PMHNP BC UPDATED 2026-2027 ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS
_________ from the VTA to limbic areas might be related to positive symptoms
of schizophrenia. - Correct Answers ✅A) Hyperactivation
___________ might in part explain cognitive and negative symptoms of
schizophrenia. - Correct Answers ✅Hypofunction of the mesocortical
pathway
what causes EPS? - Correct Answers ✅D2 blockade of the nigrostriatal
pathway
what increases prolactin blood levels - Correct Answers ✅D2 blockade in
the tuberoinfundibular pathways
4. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse practitioner
eliminates fluoxetine hydrochloride (Prozac), based on the knowledge that
the combination can lead to increased plasma levels of the statin, resulting
in an increased risk of muscle damage and rhabdomyolysis. What is the
nurse practitioner's rationale? - Correct Answers ✅A) One medication is a
CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
3. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and: - Correct Answers ✅increased MCV &
elevated triglycerides
2. A 14-year-old patient has nonspecific reports of pain in their legs. The
physical examination is unremarkable. Laboratory results are within normal
limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner: - Correct Answers
✅interprets the findings as normally occurring during a rapid adolescent
growth spurt
, PMHNP BC UPDATED 2026-2027 ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS
1. An 18-year-old patient diagnosed with bipolar disorder wants to enter a
research study that will test an experimental drug. The psychiatric-mental
health nurse practitioner's initial response is,: - Correct Answers ✅"Lets
discuss the risks of potentially changing your meds"
5. During a mental status examination, an 18-year-old patient reports feeling
bugs crawling under their skin. The psychiatric-mental health nurse
practitioner documents this statement as a: - Correct Answers
✅perceptual disturbance, & suspects the use of cocaine
6. The psychiatric-mental health nurse practitioner is responsible for
initiating quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to: - Correct
Answers ✅C) use a survey to elicit pt satisfaction responses
7. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that they recently started. The nurse practitioner decides to provide
psychoeducation and to: - Correct Answers ✅B) email drug information
and resources
9. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service
after an assailant recently took a class hostage at a local elementary school,
wounded several students, and then shot themself. In preparing for this
assignment, the nurse practitioner recognizes that: - Correct Answers ✅A)
a child's developmental stage will influence their response to catastrophic
stress.
10. A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on
EXAM QUESTIONS AND CORRECT
ANSWERS
_________ from the VTA to limbic areas might be related to positive symptoms
of schizophrenia. - Correct Answers ✅A) Hyperactivation
___________ might in part explain cognitive and negative symptoms of
schizophrenia. - Correct Answers ✅Hypofunction of the mesocortical
pathway
what causes EPS? - Correct Answers ✅D2 blockade of the nigrostriatal
pathway
what increases prolactin blood levels - Correct Answers ✅D2 blockade in
the tuberoinfundibular pathways
4. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse practitioner
eliminates fluoxetine hydrochloride (Prozac), based on the knowledge that
the combination can lead to increased plasma levels of the statin, resulting
in an increased risk of muscle damage and rhabdomyolysis. What is the
nurse practitioner's rationale? - Correct Answers ✅A) One medication is a
CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
3. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and: - Correct Answers ✅increased MCV &
elevated triglycerides
2. A 14-year-old patient has nonspecific reports of pain in their legs. The
physical examination is unremarkable. Laboratory results are within normal
limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner: - Correct Answers
✅interprets the findings as normally occurring during a rapid adolescent
growth spurt
, PMHNP BC UPDATED 2026-2027 ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS
1. An 18-year-old patient diagnosed with bipolar disorder wants to enter a
research study that will test an experimental drug. The psychiatric-mental
health nurse practitioner's initial response is,: - Correct Answers ✅"Lets
discuss the risks of potentially changing your meds"
5. During a mental status examination, an 18-year-old patient reports feeling
bugs crawling under their skin. The psychiatric-mental health nurse
practitioner documents this statement as a: - Correct Answers
✅perceptual disturbance, & suspects the use of cocaine
6. The psychiatric-mental health nurse practitioner is responsible for
initiating quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to: - Correct
Answers ✅C) use a survey to elicit pt satisfaction responses
7. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that they recently started. The nurse practitioner decides to provide
psychoeducation and to: - Correct Answers ✅B) email drug information
and resources
9. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service
after an assailant recently took a class hostage at a local elementary school,
wounded several students, and then shot themself. In preparing for this
assignment, the nurse practitioner recognizes that: - Correct Answers ✅A)
a child's developmental stage will influence their response to catastrophic
stress.
10. A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on
