct answer Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - correct answer ANA
