GEORGETTE PMHNP REVIEW 2 NEWEST 2026
ACTUAL EXAM TEST BANK| GEORGETTE PMHNP
CERTIFICATION EXAM WITH COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
What are the signs of valproic acid toxicity? - ANSWER -
Disorientation, lethargy, respiratory depression, nausea/vomiting.
What interventions should be taken for valproic acid toxicity? -
ANSWER - Discontinue medication and check valproic acid levels, liver
function tests, and ammonia levels.
What serious condition can Depakote cause? - ANSWER - Pancreatitis,
indicated by upper abdominal pain, tenderness, fever, rapid pulse,
nausea, vomiting, and oily stools.
What is Kava used for? - ANSWER - Anxiety, stress, insomnia, and
muscle tension.
What serious side effect can Kava cause? - ANSWER - Liver damage.
What is a major interaction of Kava? - ANSWER - Concurrent use with
alcohol may increase the risk of liver toxicity.
pg. 1
,Which medications should not be used with Metoprolol? - ANSWER -
Paroxetine and Fluoxetine due to the risk of hypotension and
bradycardia.
What vitamins can improve depressive symptoms? - ANSWER -
Vitamin B12, B6, Folate, and Omega 3 Fatty acids.
Which antipsychotics can cause QT prolongation? - ANSWER -
Ziprasidone, Quetiapine, Haloperidol, and Citalopram.
Which SSRIs are considered least sedating? - ANSWER - Escitalopram
(Lexapro) and Fluoxetine.
What is a paradoxical effect in medication? - ANSWER - When a
medication produces the opposite effect of its intended use.
What is the most effective treatment for serotonin discontinuation
syndrome? - ANSWER - Resuming the antidepressant at the previously
prescribed dose.
What serious condition can Lamotrigine cause? - ANSWER - Stevens-
Johnson syndrome (SJS).
Which mood stabilizer causes the least weight gain? - ANSWER -
Lamotrigine (Lamictal).
What are the antipsychotics that cause the least weight gain? - ANSWER
- Ziprasidone, Aripiprazole, and Lurasidone.
pg. 2
,What routine labs should be checked for patients on antipsychotics that
can cause weight gain? - ANSWER - Glucose, lipid panel, BMI, and
hip-to-waist ratio.
What nonpharmacologic strategies can manage antipsychotic-induced
weight gain? - ANSWER - Exercise and nutritional counseling.
What lab tests are typically conducted for a new patient with mental
illness? - ANSWER - Comprehensive Metabolic Panel (CMP), Lipid
Panel, A1C, CBC, Thyroid Function Tests, Vitamin D Levels,
Urinalysis.
What is the black box warning for Carbamazepine? - ANSWER -
Agranulocytosis and aplastic anemia.
What should be monitored in patients taking Carbamazepine? -
ANSWER - Signs of infection due to agranulocytosis.
What is the therapeutic range for Lithium? - ANSWER - 0.6-1.2 mEq/L.
What signs indicate Lithium toxicity? - ANSWER - Severe nausea,
vomiting, diarrhea, confusion, drowsiness, muscle weakness, heart
palpitations, coarse hand tremors.
What should be done if Lithium toxicity is suspected? - ANSWER -
Discontinue Lithium and check serum Lithium levels.
pg. 3
, What lab tests should be conducted for patients on Lithium? - ANSWER
- Thyroid panel, serum creatinine, BUN, urinalysis, and pregnancy test.
What side effects can Lithium cause? - ANSWER - Hypothyroidism,
fine hand tremors, gastrointestinal upset, diabetes insipidus, and T-wave
inversions.
What is the risk associated with Clozapine? - ANSWER - Myocarditis
and cardiomyopathy.
What medications can increase serum concentration of drugs excreted by
the kidneys? - ANSWER - Colchicine, NSAIDs (like Ibuprofen),
thiazides (like Hydrochlorothiazide), and ACE inhibitors (like lisinopril).
What effect does dehydration have on Lithium levels? - ANSWER -
Dehydration can increase Lithium levels.
What are the normal sodium levels in milliequivalents per liter (mEq/L)?
- ANSWER - 135 to 145 mEq/L.
How can lower sodium levels affect Lithium clearance? - ANSWER -
Lower sodium levels (hyponatremia) can reduce Lithium clearance,
increasing the risk of Lithium toxicity.
