LMR Georgette’s PMHNP Certification Exam 2026 |
Complete Questions and Correct Answers |
Already Graded A+ | Verified Answers | Updated
Version
What emergency may be occuring if patient on depakote reports upper
abdominal pain? ---------CORRECT ANSWER-----------------Pancreatitis
What lab should you check if patient has right upper quadrant pain and dark
brown urine? ---------CORRECT ANSWER-----------------LFTs
What lab means pregnancy? ---------CORRECT ANSWER-----------------HCG
Why is Clozaril used? ---------CORRECT ANSWER-----------------Treatment resistant
schizophrenia, improves SI, and improves negative symptoms of schizophrenia
What two medications have the highest risk of agranulocytosis and aplastic
anemia? ---------CORRECT ANSWER-----------------Clozaril and Tegretol
,What symptoms may mean a Clozaril induced infection? ---------CORRECT
ANSWER-----------------Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol? ---------CORRECT ANSWER-------
----------WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? ---------CORRECT
ANSWER-----------------For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal? ---------CORRECT
ANSWER-----------------Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever and severe
headache? ---------CORRECT ANSWER-----------------Aspetic meningitis
What three antipsychotics have very low weight gaining effects? ---------CORRECT
ANSWER-----------------Geodon, Abilify, and Latuda
What does ADPIE stand for? ---------CORRECT 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? ---------CORRECT 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? ---------
CORRECT ANSWER-----------------Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? ---------CORRECT
ANSWER-----------------Check renal function
What do you do if a patient presents with fever while on Clozaril? ---------CORRECT
ANSWER-----------------Check ANC level to assess for agranulocytosis
What can cause serotonin syndrome? ---------CORRECT ANSWER-----------------
Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
, What labs are indicative of NMS? ---------CORRECT ANSWER-----------------Elevated
WBC (over 11,000) and elevated CPK
S/S of NMS ---------CORRECT 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? ---------
CORRECT ANSWER-----------------Check for rhabdo with CPK
s/s of serotonin syndrome ---------CORRECT ANSWER-----------------hyperreflexia,
muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with NMS? ---------CORRECT ANSWER-----------------
bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? ---------CORRECT ANSWER-----------------
cyproheptadine (Periactin)- 5HT-2A receptor antagonist
Complete Questions and Correct Answers |
Already Graded A+ | Verified Answers | Updated
Version
What emergency may be occuring if patient on depakote reports upper
abdominal pain? ---------CORRECT ANSWER-----------------Pancreatitis
What lab should you check if patient has right upper quadrant pain and dark
brown urine? ---------CORRECT ANSWER-----------------LFTs
What lab means pregnancy? ---------CORRECT ANSWER-----------------HCG
Why is Clozaril used? ---------CORRECT ANSWER-----------------Treatment resistant
schizophrenia, improves SI, and improves negative symptoms of schizophrenia
What two medications have the highest risk of agranulocytosis and aplastic
anemia? ---------CORRECT ANSWER-----------------Clozaril and Tegretol
,What symptoms may mean a Clozaril induced infection? ---------CORRECT
ANSWER-----------------Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol? ---------CORRECT ANSWER-------
----------WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? ---------CORRECT
ANSWER-----------------For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal? ---------CORRECT
ANSWER-----------------Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever and severe
headache? ---------CORRECT ANSWER-----------------Aspetic meningitis
What three antipsychotics have very low weight gaining effects? ---------CORRECT
ANSWER-----------------Geodon, Abilify, and Latuda
What does ADPIE stand for? ---------CORRECT 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? ---------CORRECT 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? ---------
CORRECT ANSWER-----------------Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? ---------CORRECT
ANSWER-----------------Check renal function
What do you do if a patient presents with fever while on Clozaril? ---------CORRECT
ANSWER-----------------Check ANC level to assess for agranulocytosis
What can cause serotonin syndrome? ---------CORRECT ANSWER-----------------
Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
, What labs are indicative of NMS? ---------CORRECT ANSWER-----------------Elevated
WBC (over 11,000) and elevated CPK
S/S of NMS ---------CORRECT 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? ---------
CORRECT ANSWER-----------------Check for rhabdo with CPK
s/s of serotonin syndrome ---------CORRECT ANSWER-----------------hyperreflexia,
muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia, HTN,
shits and shivers
What two medications to give with NMS? ---------CORRECT ANSWER-----------------
bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? ---------CORRECT ANSWER-----------------
cyproheptadine (Periactin)- 5HT-2A receptor antagonist
