PMHNP Certification Exam (2025/2026) Questions And Answers (Verified Answers), 100% Guaranteed Pass ||Complete A+ Guide

1


PMHNP CERTIFICATION EXAM
2024/25(ACTUAL TEST VERIFIED A+)
NEWEST UPDATE QUESTIONS WITH
CORRECT ANSWERS A+ GRADED


1. Which patient is at highest risk for SI
f f f f f f f


A. 30y/o married AA female with previous SI attempt *1 risk
f f f f f f f f f


factor
f


B. 35 y/o single Asian male with previous SI attempt *3 risk
f f f f f f f f f f


factors
f


C. 38 y/o single AA male who is a manager of a bank *2 risk factors
f f f f f f f f f f f f f f



D. 68 y/o single white male with depression *5 risk factors (age,
f f f f f f f f f f



male, white, depression): D. 68 y/o single white male with depression
f f f f f f f f f f f



*5 risk factors (age, male, white, depression)
f f f f f f f




Count the risk factors f f f




2. When interview teenagers (16 y/o) that arrive with their
f f f f f f f f



parents what should you do?: interview them separately from
f f f f f f f f f



parents.
f



-This helps Build therapeutic rapport with teens by telling them the
f f f f f f f f f f



info is confiden- tial. Parents may be upset but remember you are
f f f f f f f f f f f f



advocating for the child.
f f f f




3. Which Ethnic group has the highest rate of suicide?: Native
f f f f f f f f f



Americans
f




4. Example A patient is being treated for schizophrenia withf f f f f f f f



olanzapine. Which of the following is the most common side
f f f f f f f f f f



effect of olanzapine?
f f f




1 f/

,A. Increased waist circumference f f



B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
f f f f f f f f



receptor an- tagonism f f


C. Increased Lipids f


D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA f f f f f


ANSWER)
f




5. Which antipsychotics have the least weight gain?: Latuda,
f f f f f f f



Abilify, (also least sedating), Geodon-if patient has metabolic
f f f f f f f f



syndrome consider switching to one of the medications above. Or if
f f f f f f f f f f f



the patient is overly sedated try switching to ABILIFY
f f f f f f f f f



6. Which mood stabilizer have the least weight gain?: Lamictal
f f f f f f f f


-But remember all mood stabilizers cause some weight gain
f f f f f f f f




7. When presented with a question about typical vs atypical
f f f f f f f f



antipsychotic the answer is usually to start of a: atypical
f f f f f f f f f f




2 f/

, 2

8. A client presents with complains of changes in appetite,
f f f f f f f f



feeling fatigued, problems with sleep-rest cycle, and changes in
f f f f f f f f f



libido. What is the neu- roanatomical area of the brain that is
f f f f f f f f f f f f



responsible for the normal regulation of these functions?
f f f f f f f f


A. Thalamus
B. Hypothalamus
C. Limbic System f


D. Hippocampus: Hypothalamus f


A, B, & D are all part of the limbic system so you can rule that out
f f f f f f f f f f f f f f f f




3 f/

, 3


9. When a patient is hesitant to participate in treatment you should encour-ag
f f f f f f f f f f f f f




10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L f f f f f




11. When T4 and T3 are high and TSH is low what is the
f f f f f f f f f f f f



diagnosis: HY- PERTHYROIDISM, TSH secretion decreases: TSH
f f f f f f f



fLOW à key symptoms HEAT INTOLERANCE
f f f f f




12. Key symptoms of Heat Intolerance: Hyperthyroidism
f f f f f




13. When T4 and T3 are Low and TSH is high what is the
f f f f f f f f f f f f



diagnosis: (HY- POTHYROIDISM) TSH secretion increased: TSH
f f f f f f f



fHIGH à COLD INTERANCE
f f f




14. Key symptoms of Cold Intolerance: Hypothyroidism
f f f f f




15. Hyperthyroid can mimic: Mania f f f




16. Hypothyroid can mimic: Depression f f f




17. A patient on depakote complains of RUQ pain and has
f f f f f f f f f



reddish/brown urine: Hepatoxicity
f f f


-Check LFTs f




18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
f f f f f f



19. You suspect depakote toxicity what do you do?: Check
f f f f f f f f


-LFT
-Ammonia
-Depakote Level f




20. What herbal supplement can cause hepatoxicity?: Kava Kava
f f f f f f f




21. When taking Kava Kava in combinations with other f f f f f f f



medications you should caution about: Risk of Hepatoxicity
f f f f f f f f



and Sedation
f f




22. TCAs carry a risk of: Hepatotoxicity f f f f f




23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain,
f f f f f f



swelling, burning eyes, blisters, skin pain
f f f f f f




4 f/