PMHNP-BC BOARDS REVIEW! Question
and Answers (Latest 2026-2027)
steady state means: - Correct Answers ✅5 and 1/2 lives of
the medication is what it takes to reach the 'steady state"
smoking is a known inducer of?? - Correct Answers
✅CYP450 pathways
example: olanzapine will need to be increased due to this
effect **
olanzapine will need to be increased if a patient
resumes/starts smoking again due to what? - Correct
Answers ✅smoking is a known inducer of the CYP450
pathways --causing this effect if a patient starts smoking or
resumes smoking or increases smoking on olanzapine
in extensive metabolizers? - Correct Answers ✅NORMAL;
dont need to change dose or increase dose
rapid diminished effect to increased doses of a medication? -
Correct Answers ✅tachyphylaxis "pooop out"
most common electrolye imbalance with psychotropics? -
Correct Answers ✅hyponatremia
, PMHNP-BC BOARDS REVIEW! Question
and Answers (Latest 2026-2027)
concern to watch for with valproic acid (depakote)?? -
Correct Answers ✅can develop encephalopathy due to the
hyperammonia
*due to this is it ESSENTIAL t check an ammonia level before
starting depakote**
due to _______ is it ESSENTIAL t check an ammonia level
before starting depakote** - Correct Answers ✅the risk of
developing encephalopathy due to the hyperammonia
micropsia - Correct Answers ✅hallucination of little people
*indicative of dementia/alzheimers
macropsia - Correct Answers ✅The visual perception that
objects are larger than they actually are.
*giants*
if a patient is not oriented to person, this supports wht type
of condition? - Correct Answers ✅psych condition rather
than a neurological one
and Answers (Latest 2026-2027)
steady state means: - Correct Answers ✅5 and 1/2 lives of
the medication is what it takes to reach the 'steady state"
smoking is a known inducer of?? - Correct Answers
✅CYP450 pathways
example: olanzapine will need to be increased due to this
effect **
olanzapine will need to be increased if a patient
resumes/starts smoking again due to what? - Correct
Answers ✅smoking is a known inducer of the CYP450
pathways --causing this effect if a patient starts smoking or
resumes smoking or increases smoking on olanzapine
in extensive metabolizers? - Correct Answers ✅NORMAL;
dont need to change dose or increase dose
rapid diminished effect to increased doses of a medication? -
Correct Answers ✅tachyphylaxis "pooop out"
most common electrolye imbalance with psychotropics? -
Correct Answers ✅hyponatremia
, PMHNP-BC BOARDS REVIEW! Question
and Answers (Latest 2026-2027)
concern to watch for with valproic acid (depakote)?? -
Correct Answers ✅can develop encephalopathy due to the
hyperammonia
*due to this is it ESSENTIAL t check an ammonia level before
starting depakote**
due to _______ is it ESSENTIAL t check an ammonia level
before starting depakote** - Correct Answers ✅the risk of
developing encephalopathy due to the hyperammonia
micropsia - Correct Answers ✅hallucination of little people
*indicative of dementia/alzheimers
macropsia - Correct Answers ✅The visual perception that
objects are larger than they actually are.
*giants*
if a patient is not oriented to person, this supports wht type
of condition? - Correct Answers ✅psych condition rather
than a neurological one
