LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM WITH
ACTUAL NGN QUESTIONS
AND VERIFIED WELL
EXPLAINED 100% CORRECT
ANSWERS
WITH RATIONALES GRADED A+
LATEST UPDATE 2025 WITH
100% GUARANTEED SUCCESS
AFTER DOWNLOAD (ALL
YOUNEED TO PASS YOUR
EXAMS
Chapter 01: Overview of Gerontologic N
, What is the therapeutic range for valproic acid?
50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do you
suspect? What do you do?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn?
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
Accutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is the major side
effect with Kava Kava?
Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?
Fever -Key sx to suspect SJS; high yield (HY)
, burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
, Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your action?
Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?
0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
CERTIFICATION EXAM WITH
ACTUAL NGN QUESTIONS
AND VERIFIED WELL
EXPLAINED 100% CORRECT
ANSWERS
WITH RATIONALES GRADED A+
LATEST UPDATE 2025 WITH
100% GUARANTEED SUCCESS
AFTER DOWNLOAD (ALL
YOUNEED TO PASS YOUR
EXAMS
Chapter 01: Overview of Gerontologic N
, What is the therapeutic range for valproic acid?
50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid toxicity?
Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do you
suspect? What do you do?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn?
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
Accutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is the major side
effect with Kava Kava?
Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?
Fever -Key sx to suspect SJS; high yield (HY)
, burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic symptoms treated in delirium?
, Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your action?
Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?
0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
