Scheduled maintenance: May 17, 2025 from 07:00 AM to 10:00 AM
Title
LMR Georgette’s PMHNP Certification Exam Latest 2024-2025 Questions And Correct
Description
LMR Georgette’s PMHNP Certification Exam
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What do you do if a patient Check renal
on lithium has dark brown function
urine?
What do you do if a patient Check ANC level
presents with fever while on to assess for
Clozaril? agranulocytosis
What can cause serotonin Antidepressants,
syndrome? St. John's Wort,
Same-E, Kava
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Kava, and
Tryptophan
What labs are indicative of Elevated WBC
NMS? (over 11,000) and
elevated CPK
S/S of NMS muscle rigidity,
hyperthermia,
tachycardia,
abnormal bp,
sweating, altered
mental status,
cherry colored
urine
What should you do if a Check for rhabdo
patient presents with cherry with CPK
colored urine?
s/s of serotonin syndrome hyperreflexia,
muscle spasms,
myoclonus
(involuntary
muscle jerk), fever,
tachycardia, HTN,
shits and shivers
What two medications to bromocriptine
give with NMS? (Parlodel)- D2
agonist
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dantrolene-
muscle relaxer
What medication to give cyproheptadine
during SS? (Periactin)- 5HT-2A
receptor
antagonist
What is the onset and Slow onset (1-2
typical length of NMS? weeks after
changing or
starting therapy)
and resolves
within 9-14 days
What is the onset of SS? Within 24 hours of
starting/changing
medication and
resolves within a
few days
How do you distinguish NMS has a slower
between NMS and acute onset while acute
dystonia? dystonia occurs
within hours
What happens with lithium Increased risk of
and NSAIDs? lithium toxicity
(gout meds,
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ibuprophen,
naproxen, etc.)
What happens with lithium Increased risk of
and ACE inhibitors? lithium toxicity
related to the
increased
urination from the
ACE inhibitors
Why should a patient on Risk of fatal
lithium avoid calcium nephrotoxicity
channel blockers?
What is a fetal side effect of Epstein's anomaly
lithium?
What lab should you check Specific gravity to
for athletes on lithium? assess for
dehydration
(dehydration is
>1.015)
What do you do if the Do not give the
next dose and
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