GEORGETTE REVIEW PMHNP EXAM PRACTICE
QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE
2026/2027 | GRADED A+.
A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She
is stabilized in the hospital. Ten days later she is started on venlafaxine and
becomes tachycardia and diaphoretic, and develops myoclonic jerks. What
condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - CORRECT ANSWER- serotonin syndrome
a 17 year old arrives at the emergency department with nonspecific complaints
The patient's temperature is 100.8, pulse rate and blood pressure are elevated,
and pupils are dilated with decreased reaction to light. Two days ago, the patient
began taking sertraline for the treatment of depression. the patient has a history
of substance use and smoked marijuana one week ago. The diagnosis is -
CORRECT ANSWER- serotonin syndrome
Patient being treated for psychosis for 2 weeks develops symptoms of NMS.
The following factors help the pMHNP to differentiate NMS from serotonin
syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
D. Mutism, leukocytosis, myoglobinuria - CORRECT ANSWER- mutism,
leukocytosis, myoglobinuria
Appraisal of the patient's SI plan, intent and access to implement plan would be
documented in which part of standard psychiatric evaluation
,A Review of symptoms.
B. Diagnosis
C. Mental status exam
D. History of presenting illness - CORRECT ANSWER- C mental status exam
For 12 years, a 65 year old patient with bipolar affective disorder has been
treated with lithium 900 mg daily. When oral HCTC 12.5 daily is added for
hypertension, the patient develops nausea, vomiting, ataxia, and muscle
weakness and the patient's serum lithium level is 2.0. The interaction of the
lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
D. Decreased renal clearance of lithium - CORRECT ANSWER- A. decreased
renal clearance of lithium
Where is norepinephrine produced - CORRECT ANSWER- locus coeruleus
and medullary reticular formation
When many answers are remarkably similar, they are usually _____________ -
CORRECT ANSWER- wrong
Interprofessional collaboration is encouraged. - CORRECT ANSWER-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - CORRECT ANSWER- Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
,Lithium - CORRECT ANSWER- Normal 0.6-1.2
When treating older adults, you should keep in mind that they are more
sensitive to issues of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration - CORRECT ANSWER- Decreased protein
binding
Lithium toxicity occurs at levels - CORRECT ANSWER- > 1.5
Signs of Lithium toxicity - CORRECT ANSWER- severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse
hand tremors, unsteady gait
Lithium is gold standard for - CORRECT ANSWER- MANIA
Lithium has evidence shown to - CORRECT ANSWER- reduce suicidal
ideation
Teratogenic effects of Depakote - CORRECT ANSWER- spina bifida Adverse
effects of depakote - CORRECT ANSWER- alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 535,
yellowing of skin or eyes, fatigue
, Thank you for Purchasing this exam
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quality academic materials to help
students excel in exams. Our other
Services include but not limited to:
academic research, University &
College assignments writing, essay
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Signs of Depakote toxicity - CORRECT ANSWER- disorientation, lethargy,
respiratory depression, nausea/vomiting
QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE
2026/2027 | GRADED A+.
A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She
is stabilized in the hospital. Ten days later she is started on venlafaxine and
becomes tachycardia and diaphoretic, and develops myoclonic jerks. What
condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - CORRECT ANSWER- serotonin syndrome
a 17 year old arrives at the emergency department with nonspecific complaints
The patient's temperature is 100.8, pulse rate and blood pressure are elevated,
and pupils are dilated with decreased reaction to light. Two days ago, the patient
began taking sertraline for the treatment of depression. the patient has a history
of substance use and smoked marijuana one week ago. The diagnosis is -
CORRECT ANSWER- serotonin syndrome
Patient being treated for psychosis for 2 weeks develops symptoms of NMS.
The following factors help the pMHNP to differentiate NMS from serotonin
syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
D. Mutism, leukocytosis, myoglobinuria - CORRECT ANSWER- mutism,
leukocytosis, myoglobinuria
Appraisal of the patient's SI plan, intent and access to implement plan would be
documented in which part of standard psychiatric evaluation
,A Review of symptoms.
B. Diagnosis
C. Mental status exam
D. History of presenting illness - CORRECT ANSWER- C mental status exam
For 12 years, a 65 year old patient with bipolar affective disorder has been
treated with lithium 900 mg daily. When oral HCTC 12.5 daily is added for
hypertension, the patient develops nausea, vomiting, ataxia, and muscle
weakness and the patient's serum lithium level is 2.0. The interaction of the
lithium and the thiazide diuretic has induced:
A. hypokalemia
B. hyponatremia
C. Increased renal clearance of lithium
D. Decreased renal clearance of lithium - CORRECT ANSWER- A. decreased
renal clearance of lithium
Where is norepinephrine produced - CORRECT ANSWER- locus coeruleus
and medullary reticular formation
When many answers are remarkably similar, they are usually _____________ -
CORRECT ANSWER- wrong
Interprofessional collaboration is encouraged. - CORRECT ANSWER-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - CORRECT ANSWER- Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
,Lithium - CORRECT ANSWER- Normal 0.6-1.2
When treating older adults, you should keep in mind that they are more
sensitive to issues of drug toxicity because of which of the following reasons?
A. Decreased body fat
B. Increased liver capacity
C. Decreased protein binding
D. Increased muscle concentration - CORRECT ANSWER- Decreased protein
binding
Lithium toxicity occurs at levels - CORRECT ANSWER- > 1.5
Signs of Lithium toxicity - CORRECT ANSWER- severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse
hand tremors, unsteady gait
Lithium is gold standard for - CORRECT ANSWER- MANIA
Lithium has evidence shown to - CORRECT ANSWER- reduce suicidal
ideation
Teratogenic effects of Depakote - CORRECT ANSWER- spina bifida Adverse
effects of depakote - CORRECT ANSWER- alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 535,
yellowing of skin or eyes, fatigue
, Thank you for Purchasing this exam
Study Guide. We provide high-
quality academic materials to help
students excel in exams. Our other
Services include but not limited to:
academic research, University &
College assignments writing, essay
writing, Online Classes, and research
projects. Our services are reliable,
affordable, and plagiarism-free. All
the Best in your Exam. For more
information; Contact us at:
or
0R
+254 741484450
Signs of Depakote toxicity - CORRECT ANSWER- disorientation, lethargy,
respiratory depression, nausea/vomiting
