PMHNP Board Review - 1
=Tommy is an eight-year-old who offers to the PMHNP for ADHD. His mom completed the
Vanderbilt ADHD rating scale and brought it in. Both your medical interview and the score
scales indicate Tommy has ADHD. What evaluation signs need to be completed prior to
starting a stimulant remedy?
A. Get a duplicate of the rating scale completed via his grandparents
b. Assess for family records of cardiovascular sickness and, if high quality for conduction
troubles, order an electrocardiogram earlier than prescribing meds
c. Obtain BP, pulse, and start stimulant medicine
d. Assess for a circle of relatives history of bipolar disorder - ANS-b. Assess for own family
records of cardiovascular disease and, if nice for conduction problems, order an
electrocardiogram earlier than prescribing meds
1. A forty six-yr-vintage hx bipolar comes for a ordinary follow-up appointment w/ PMHNP
and provides w/complains of severe vomiting, diarrhea, muscle weak point, blurred
imaginative and prescient, and ataxia. The patient is currently taking 900 mg of lithium every
day. The psychiatric nurse practitioner identifies those signs and symptoms as symptoms of
lithium toxicity. What is the priority motion of the PMHNP?
A. Maintains training regimen and video display units the signs
b. Tells the pt to prevent taking the lithium and orders a serum lithium degree
c. Orders an electrocardiogram
d. Take the affected person's vital symptoms - ANS-b. Tells the pt to forestall taking the
lithium and orders a serum lithium stage
1. In treating a 47-12 months-old male patient with a records of asthma who offers with
unexpected onset symptoms of tachycardia, accelerated blood strain, sweating, shaking,
agitation, and anxiety, the PMHNP prescribes:
a. Zero.Five mg of Xanax IV
b. 2 mg of lorazepam IM
c. 10 mg of propranolol IM
d. 50 mg of hydroxyzine IM - ANS-D. 50mg of Hydroxyzine IM
1. The PMHNP is aware about the following signs and symptoms to observe out for pts
taking clozapine (Clozaril)?
A. Nosebleeds, bleeding gums, and pores and skin rash
b. Mutism, muscle rigidity, and hyperthermia
c. Fever, sore throats, and chills
d. Ataxia, confusion, hypothyroidism - ANS-c. Fever, sore throats, and chills -- because of
leukocytopenia
,1. Which mood stabilizer is related to potential lifestyles-threatening rash within the Asian
population?
A. Carbamazepine (Tegretol)
b. Depakote
c. Lithium
d. Lamictal - ANS-A. Carbamazepine (Tegretol)
17. The pmhnp sees a 13-yr-vintage boy who offers with distressing thoughts and tics.
Those signs and symptoms evolved weeks after the patient developed a streptococcal
contamination. The affected person gives with a fever, sore throat, and headache. What is
the maximum possibly analysis?
A. Tourette's syndrome - motor and verbal tics, no longer thoughts
b. Attention deficit hyperactivity disorder
c. Obsessive-compulsive sickness
d. Autism - ANS-C. Obsessive-compulsive sickness
A 12-yr-old boy is introduced to the PMHNP because his mother says the boy is riding her
"nuts." She reviews that he constantly argues together with her and his father, does no
longer comply with any of the house policies, and continuously teases his sister. She says
that he is spiteful and vindictive and loses his mood without problems. Once he's mad, he
remains that manner for long intervals of time. The mom notes that the boy began this
conduct simplest about 12 months previously. While she states that this conduct began at
home, it has now spread to school, wherein his grades are dropping because he refuses to
participate. The patient keeps that none of this is his fault his parents are simply being
unreasonable. He did denies feeling depressed and notes that he sleeps properly thru the
night time. Which of the following is the maximum possibly prognosis?
A. Oppositional Defiance ailment
b. Antisocial persona disease
c. Behavior disorder
d. Intermit - ANS-a. Oppositional Defiance sickness
A 2-yr-old baby is displaying low self-esteem, poor strength of mind, self-doubt, and a high
level of dependency. These behaviors suggest developmental failure in which of the
subsequent stages of improvement?
A. Infancy
b. Early formative years
c. Past due youth
d. Faculty age - ANS-b. Early youth
A 23-12 months-vintage female is delivered into the ER after trying suicide by using cutting
her wrists. Which nursing movement with the aid of the PMHNP could be of the highest
precedence initially?
