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PMHNP Boards – Scientific Foundation and Advanced Exam Questions and Answers – Complete Practice Exam Material with Well-Illustrated Explanations

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This document contains comprehensive PMHNP Boards practice questions and answers focused on the Scientific Foundation and Advanced domains of psychiatric-mental health nurse practitioner certification. It covers neurobiology, psychopathology, psychopharmacology, evidence-based practice, assessment, diagnosis, therapeutic interventions, and clinical decision-making through well-illustrated explanations and realistic clinical scenarios. The material is designed to reinforce foundational knowledge, strengthen critical thinking, and support effective board exam preparation.

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PMHNP




PMHNP BOARDS - SCIENTIFIC FOUNDATION AND ADVANCE EXAM QUESTIONS
AND ANSWERS WELL ILLUSTRATED.

Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above answer >>>>a. Acute alcohol intoxication


In the pharmacological treatment of psychosis, when antipsychotics are
administered, which block dopamine, a secondary effect is blocking in
another tract, which causes potential prolactin problems, such as
gynecomastia in males. This tract is the:
a. mesolimbic
b. tuber infundibular
c. nigrostrial dopamine tract
d. neocortical answer >>>>b. tuber infundibular


A six-year-old patient with autism spectrum disorder has not responded
to six months of psychosocial interventions and continues to
demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tigerton) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.

,PMHNP


3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. answer >>>>3.
risperidone (Risperdal) 0.25 mg once a day.


Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate answer >>>>3. Carbamazepine


EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuber infundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis answer >>>>a. D2 blockade in the
nigrostriatial tract


Which drug carries a higher risk of metabolic effects than the other
second generation antipsychotics: weight gain, diabetes, dyslipidemia?
a. Clairol
b. Zyprexa
c. Risperdal
d. Geodon answer >>>>b. Zyprexa

,PMHNP




A patient has not had any relief of symptoms with Fluoxetine, and is
going to be started on an MAOI. How long before starting the MAOI
should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks’ answer >>>>a. 2 weeks


Which drug can produce serious side effect of rash in some Asians, and
the FDA has mandated genetic testing before the administration of this
drug?
a. Dilantin
b. Laical
c. Depakote
d. Tigerton answer >>>>d. Tigerton


Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Citalopram Oxalate answer >>>>a. Paroxetine (Paxil is EVIL)

, PMHNP


Brain structure responsible for mediating mood, fear, emotion, and
aggression; also responsible for connecting sensory smell information
with emotions answer >>>>amygdala


Regulates memory and converts short-term memory into long-term
memory answer >>>>


Plays key roles in various regulatory functions such as appetite,
sensations of hunger and thirst, water balance, circadian rhythms, body
temperature, libido, and hormonal regulation answer >>>>


Patient on lithium and Cipro Cipro _____________ lithium level answer
>>>>


Patient on psych meds and dexamethasone will complain of what?
answer >>>>


Patient w/ schizophrenia, structural changes of the brain on CT answer
>>>>


Which lab is checked with clozaril? answer >>>>ANC


Lobes of the Brain - Fred Tore his Pants Off answer >>>>Frontal -
executive fox, logical thinking
Temporal (tempo) sound

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