PMHNP EXAM REAL REPORTED
QUESTIONS AND VERIFIED
ANSWERS 2026
Instructions
All answers are underlined.
Questions
-NMS is like S&M;
-you get hot (hyperpyrexia)
-stiff (increased muscle tone)
-sweaty (diaphoresis)
-BP, pulse, and respirations go up &
-you start to drool <answer>NMS
Prill, CHF <answer>ACE inhibitors
,-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonic,
increased temperature, vital sign instability,
encephalopathy, restlessness, sweating <answer>signs
of serotonin syndrome
. ESR erythrocyte sedimentation rate elevation.
Synovial fluid analysis. X ray of joints. Rheumatoid
factor titer, CRP, Hgb <answer>Labs for rheumatoid
arthritis
"tell me how the medication works in your body"
<answer>bipolar not taking medication
*SIGECAPS* of Depression <answer>Sleep
Interest
Guilt
Energy
,Concentration
Appetite
psychomotor retardation
Suicide
^ prolactin <answer>stop prolactin
0-63, over 30 severe, don’t start medication just start
therapy <answer>Beck inventory score of 10?
1 hour then 8 hours <answer>When to assess a patient
in restraints for face/face
1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor,
slurred speech, number one intervention, give fluids,
sweating give electrolytes too <answer>Lithium toxicity
13-year-old want to smoke <answer>ask him of his plan
to stop smoking
, 14-year-old girl clenching her teeth <answer>Cranial
Nerve V-Trigeminal nerve
16-year-old falls with the wrong crowd
<answer>Conduct disorder
16-year-old refuse treatment <answer>Send to psych
specialist for acting out kids
16-year-old shows up with mother for first therapy is
<answer>confidential mom sits in lobby
24-30 no cognitive impairment
18-23 mild cognitive impairment
0-17 severe cognitive impairment <answer>MMSE
scores
25-35 <answer>Age for schizophrenia female
3-year-old masturbates, plays with self, says naught
things <answer>normal for Piaget
QUESTIONS AND VERIFIED
ANSWERS 2026
Instructions
All answers are underlined.
Questions
-NMS is like S&M;
-you get hot (hyperpyrexia)
-stiff (increased muscle tone)
-sweaty (diaphoresis)
-BP, pulse, and respirations go up &
-you start to drool <answer>NMS
Prill, CHF <answer>ACE inhibitors
,-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonic,
increased temperature, vital sign instability,
encephalopathy, restlessness, sweating <answer>signs
of serotonin syndrome
. ESR erythrocyte sedimentation rate elevation.
Synovial fluid analysis. X ray of joints. Rheumatoid
factor titer, CRP, Hgb <answer>Labs for rheumatoid
arthritis
"tell me how the medication works in your body"
<answer>bipolar not taking medication
*SIGECAPS* of Depression <answer>Sleep
Interest
Guilt
Energy
,Concentration
Appetite
psychomotor retardation
Suicide
^ prolactin <answer>stop prolactin
0-63, over 30 severe, don’t start medication just start
therapy <answer>Beck inventory score of 10?
1 hour then 8 hours <answer>When to assess a patient
in restraints for face/face
1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor,
slurred speech, number one intervention, give fluids,
sweating give electrolytes too <answer>Lithium toxicity
13-year-old want to smoke <answer>ask him of his plan
to stop smoking
, 14-year-old girl clenching her teeth <answer>Cranial
Nerve V-Trigeminal nerve
16-year-old falls with the wrong crowd
<answer>Conduct disorder
16-year-old refuse treatment <answer>Send to psych
specialist for acting out kids
16-year-old shows up with mother for first therapy is
<answer>confidential mom sits in lobby
24-30 no cognitive impairment
18-23 mild cognitive impairment
0-17 severe cognitive impairment <answer>MMSE
scores
25-35 <answer>Age for schizophrenia female
3-year-old masturbates, plays with self, says naught
things <answer>normal for Piaget