, A. Assess her coping behaviors
b. Assess her modern level of suicidality
c. Take her important signs
Assess her fitness records - ANS-c. Take her critical symptoms
A 24-12 months-old woman attempted suicide through overdose with the monoamine
oxidase inhibitor, phenelzine. She is stabilized on the medical institution. 10 days later she is
started on venlafaxine and becomes tachycardic and diaphoretic, and he or she develops
myoclonic jerks. What condition is that this?
A. Neuroleptic malignant syndrome
b. Acute dystonia
c. Akathisia
d. Serotonin syndrome - ANS-D. Serotonin Syndrome
A 25-year-antique female affords with reduced appetite, reminiscence loss, weight benefit,
and cold intolerance. To rule out organic causes the psychiatric intellectual fitness nurse
practitioner ought to order a:
a. Complete metabolic panel
b. Prolactin level
c. Cortisol level
d. Thyroid profile - ANS-d. Thyroid profile
A 32-year-antique male with a records of continual obstructive pulmonary disorder (COPD),
type 2, diabetes mellitus, high blood pressure, and new-onset intense physiologic tremor
affords to the health center with his wife. The spouse is involved that the pt is misusing the
alcoholic drinks to self-treat his tremors. He has begun missing their kid's school events and
coming domestic overdue. He also has greater mood swings. Upon thinking the pt, he
admits to growing his usual alcohol intake. However, he does no longer renowned that he
has a problem with w/alcohol and is on top of things. Vital signs are stable, and medicines
are appropriately reconciled and refilled. Which of the following is a questionnaire criterion
for use and at what level of recuperation does this affected person stand?
A. CAGE and he's in movement
b. CAGE and he's in pre-contemplation
c. CAGE and he's in contemplation
d. CAGE and he's in preparation - ANS-b. CAGE and he's in pre-contemplation
A 34-12 months-antique woman affected person studies motor restlessness, tension,
irritability, weight loss, and brief interest span. The patient's lab values indicate a
thyroid-stimulating hormone stage of 0.32 mu/L. The psychiatric intellectual fitness nurse
practitioner suspects:
a. Interest deficit hyperactivity sickness
b. Hypothyroidism
c. Hyperthyroidism
d. Predominant depressive disorder - ANS-c. Hyperthyroidism
=Tommy is an eight-year-old who offers to the PMHNP for ADHD. His mom completed the
Vanderbilt ADHD rating scale and brought it in. Both your medical interview and the score
scales indicate Tommy has ADHD. What evaluation signs need to be completed prior to
starting a stimulant remedy?
A. Get a duplicate of the rating scale completed via his grandparents
b. Assess for family records of cardiovascular sickness and, if high quality for conduction
troubles, order an electrocardiogram earlier than prescribing meds
c. Obtain BP, pulse, and start stimulant medicine
d. Assess for a circle of relatives history of bipolar disorder - ANS-b. Assess for own family
records of cardiovascular disease and, if nice for conduction problems, order an
electrocardiogram earlier than prescribing meds
1. A forty six-yr-vintage hx bipolar comes for a ordinary follow-up appointment w/ PMHNP
and provides w/complains of severe vomiting, diarrhea, muscle weak point, blurred
imaginative and prescient, and ataxia. The patient is currently taking 900 mg of lithium every
day. The psychiatric nurse practitioner identifies those signs and symptoms as symptoms of
lithium toxicity. What is the priority motion of the PMHNP?
A. Maintains training regimen and video display units the signs
b. Tells the pt to prevent taking the lithium and orders a serum lithium degree
c. Orders an electrocardiogram
d. Take the affected person's vital symptoms - ANS-b. Tells the pt to forestall taking the
lithium and orders a serum lithium stage
1. In treating a 47-12 months-old male patient with a records of asthma who offers with
unexpected onset symptoms of tachycardia, accelerated blood strain, sweating, shaking,
agitation, and anxiety, the PMHNP prescribes:
a. Zero.Five mg of Xanax IV
b. 2 mg of lorazepam IM
c. 10 mg of propranolol IM
d. 50 mg of hydroxyzine IM - ANS-D. 50mg of Hydroxyzine IM
1. The PMHNP is aware about the following signs and symptoms to observe out for pts
taking clozapine (Clozaril)?
A. Nosebleeds, bleeding gums, and pores and skin rash
b. Mutism, muscle rigidity, and hyperthermia
c. Fever, sore throats, and chills
d. Ataxia, confusion, hypothyroidism - ANS-c. Fever, sore throats, and chills -- because of
leukocytopenia
,1. Which mood stabilizer is related to potential lifestyles-threatening rash within the Asian
population?
