Georgette Review PMHNP.
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
When many answers are remarkably similar, they are usually _____________ -
Answer✔✔-wrong
Interprofessional collaboration is encouraged. - Answer✔✔-Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - Answer✔✔-Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium - Answer✔✔-Normal 0.6-1.2
Lithium toxicity occurs at levels - Answer✔✔-> 1.5
,Signs of Lithium toxicity - Answer✔✔-severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait
Lithium is gold standard for - Answer✔✔-MANIA
Lithium has evidence shown to - Answer✔✔-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer✔✔-
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - Answer✔✔-rise
Baseline labs before initiation of lithium - Answer✔✔-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - Answer✔✔-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
,t wave inversions
leukocytosis
Pt education for lithimum - Answer✔✔-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - Answer✔✔-50-125
Depakote toxicity level - Answer✔✔-greater than 150
Teratogenic effects of Depakote - Answer✔✔-spina bifida
Adverse effects of depakote - Answer✔✔-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - Answer✔✔-disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity - Answer✔✔-DC med
check level
LFT
ammonia
, MAOI + tyramine causes - Answer✔✔-hypertensive crisis
Symptoms of hypertensive crisis - Answer✔✔-elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - Answer✔✔-MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - Answer✔✔-DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - Answer✔✔-floppy baby, cleft palate
Teratogenic effects of tegratol - Answer✔✔-neural tube defect
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
When many answers are remarkably similar, they are usually _____________ -
Answer✔✔-wrong
Interprofessional collaboration is encouraged. - Answer✔✔-Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - Answer✔✔-Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium - Answer✔✔-Normal 0.6-1.2
Lithium toxicity occurs at levels - Answer✔✔-> 1.5
,Signs of Lithium toxicity - Answer✔✔-severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait
Lithium is gold standard for - Answer✔✔-MANIA
Lithium has evidence shown to - Answer✔✔-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer✔✔-
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - Answer✔✔-rise
Baseline labs before initiation of lithium - Answer✔✔-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - Answer✔✔-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
,t wave inversions
leukocytosis
Pt education for lithimum - Answer✔✔-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - Answer✔✔-50-125
Depakote toxicity level - Answer✔✔-greater than 150
Teratogenic effects of Depakote - Answer✔✔-spina bifida
Adverse effects of depakote - Answer✔✔-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - Answer✔✔-disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity - Answer✔✔-DC med
check level
LFT
ammonia
, MAOI + tyramine causes - Answer✔✔-hypertensive crisis
Symptoms of hypertensive crisis - Answer✔✔-elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - Answer✔✔-MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - Answer✔✔-DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - Answer✔✔-floppy baby, cleft palate
Teratogenic effects of tegratol - Answer✔✔-neural tube defect
