PMHNP BOARDS - SCIENTIFIC
FOUNDATION AND ADVANCE
PRACTICE SKILLS LATEST 2025
REVISED EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED COMPLETE SOLUTION)
ALREADY PASSED SCORE A+
,1. Which Of The Following Is A Contraindication To Benzodiazepines?
a. Acute Alcohol Intoxication
b. Acute Narrow Angle Glaucoma
c. Psychosis
d. All The AboveANS : A. Acute Alcohol Intoxication
2. In The Pharmacological Treatment Of Psychosis, When Antipsychotics Are Administered,
Which Block Dopamine, A Secondary Effect Is Blocking In Another Tract, Which Causes Potential
Prolactin Problems, Such As Gynecomastia In Males. This Tract Is The:
a. Mesolimbic
b. Tuberoinfundibular
c. Nigrostrial Dopamine Tract
d. Mesocortical ANS: B. Tuberoinfundibular
3. A Six-Year-Old Patient With Autism Spectrum Disorder Has Not Responded To Six Months
Of Psychosocial Interventions And Continues To Demonstrate Ag- Gressive Tendencies
Toward A Younger Sibling. The Psychiatric-Mental Health Nurse Practitioner Prescribes:
1. Carbamazepine (Tegretol) 200 Mg Once A Day.
2. Haloperidol (Haldol) 2 Mg Once A Day.
3. Risperidone (Risperdal) 0.25 Mg Once A Day.
4. Venlafaxine ER (Effexor XR) 37.5 Mg Once A Day. ANS: 3. Risperidone (Risperdal)
0.25 Mg Once A Day.
4. Which Drug Is Likely To Produce Liver Failure And Hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate ANS: 3. Carbamazepine
5. EPS Arises From:
a. D2 Blockade In The Nigrostriatial Tract
b. D2 Blockade In The Tuberoinfundibular Tract
c. D2 Blockade In The Alpha-1 Adrenergic Receptor Blockade
d. D2 Blockade In The HPA AxisANS : A. D2 Blockade In The Nigrostriatial Tract
6. Which Drug Carries A Higher Risk Of Metabolic Effects Than The Other Second Generation
Antipsychotics: Weight Gain, Diabetes, Dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon ANS: B. Zyprexa
,7. A Patient Has Not Had Any Relief Of Symptoms With Fluoxetine, And Is Going To Be Started
On An MAOI. How Long Before Starting The MAOI Should The Fluoxetine Be Withdrawn?
a. 2 Weeks
b. 3 Weeks
c. 4 Weeks
d. 5 WeeksANS : A. 2 Weeks
8. Which Drug Can Produce Serious Side Effect Of Rash In Some Asians, And The FDA Has
Mandated Genetic Testing Before The Administration Of This Drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol ANS: D. Tegretol
9. Which Is Considered The Most Sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram OxalateANS : A. Paroxetine (Paxil Is EVIL)
10. Brain Structure Responsible For Mediating Mood, Fear, Emotion, And Ag- Gression;
Also Responsible For Connecting Sensory Smell Information With Emotions: Amygdala
11. Regulates Memory And Converts Short-Term Memory Into Long-Term Mem- Ory:
12. Plays Key Roles In Various Regulatory Functions Such As Appetite, Sensa- Tions Of
Hunger And Thirst, Water Balance, Circadian Rhythms, Body Tempera- Ture, Libido, And
Hormonal Regulation:
13. Patient On Lithium And Cipro Cipro Lithium Level:
14. Patient On Psych Meds And Dexamethasone Will Complain Of What?:
15. Patient W/ Schizophrenia, Structural Changes Of The Brain On CT:
16. Which Lab Is Checked With Clozaril?: ANC
17. Lobes Of The Brain - Fred Tore His Pants Off: Frontal - Executive Fx, Logical Thinking
Temporal (Tempo) Sound
Occipital (Optic) Vision
Parietal (Pat) Touch
18. You Ask A Patient To Clench Her Teeth, Which Cranial Nerve Are You Testing?-
: Cranial Nerve 5 - TRIGEMINAL
19. What Does The Frontal Lobe Affect? (LIMP): Executive Functions: Language
, Intelligence (Cognitive Functoning)
Motor Function
Personality
20. What Does Temporal Lobe Affect? (LAME): Language Affective
Component Of Speech
Memory
Emotion
21. In Which Lobe Of The Brain Does The Limbic System Reside?: The Temporal Lobe
22. What Is Wernicke's Area Responsible For And Where Does It Reside In The Brain?:
Wernicke's Area Is Responsible For Receptive Speech And It Resides In The Temporal Lobe.