A. Carbamazepine (Tegretol)
b. Depakote
c. Lithium
d. Lamictal - ANS-A. Carbamazepine (Tegretol)
17. The pmhnp sees a 13-yr-vintage boy who offers with distressing thoughts and tics.
Those signs and symptoms evolved weeks after the patient developed a streptococcal
contamination. The affected person gives with a fever, sore throat, and headache. What is
the maximum possibly analysis?
A. Tourette's syndrome - motor and verbal tics, no longer thoughts
b. Attention deficit hyperactivity disorder
c. Obsessive-compulsive sickness
d. Autism - ANS-C. Obsessive-compulsive sickness
A 12-yr-old boy is introduced to the PMHNP because his mother says the boy is riding her
"nuts." She reviews that he constantly argues together with her and his father, does no
longer comply with any of the house policies, and continuously teases his sister. She says
that he is spiteful and vindictive and loses his mood without problems. Once he's mad, he
remains that manner for long intervals of time. The mom notes that the boy began this
conduct simplest about 12 months previously. While she states that this conduct began at
home, it has now spread to school, wherein his grades are dropping because he refuses to
participate. The patient keeps that none of this is his fault his parents are simply being
unreasonable. He did denies feeling depressed and notes that he sleeps properly thru the
night time. Which of the following is the maximum possibly prognosis?
A. Oppositional Defiance ailment
b. Antisocial persona disease
c. Behavior disorder
d. Intermit - ANS-a. Oppositional Defiance sickness
A 2-yr-old baby is displaying low self-esteem, poor strength of mind, self-doubt, and a high
level of dependency. These behaviors suggest developmental failure in which of the
subsequent stages of improvement?
A. Infancy
b. Early formative years
c. Past due youth
d. Faculty age - ANS-b. Early youth
A 23-12 months-vintage female is delivered into the ER after trying suicide by using cutting
her wrists. Which nursing movement with the aid of the PMHNP could be of the highest
precedence initially?
, A. Assess her coping behaviors
b. Assess her modern level of suicidality
c. Take her important signs
Assess her fitness records - ANS-c. Take her critical symptoms
A 24-12 months-old woman attempted suicide through overdose with the monoamine
oxidase inhibitor, phenelzine. She is stabilized on the medical institution. 10 days later she is
started on venlafaxine and becomes tachycardic and diaphoretic, and he or she develops
myoclonic jerks. What condition is that this?
A. Neuroleptic malignant syndrome
b. Acute dystonia
c. Akathisia
d. Serotonin syndrome - ANS-D. Serotonin Syndrome
A 25-year-antique female affords with reduced appetite, reminiscence loss, weight benefit,
and cold intolerance. To rule out organic causes the psychiatric intellectual fitness nurse
practitioner ought to order a:
a. Complete metabolic panel
b. Prolactin level
c. Cortisol level
d. Thyroid profile - ANS-d. Thyroid profile
A 32-year-antique male with a records of continual obstructive pulmonary disorder (COPD),
type 2, diabetes mellitus, high blood pressure, and new-onset intense physiologic tremor
affords to the health center with his wife. The spouse is involved that the pt is misusing the
alcoholic drinks to self-treat his tremors. He has begun missing their kid's school events and
coming domestic overdue. He also has greater mood swings. Upon thinking the pt, he
admits to growing his usual alcohol intake. However, he does no longer renowned that he
has a problem with w/alcohol and is on top of things. Vital signs are stable, and medicines
are appropriately reconciled and refilled. Which of the following is a questionnaire criterion
for use and at what level of recuperation does this affected person stand?
A. CAGE and he's in movement
b. CAGE and he's in pre-contemplation
c. CAGE and he's in contemplation
d. CAGE and he's in preparation - ANS-b. CAGE and he's in pre-contemplation
A 34-12 months-antique woman affected person studies motor restlessness, tension,
irritability, weight loss, and brief interest span. The patient's lab values indicate a
thyroid-stimulating hormone stage of 0.32 mu/L. The psychiatric intellectual fitness nurse
practitioner suspects:
a. Interest deficit hyperactivity sickness
b. Hypothyroidism
c. Hyperthyroidism
d. Predominant depressive disorder - ANS-c. Hyperthyroidism
