GEORGETTE REVIEW PMHNP. EXAM 2025 LATEST UPDATED 400
REAL EXAM QUESTIONS WITH 100% RATED CORRECT ANSWERS
100% ACCURATE GET IT CORRECT!!
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.
心的坚强决定了我们的命运。当
Lithium - (Correct Answer)Normal 0.6-1.2
我们面对挫折时，是一颗不屈的
Lithium toxicity occurs at levels -心让我们勇敢前行
(Correct Answer)> 1.5
Signs of Lithium toxicity - (Correct Answer)severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle 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
(congenital 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 心的坚强决定了我们的命运。当
leukocytosis 我们面对挫折时，是一颗不屈的
心让我们勇敢前行
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/vomiting
Intervention for depakote toxicity - (Correct Answer)DC med
check level
LFT
ammonia
MAOI + tyramine causes - (Correct Answer)hypertensive crisis
心的坚强决定了我们的命运。当
Symptoms of hypertensive crisis - (Correct Answer)elevated BP
我们面对挫折时，是一颗不屈的
sudden explosive like headache
心让我们勇敢前行
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 trimester)
teratogenic effects of depakote - (Correct Answer)neural tube defects/spina bifida
心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
Adverse reaction to Lamictal - (Correct Answer)Steven Johnson's Syndrome
心让我们勇敢前行
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
REAL EXAM QUESTIONS WITH 100% RATED CORRECT ANSWERS
100% ACCURATE GET IT CORRECT!!
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.
心的坚强决定了我们的命运。当
Lithium - (Correct Answer)Normal 0.6-1.2
我们面对挫折时，是一颗不屈的
Lithium toxicity occurs at levels -心让我们勇敢前行
(Correct Answer)> 1.5
Signs of Lithium toxicity - (Correct Answer)severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle 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
(congenital 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 心的坚强决定了我们的命运。当
leukocytosis 我们面对挫折时，是一颗不屈的
心让我们勇敢前行
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/vomiting
Intervention for depakote toxicity - (Correct Answer)DC med
check level
LFT
ammonia
MAOI + tyramine causes - (Correct Answer)hypertensive crisis
心的坚强决定了我们的命运。当
Symptoms of hypertensive crisis - (Correct Answer)elevated BP
我们面对挫折时，是一颗不屈的
sudden explosive like headache
心让我们勇敢前行
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 trimester)
teratogenic effects of depakote - (Correct Answer)neural tube defects/spina bifida
心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
Adverse reaction to Lamictal - (Correct Answer)Steven Johnson's Syndrome
心让我们勇敢前行
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