23. What Is The First Line Drug For OCD?: Ssris
24. What Is The Drug Of Choice For ADHD For 8 Y.O And Above?: Stimulants (Specifically
Ritalin - Methyphenidate)
25. If Child Develops Tics, What Do You Prescribe?: Guanfacine
26. What Does Parietal Lobe Affect? (VAST): Visual Spatial Processing
Association Cortex
Symbolic Recognition
Topographic Sense
27. What Is Sterognosis? How Do You Test It?: Place Objects In Hand With Closed Eyes. Ability
To Differentiate Items Comes From Parietal Lobe
28. What Does The Occipital Lobe Affect? (VIP): Visual Integration Primary
Visual Cortex
29. Patient Was Prescribed Paroxetine 1 Month Ago And Had Since Developed ED, He Is Not A
Candidate For Wellbutrin Because Of A History Of Seizure Disorder. What Can You Prescribe?:
Cialis (Tadalafil) Or Viagra (Sildenafil) Phopho- Diasterase Inhibitors
30. What Is Mechanism Of Action Of Phophodiasterase Inhibitors?: Rapid Ab- Sorption. They
Pull Blood To Corpus Cavernosum.
31. What Are The Main Functions Of The Limbic System?: Regulation Of Emotion And
Memory
Olfactory Sense Is Combined With Memories
Hippocampus Is Located Here - Memory
32. Where Are Affective Domains (Emotions, Feelings) Originating In The Brain?-
: Anterior Cingulate Gyrus (LIMBIC SYSTEM)
33. If A Patient With OCD Has Failed On Ssris, What Should You Switch To?: TCA
- Anafranil
34. Mood Disorder Is Most Associated With Which Neurotransmitters?: Sero- Tonin And
Norepinephrine
FOUNDATION AND ADVANCE
PRACTICE SKILLS LATEST 2025
REVISED EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED COMPLETE SOLUTION)
ALREADY PASSED SCORE A+
,1. Which Of The Following Is A Contraindication To Benzodiazepines?
a. Acute Alcohol Intoxication
b. Acute Narrow Angle Glaucoma
c. Psychosis
d. All The AboveANS : A. Acute Alcohol Intoxication
2. In The Pharmacological Treatment Of Psychosis, When Antipsychotics Are Administered,
Which Block Dopamine, A Secondary Effect Is Blocking In Another Tract, Which Causes Potential
Prolactin Problems, Such As Gynecomastia In Males. This Tract Is The:
a. Mesolimbic
b. Tuberoinfundibular
c. Nigrostrial Dopamine Tract
d. Mesocortical ANS: B. Tuberoinfundibular
3. A Six-Year-Old Patient With Autism Spectrum Disorder Has Not Responded To Six Months
Of Psychosocial Interventions And Continues To Demonstrate Ag- Gressive Tendencies
Toward A Younger Sibling. The Psychiatric-Mental Health Nurse Practitioner Prescribes:
1. Carbamazepine (Tegretol) 200 Mg Once A Day.
2. Haloperidol (Haldol) 2 Mg Once A Day.
3. Risperidone (Risperdal) 0.25 Mg Once A Day.
4. Venlafaxine ER (Effexor XR) 37.5 Mg Once A Day. ANS: 3. Risperidone (Risperdal)
0.25 Mg Once A Day.
4. Which Drug Is Likely To Produce Liver Failure And Hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate ANS: 3. Carbamazepine
5. EPS Arises From:
a. D2 Blockade In The Nigrostriatial Tract
b. D2 Blockade In The Tuberoinfundibular Tract
c. D2 Blockade In The Alpha-1 Adrenergic Receptor Blockade
d. D2 Blockade In The HPA AxisANS : A. D2 Blockade In The Nigrostriatial Tract
6. Which Drug Carries A Higher Risk Of Metabolic Effects Than The Other Second Generation
Antipsychotics: Weight Gain, Diabetes, Dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon ANS: B. Zyprexa
,7. A Patient Has Not Had Any Relief Of Symptoms With Fluoxetine, And Is Going To Be Started
On An MAOI. How Long Before Starting The MAOI Should The Fluoxetine Be Withdrawn?
