Georgette Review PMHNP. 400 questions and answers

Georgette Review
PMHNP. 400
questions and
answers 2025-2026

,When many answers are remarkably similar, they are usually _____________ -
VERRIFIED ANSWERS✔️✔️--wrong

Interprofessional collaboration is encouraged. - VERRIFIED ANSWERS✔️✔️--
Collaborate is usually right.
Delegate is usually wrong.

ADPIER - VERRIFIED ANSWERS✔️✔️--Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.

Lithium - VERRIFIED ANSWERS✔️✔️--Normal 0.6-1.2

Lithium toxicity occurs at levels - VERRIFIED ANSWERS✔️✔️--> 1.5

Signs of Lithium toxicity - VERRIFIED ANSWERS✔️✔️--severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait

Lithium is gold standard for - VERRIFIED ANSWERS✔️✔️--MANIA

Lithium has evidence shown to - VERRIFIED ANSWERS✔️✔️--reduce suicidal
ideation

What does lithium cause in neonate, especially 1st trimester - VERRIFIED
ANSWERS✔️✔️--Ebstein anomaly (congenital heart defect)

dehydration and hyponatremia cause lithium levels to - VERRIFIED ANSWERS✔️✔️--
rise

Baseline labs before initiation of lithium - VERRIFIED ANSWERS✔️✔️--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 - VERRIFIED ANSWERS✔️✔️--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 - VERRIFIED ANSWERS✔️✔️--staying hydrated
avoiding NSAIDS
compliance

Depakote normal level - VERRIFIED ANSWERS✔️✔️--50-125

Depakote toxicity level - VERRIFIED ANSWERS✔️✔️--greater than 150

Teratogenic effects of Depakote - VERRIFIED ANSWERS✔️✔️--spina bifida

Adverse effects of depakote - VERRIFIED ANSWERS✔️✔️--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 - VERRIFIED ANSWERS✔️✔️--disorientation, lethargy,
respiratory depression, nausea/vomiting

Intervention for depakote toxicity - VERRIFIED ANSWERS✔️✔️--DC med
check level
LFT
ammonia

MAOI + tyramine causes - VERRIFIED ANSWERS✔️✔️--hypertensive crisis

Symptoms of hypertensive crisis - VERRIFIED ANSWERS✔️✔️--elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever

, Hypertensive crisis occurs with MAOI + - VERRIFIED ANSWERS✔️✔️--MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds

Treatment for hypertensive crisis - VERRIFIED ANSWERS✔️✔️--DC offending agent
Administer PHENTOLAMINE

Teratogenic effects of benzos - VERRIFIED ANSWERS✔️✔️--floppy baby, cleft
palate

Teratogenic effects of tegratol - VERRIFIED ANSWERS✔️✔️--neural tube defect

teratogenic effects of lithium - VERRIFIED ANSWERS✔️✔️--ebstein anomaly (heart
defect) (avoid, especially 1st trimester)

teratogenic effects of depakote - VERRIFIED ANSWERS✔️✔️--neural tube
defects/spina bifida

Adverse reaction to Lamictal - VERRIFIED ANSWERS✔️✔️--Steven Johnson's
Syndrome

Signs of SJS - VERRIFIED ANSWERS✔️✔️--FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes