Science Medicine Psychiatry
PMHNP Board Exam Practice Exam
Questions Verified and Provided with A+
Graded Answers Latest Updated 2026
, A pt is scoring 16 on the Hamilton-D scale and Increase dose
you place them on Lexapro 10mg. The pt comes
to the office 10 weeks later and their score is
now 18.
What adjustment would you make with the
Lexapro?
A pt is scoring a 19 on the Beck Depression scale. Increase the dose
Pt is started on Lexapro 10mg then comes back 8
weeks later and now scores a 29. What adjustment
would you make to the Lexapro?
A pt is scoring a 2 on the GAD scale. They have None
been taking Lexapro for 5 months. What
adjustment would you make?
A 72yo female is brought in by her husband with Depression
increasing forgetfulness, insomnia, decreased
activity, and decreased appetite x2mo. She has a
hx of HTN and is being treated with Lisinopril. The
exam is normal and the MMSE provides a score of
24 but she declines to answer some questions
and needs to be urged to participate in the
assessment. What is the most likely diagnosis?
A new female patient has been recently diagnosed Confidentiality
with bipolar disorder. The PMHNP and the
patient agree to start Lithium. The PMHNP
reviews the benefits and risks of taking Lithium
with the patient then the PMHNP sends the order
to the pharmacy. Which pt right was violated in
this case?
You are treating a 47yo male pt with a hx of Hydroxyzine (avoid Propranolol, can cause bronchospasm and pt has
asthma who presents with sudden onset sxs of asthma; avoid benzos)
tachycardia, elevated BP, sweating, shaking,
agitation, and anxiety. What should the PMHNP
prescribe?
A parent brings in their adolescent child who has a Refer for hospitalization
very low BMI of 12. BP is low. Pt is losing weight
and severely dehydrated. What should the PMHNP
do?
An 80yo female pt comes in with forgetfulness and UA with culture and sensitivity (infections can cause delirium in the
confusion. What should you do? elderly)
You are doing group therapy but a person is not Encourage them to keep attending groups and provide individual
comfortable sharing in front of others. You sessions
are
trying to promote interpersonal learning, so the
person still needs to be involved in group therapy.
What do you do as the PMHNP?
You believe your coworker is lazy because she Mislabeling
came to work late. What is this called?
A pt's husband did not call her, so the pt believes Catastrophizing
he might have died in a car accident. What is this
called?
PMHNP Board Exam Practice Exam
Questions Verified and Provided with A+
Graded Answers Latest Updated 2026
, A pt is scoring 16 on the Hamilton-D scale and Increase dose
you place them on Lexapro 10mg. The pt comes
to the office 10 weeks later and their score is
now 18.
What adjustment would you make with the
Lexapro?
A pt is scoring a 19 on the Beck Depression scale. Increase the dose
Pt is started on Lexapro 10mg then comes back 8
weeks later and now scores a 29. What adjustment
would you make to the Lexapro?
A pt is scoring a 2 on the GAD scale. They have None
been taking Lexapro for 5 months. What
adjustment would you make?
A 72yo female is brought in by her husband with Depression
increasing forgetfulness, insomnia, decreased
activity, and decreased appetite x2mo. She has a
hx of HTN and is being treated with Lisinopril. The
exam is normal and the MMSE provides a score of
24 but she declines to answer some questions
and needs to be urged to participate in the
assessment. What is the most likely diagnosis?
A new female patient has been recently diagnosed Confidentiality
with bipolar disorder. The PMHNP and the
patient agree to start Lithium. The PMHNP
reviews the benefits and risks of taking Lithium
with the patient then the PMHNP sends the order
to the pharmacy. Which pt right was violated in
this case?
You are treating a 47yo male pt with a hx of Hydroxyzine (avoid Propranolol, can cause bronchospasm and pt has
asthma who presents with sudden onset sxs of asthma; avoid benzos)
tachycardia, elevated BP, sweating, shaking,
agitation, and anxiety. What should the PMHNP
prescribe?
A parent brings in their adolescent child who has a Refer for hospitalization
very low BMI of 12. BP is low. Pt is losing weight
and severely dehydrated. What should the PMHNP
do?
An 80yo female pt comes in with forgetfulness and UA with culture and sensitivity (infections can cause delirium in the
confusion. What should you do? elderly)
You are doing group therapy but a person is not Encourage them to keep attending groups and provide individual
comfortable sharing in front of others. You sessions
are
trying to promote interpersonal learning, so the
person still needs to be involved in group therapy.
What do you do as the PMHNP?
You believe your coworker is lazy because she Mislabeling
came to work late. What is this called?
A pt's husband did not call her, so the pt believes Catastrophizing
he might have died in a car accident. What is this
called?