a. 2 Weeks
b. 3 Weeks
c. 4 Weeks
d. 5 WeeksANS : A. 2 Weeks
8. Which Drug Can Produce Serious Side Effect Of Rash In Some Asians, And The FDA Has
Mandated Genetic Testing Before The Administration Of This Drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol ANS: D. Tegretol
9. Which Is Considered The Most Sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram OxalateANS : A. Paroxetine (Paxil Is EVIL)
10. Brain Structure Responsible For Mediating Mood, Fear, Emotion, And Ag- Gression;
Also Responsible For Connecting Sensory Smell Information With Emotions: Amygdala
11. Regulates Memory And Converts Short-Term Memory Into Long-Term Mem- Ory:
12. Plays Key Roles In Various Regulatory Functions Such As Appetite, Sensa- Tions Of
Hunger And Thirst, Water Balance, Circadian Rhythms, Body Tempera- Ture, Libido, And
Hormonal Regulation:
13. Patient On Lithium And Cipro Cipro Lithium Level:
14. Patient On Psych Meds And Dexamethasone Will Complain Of What?:
15. Patient W/ Schizophrenia, Structural Changes Of The Brain On CT:
16. Which Lab Is Checked With Clozaril?: ANC
17. Lobes Of The Brain - Fred Tore His Pants Off: Frontal - Executive Fx, Logical Thinking
Temporal (Tempo) Sound
Occipital (Optic) Vision
Parietal (Pat) Touch
18. You Ask A Patient To Clench Her Teeth, Which Cranial Nerve Are You Testing?-
: Cranial Nerve 5 - TRIGEMINAL
19. What Does The Frontal Lobe Affect? (LIMP): Executive Functions: Language
, Intelligence (Cognitive Functoning)
Motor Function
Personality
20. What Does Temporal Lobe Affect? (LAME): Language Affective
Component Of Speech
Memory
Emotion
21. In Which Lobe Of The Brain Does The Limbic System Reside?: The Temporal Lobe
22. What Is Wernicke's Area Responsible For And Where Does It Reside In The Brain?:
Wernicke's Area Is Responsible For Receptive Speech And It Resides In The Temporal Lobe.
23. What Is The First Line Drug For OCD?: Ssris
24. What Is The Drug Of Choice For ADHD For 8 Y.O And Above?: Stimulants (Specifically
Ritalin - Methyphenidate)
25. If Child Develops Tics, What Do You Prescribe?: Guanfacine
26. What Does Parietal Lobe Affect? (VAST): Visual Spatial Processing
Association Cortex
Symbolic Recognition
Topographic Sense
27. What Is Sterognosis? How Do You Test It?: Place Objects In Hand With Closed Eyes. Ability
To Differentiate Items Comes From Parietal Lobe
28. What Does The Occipital Lobe Affect? (VIP): Visual Integration Primary
Visual Cortex
29. Patient Was Prescribed Paroxetine 1 Month Ago And Had Since Developed ED, He Is Not A
Candidate For Wellbutrin Because Of A History Of Seizure Disorder. What Can You Prescribe?:
Cialis (Tadalafil) Or Viagra (Sildenafil) Phopho- Diasterase Inhibitors
30. What Is Mechanism Of Action Of Phophodiasterase Inhibitors?: Rapid Ab- Sorption. They
Pull Blood To Corpus Cavernosum.
31. What Are The Main Functions Of The Limbic System?: Regulation Of Emotion And
Memory
Olfactory Sense Is Combined With Memories
Hippocampus Is Located Here - Memory
32. Where Are Affective Domains (Emotions, Feelings) Originating In The Brain?-
: Anterior Cingulate Gyrus (LIMBIC SYSTEM)
33. If A Patient With OCD Has Failed On Ssris, What Should You Switch To?: TCA
- Anafranil
34. Mood Disorder Is Most Associated With Which Neurotransmitters?: Sero- Tonin And
Norepinephrine
