PMHNP CERTIFICATION PRACTICE QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS AND RATIONALES

PMHNP CERTIFICATION PRACTICE QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS AND RATIONALES 1. A mother reports her child woke up screaming in the middle of the night. What is the most appropriate initial response? A) Prescribe a sleep aid immediately B) Refer to a sleep specialist C) Ask if it's happened before to assess for sleep issue patterns D) Recommend behavioral therapy Correct Answer: C Rationale: Assessing for patterns of sleep issues is the appropriate initial approach before intervening. This helps determine if the issue is isolated or recurrent, guiding further assessment and treatment decisions. ________________________________________ 2. What does the "I" stand for in ADPIE? A) Intervention B) Implementation C) Initiation D) Investigation Correct Answer: B Rationale: ADPIE stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation. "I" represents Implementation, which is the step where the planned interventions are carried out. ________________________________________ 3. A patient presents with fungus on their toenail. What is the appropriate action? A) Prescribe oral antifungal medication B) Refer to dermatology C) Scrape nail and send for testing D) Recommend over-the-counter antifungal cream Correct Answer: C Rationale: Scraping the nail and sending it for testing is the appropriate diagnostic step to confirm fungal infection before initiating treatment. ________________________________________ 4. A patient on lithium presents with dark brown urine. What should you do? A) Check renal function B) Decrease lithium dose C) Increase fluid intake D) Order a urine culture Correct Answer: A Rationale: Dark brown urine in a patient on lithium may indicate renal impairment or toxicity. Checking renal function is essential to assess kidney status and guide treatment decisions. ________________________________________ 5. A patient on Clozaril presents with fever. What is the priority assessment? A) Complete blood count B) Check ANC level to assess for agranulocytosis C) Blood culture D) Chest X-ray Correct Answer: B Rationale: Fever in a patient on Clozaril (clozapine) is concerning for agranulocytosis. Checking the Absolute Neutrophil Count (ANC) is critical as agranulocytosis is a potentially fatal side effect requiring immediate intervention. ________________________________________ 6. Which of the following can cause serotonin syndrome? A) Lithium and NSAIDs B) Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan C) Antipsychotics and beta-blockers D) Benzodiazepines and alcohol Correct Answer: B Rationale: Serotonin syndrome can be caused by combinations of serotonergic agents including antidepressants, St. John's Wort, SAM-e, Kava Kava, and tryptophan. These substances increase serotonin levels and can lead to toxicity when combined. ________________________________________ 7. Which labs are indicative of Neuroleptic Malignant Syndrome (NMS)? A) Elevated liver enzymes and low glucose B) Elevated WBC (over 11,000) and elevated CPK C) Low sodium and high potassium D) Elevated BUN and creatinine Correct Answer: B Rationale: NMS is characterized by elevated WBC (11,000) and elevated creatine phosphokinase (CPK). These lab findings, along with clinical symptoms, help diagnose this life-threatening condition. ________________________________________ 8. Which of the following is a sign/symptom of NMS? A) Hyperreflexia and myoclonus B) Muscle rigidity, hyperthermia, tachycardia, and cherry colored urine C) Hypotension and bradycardia D) Dry mouth and constipation Correct Answer: B Rationale: NMS presents with muscle rigidity, hyperthermia, tachycardia, abnormal blood pressure, sweating, altered mental status, and cherry colored urine (indicating rhabdomyolysis). ________________________________________ 9. A patient presents with cherry colored urine. What should you check? A) Urinalysis for infection B) Check for rhabdo with CPK C) Renal ultrasound D) Liver function tests