1/21/26, 9:17 AM LMR Georgette’s PMHNP Certification Exam Latest 2026 Questions And Correct Answers(Verified Answers) Flashcards | Quizlet
LMR Georgette’s PMHNP Certification Exam
Latest 2026 Questions And Correct
Answers(Verified Answers)
Save
Terms in this set (249)
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother Ask her if it's happened before to assess for sleep
reports her child woke up screaming issue patterns
in the middle of the night?
What do you do if a patient comes in Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranulocytosis
with fever while on Clozaril?
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 1/25
,1/21/26, 9:17 AM LMR Georgette’s PMHNP Certification Exam Latest 2026 Questions And Correct Answers(Verified Answers) Flashcards | Quizlet
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava
syndrome? Kava, and Tryptophan
What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia,
abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with bromocriptine (Parlodel)- D2 agonist dantrolene-
NMS? muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length Slow onset (1-2 weeks after changing or starting
of NMS? therapy) and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS has a slower onset while acute dystonia
NMS and acute dystonia? occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout meds,
NSAIDs? ibuprophen, naproxen, etc.)
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 2/25
, 1/21/26, 9:17 AM LMR Georgette’s PMHNP Certification Exam Latest 2026 Questions And Correct Answers(Verified Answers) Flashcards | Quizlet
What happens with lithium and ACE Increased risk of lithium toxicity related to the
inhibitors? increased urination from the ACE inhibitors
Why should a patient on lithium Risk of fatal nephrotoxicity
avoid calcium channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for Specific gravity to assess for dehydration
athletes on lithium? (dehydration is >1.015)
What do you do if the lithium level is Do not give the next dose and assess for s/s
1.3?
At what level is lithium toxicity a >3
medical emergency?
S/S of lithium toxicity vomiting, diarrhea, slurred speech, hand tremor,
dry mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat Synthroid
hypothyroidism caused by lithium
use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote and
lamictal?
Depakote and pregnancy Spina bifida
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 3/25
LMR Georgette’s PMHNP Certification Exam
Latest 2026 Questions And Correct
Answers(Verified Answers)
Save
Terms in this set (249)
What does ADPIE stand for? Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother Ask her if it's happened before to assess for sleep
reports her child woke up screaming issue patterns
in the middle of the night?
What do you do if a patient comes in Scrape nail and send for testing
with fungus on their toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient presents Check ANC level to assess for agranulocytosis
with fever while on Clozaril?
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 1/25
,1/21/26, 9:17 AM LMR Georgette’s PMHNP Certification Exam Latest 2026 Questions And Correct Answers(Verified Answers) Flashcards | Quizlet
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava
syndrome? Kava, and Tryptophan
What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK
S/S of NMS muscle rigidity, hyperthermia, tachycardia,
abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored urine?
s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with bromocriptine (Parlodel)- D2 agonist dantrolene-
NMS? muscle relaxer
What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length Slow onset (1-2 weeks after changing or starting
of NMS? therapy) and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication
and resolves within a few days
How do you distinguish between NMS has a slower onset while acute dystonia
NMS and acute dystonia? occurs within hours
What happens with lithium and Increased risk of lithium toxicity (gout meds,
NSAIDs? ibuprophen, naproxen, etc.)
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 2/25
, 1/21/26, 9:17 AM LMR Georgette’s PMHNP Certification Exam Latest 2026 Questions And Correct Answers(Verified Answers) Flashcards | Quizlet
What happens with lithium and ACE Increased risk of lithium toxicity related to the
inhibitors? increased urination from the ACE inhibitors
Why should a patient on lithium Risk of fatal nephrotoxicity
avoid calcium channel blockers?
What is a fetal side effect of lithium? Epstein's anomaly
What lab should you check for Specific gravity to assess for dehydration
athletes on lithium? (dehydration is >1.015)
What do you do if the lithium level is Do not give the next dose and assess for s/s
1.3?
At what level is lithium toxicity a >3
medical emergency?
S/S of lithium toxicity vomiting, diarrhea, slurred speech, hand tremor,
dry mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat Synthroid
hypothyroidism caused by lithium
use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote and
lamictal?
Depakote and pregnancy Spina bifida
https://quizlet.com/1133399749/lmr-georgettes-pmhnp-certification-exam-latest-2026-questions-and-correct-answersverified-answers-flash-cards/?new 3/25