Which neurotransmitters are implicated in addiction? - ANSWER -
Dopamine and gamma-aminobutyric acid (GABA).
pg. 4
ACTUAL EXAM TEST BANK| GEORGETTE PMHNP
CERTIFICATION EXAM WITH COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
What are the signs of valproic acid toxicity? - ANSWER -
Disorientation, lethargy, respiratory depression, nausea/vomiting.
What interventions should be taken for valproic acid toxicity? -
ANSWER - Discontinue medication and check valproic acid levels, liver
function tests, and ammonia levels.
What serious condition can Depakote cause? - ANSWER - Pancreatitis,
indicated by upper abdominal pain, tenderness, fever, rapid pulse,
nausea, vomiting, and oily stools.
What is Kava used for? - ANSWER - Anxiety, stress, insomnia, and
muscle tension.
What serious side effect can Kava cause? - ANSWER - Liver damage.
What is a major interaction of Kava? - ANSWER - Concurrent use with
alcohol may increase the risk of liver toxicity.
pg. 1
,Which medications should not be used with Metoprolol? - ANSWER -
Paroxetine and Fluoxetine due to the risk of hypotension and
bradycardia.
What vitamins can improve depressive symptoms? - ANSWER -
Vitamin B12, B6, Folate, and Omega 3 Fatty acids.
Which antipsychotics can cause QT prolongation? - ANSWER -
Ziprasidone, Quetiapine, Haloperidol, and Citalopram.
Which SSRIs are considered least sedating? - ANSWER - Escitalopram
(Lexapro) and Fluoxetine.
What is a paradoxical effect in medication? - ANSWER - When a
medication produces the opposite effect of its intended use.
What is the most effective treatment for serotonin discontinuation
syndrome? - ANSWER - Resuming the antidepressant at the previously
prescribed dose.
What serious condition can Lamotrigine cause? - ANSWER - Stevens-
Johnson syndrome (SJS).
Which mood stabilizer causes the least weight gain? - ANSWER -
Lamotrigine (Lamictal).
What are the antipsychotics that cause the least weight gain? - ANSWER
- Ziprasidone, Aripiprazole, and Lurasidone.
pg. 2
,What routine labs should be checked for patients on antipsychotics that
can cause weight gain? - ANSWER - Glucose, lipid panel, BMI, and
hip-to-waist ratio.
What nonpharmacologic strategies can manage antipsychotic-induced
weight gain? - ANSWER - Exercise and nutritional counseling.
What lab tests are typically conducted for a new patient with mental
illness? - ANSWER - Comprehensive Metabolic Panel (CMP), Lipid
Panel, A1C, CBC, Thyroid Function Tests, Vitamin D Levels,
Urinalysis.
What is the black box warning for Carbamazepine? - ANSWER -
Agranulocytosis and aplastic anemia.
What should be monitored in patients taking Carbamazepine? -
ANSWER - Signs of infection due to agranulocytosis.
What is the therapeutic range for Lithium? - ANSWER - 0.6-1.2 mEq/L.
What signs indicate Lithium toxicity? - ANSWER - Severe nausea,
vomiting, diarrhea, confusion, drowsiness, muscle weakness, heart
palpitations, coarse hand tremors.
What should be done if Lithium toxicity is suspected? - ANSWER -
Discontinue Lithium and check serum Lithium levels.
pg. 3
, What lab tests should be conducted for patients on Lithium? - ANSWER
- Thyroid panel, serum creatinine, BUN, urinalysis, and pregnancy test.
What side effects can Lithium cause? - ANSWER - Hypothyroidism,
fine hand tremors, gastrointestinal upset, diabetes insipidus, and T-wave
inversions.
What is the risk associated with Clozapine? - ANSWER - Myocarditis
and cardiomyopathy.
What medications can increase serum concentration of drugs excreted by
the kidneys? - ANSWER - Colchicine, NSAIDs (like Ibuprofen),
thiazides (like Hydrochlorothiazide), and ACE inhibitors (like lisinopril).
What effect does dehydration have on Lithium levels? - ANSWER -
Dehydration can increase Lithium levels.
What are the normal sodium levels in milliequivalents per liter (mEq/L)?
- ANSWER - 135 to 145 mEq/L.
How can lower sodium levels affect Lithium clearance? - ANSWER -
Lower sodium levels (hyponatremia) can reduce Lithium clearance,
increasing the risk of Lithium toxicity.
Which neurotransmitters are implicated in addiction? - ANSWER -
Dopamine and gamma-aminobutyric acid (GABA).
pg. 4
