Georgette Review PMHNP exam with complete solution||2025

Georgette Review PMHNP exam with complete
solution||2025
When.many.answers.are.remarkably.similar,.they.are.usually._____________.~.Correct.Answer.~wrong



Interprofessional.collaboration.is.encouraged..~.Correct.Answer.~Collaborate.is.usually.right..

Delegate.is.usually.wrong.



ADPIER.~.Correct.Answer.~Assessment,.diagnosis,.Plan,.intervention,.evaluate,.refer.out.last.



Lithium.~.Correct.Answer.~Normal.0.6-1.2



Lithium.toxicity.occurs.at.levels.~.Correct.Answer.~>.1.5



Signs.of.Lithium.toxicity.~.Correct.Answer.~severe.nausea,.diarrhea,.vomiting,.confusion,.drowsiness,.mus
cle.weakness,.heart.palpitation,.coarse.hand.tremors,.unsteady.gait



Lithium.is.gold.standard.for.~.Correct.Answer.~MANIA



Lithium.has.evidence.shown.to.~.Correct.Answer.~reduce.suicidal.ideation



What.does.lithium.cause.in.neonate,.especially.1st.trimester.~.Correct.Answer.~Ebstein.anomaly.(congeni
tal.heart.defect)



dehydration.and.hyponatremia.cause.lithium.levels.to.~.Correct.Answer.~rise



Baseline.labs.before.initiation.of.lithium.~.Correct.Answer.~TSH

creatinine.(0.6-1.2)

BUN.(10-20)

,HCG.(all.psychotropics.females.12-51)

EKG.50+

Urinalysis.(check.for.proteins,.4+.may.indicate.kidney.disease)



Side.Effects.of.Lithium.~.Correct.Answer.~hypothyroidism

coase.hand.tremors.with.toxicity

maculopapular.rash

diarrhea,.vomiting,.cramps--signs.of.toxicity..Monitor.closely..

anorexia

t.wave.inversions

leukocytosis



Pt.education.for.lithimum.~.Correct.Answer.~staying.hydrated

avoiding.NSAIDS

compliance



Depakote.normal.level.~.Correct.Answer.~50-125



Depakote.toxicity.level.~.Correct.Answer.~greater.than.150



Teratogenic.effects.of.Depakote.~.Correct.Answer.~spina.bifida



Adverse.effects.of.depakote.~.Correct.Answer.~alopecia

hepatotoxicity.(RUQ.pain.or.brown/red.urine--order.LFTs).AST.5-40,.ALT.5-
35,.yellowing.of.skin.or.eyes,.fatigue



Signs.of.Depakote.toxicity.~.Correct.Answer.~disorientation,.lethargy,.respiratory.depression,.nausea/vo
miting

,Intervention.for.depakote.toxicity.~.Correct.Answer.~DC.med

check.level

LFT

ammonia



MAOI.+.tyramine.causes.~.Correct.Answer.~hypertensive.crisis



Symptoms.of.hypertensive.crisis.~.Correct.Answer.~elevated.BP

sudden.explosive.like.headache

facial.flushing

palpitations

pupillary.dilation

diaphoresis

fever



Hypertensive.crisis.occurs.with.MAOI.+.~.Correct.Answer.~MEPERIDINE

STIMULANTS

decongestants

TCAs

atypicals

St..John's.wart

L-tryptophan

asthma.meds



Treatment.for.hypertensive.crisis.~.Correct.Answer.~DC.offending.agent

Administer.PHENTOLAMINE



Teratogenic.effects.of.benzos.~.Correct.Answer.~floppy.baby,.cleft.palate

, Teratogenic.effects.of.tegratol.~.Correct.Answer.~neural.tube.defect



teratogenic.effects.of.lithium.~.Correct.Answer.~ebstein.anomaly.(heart.defect).(avoid,.especially.1st.trim
ester)



teratogenic.effects.of.depakote.~.Correct.Answer.~neural.tube.defects/spina.bifida



Adverse.reaction.to.Lamictal.~.Correct.Answer.~Steven.Johnson's.Syndrome



Signs.of.SJS.~.Correct.Answer.~FEVER.--high.yield

sore.throat

facial.swelling

tongue.swelling

red.rash

skin.sloughing

body.aches

prodromal.headache

malaise

arthralgia

painful.mucus.membranes



Lamotrigine.is.least.likely.to.cause.~.Correct.Answer.~sedation.or.weight.gain



Carbamazepine.(tegretol).black.box.warning.~.Correct.Answer.~agranulocytosis.(decrease.WBCs)

aplastic.anemia.(pallor,.fatigue,.HA,.fever,.nosebleeds,.bleeding.gums,.skin.rash,.SOA)



Carbamazepine.and.asians.~.Correct.Answer.~Screen.for.HLAB-
1502.allele.before.initiating,.due.to.high.incidence.of.SJS.if.positive.for.allele.