GEORGETTE REVIEW PMHNP EXAM
QUESTIONS WITH CORRECT ANSWERS
RATED A+
WhenRmanyRanswersRareRremarkablyRsimilar,RtheyRareRusuallyR_____________R-
RCORRECTRANSWERSwrong
InterprofessionalRcollaborationRisRencouraged.R-RCORRECTRANSWERSCollaborateRisRusuallyRright.R
DelegateRisRusuallyRwrong.
ADPIERR-RCORRECTRANSWERSAssessment,Rdiagnosis,RPlan,Rintervention,Revaluate,RreferRoutRlast.
LithiumR-RCORRECTRANSWERSNormalR0.6-1.2
LithiumRtoxicityRoccursRatRlevelsR-RCORRECTRANSWERS>R1.5
SignsRofRLithiumRtoxicityR-
RCORRECTRANSWERSsevereRnausea,Rdiarrhea,Rvomiting,Rconfusion,Rdrowsiness,RmuscleRweakness
,RheartRpalpitation,RcoarseRhandRtremors,RunsteadyRgait
LithiumRisRgoldRstandardRforR-RCORRECTRANSWERSMANIA
LithiumRhasRevidenceRshownRtoR-RCORRECTRANSWERSreduceRsuicidalRideation
WhatRdoesRlithiumRcauseRinRneonate,RespeciallyR1stRtrimesterR-
RCORRECTRANSWERSEbsteinRanomalyR(congenitalRheartRdefect)
,dehydrationRandRhyponatremiaRcauseRlithiumRlevelsRtoR-RCORRECTRANSWERSrise
BaselineRlabsRbeforeRinitiationRofRlithiumR-RCORRECTRANSWERSTSH
creatinineR(0.6-1.2)
BUNR(10-20)
HCGR(allRpsychotropicsRfemalesR12-51)
EKGR50+
UrinalysisR(checkRforRproteins,R4+RmayRindicateRkidneyRdisease)
SideREffectsRofRLithiumR-RCORRECTRANSWERShypothyroidism
coaseRhandRtremorsRwithRtoxicity
maculopapularRrash
diarrhea,Rvomiting,Rcramps--signsRofRtoxicity.RMonitorRclosely.R
anorexia
tRwaveRinversions
leukocytosis
PtReducationRforRlithimumR-RCORRECTRANSWERSstayingRhydrated
avoidingRNSAIDS
compliance
DepakoteRnormalRlevelR-RCORRECTRANSWERS50-125
DepakoteRtoxicityRlevelR-RCORRECTRANSWERSgreaterRthanR150
,TeratogenicReffectsRofRDepakoteR-RCORRECTRANSWERSspinaRbifida
AdverseReffectsRofRdepakoteR-RCORRECTRANSWERSalopecia
hepatotoxicityR(RUQRpainRorRbrown/redRurine--orderRLFTs)RASTR5-40,RALTR5-
35,RyellowingRofRskinRorReyes,Rfatigue
SignsRofRDepakoteRtoxicityR-
RCORRECTRANSWERSdisorientation,Rlethargy,RrespiratoryRdepression,Rnausea/vomiting
InterventionRforRdepakoteRtoxicityR-RCORRECTRANSWERSDCRmed
checkRlevel
LFT
ammonia
MAOIR+RtyramineRcausesR-RCORRECTRANSWERShypertensiveRcrisis
SymptomsRofRhypertensiveRcrisisR-RCORRECTRANSWERSelevatedRBP
suddenRexplosiveRlikeRheadache
facialRflushing
palpitations
pupillaryRdilation
diaphoresis
fever
HypertensiveRcrisisRoccursRwithRMAOIR+R-RCORRECTRANSWERSMEPERIDINE
STIMULANTS
decongestants
, TCAs
atypicals
St.RJohn'sRwart
L-tryptophan
asthmaRmeds
TreatmentRforRhypertensiveRcrisisR-RCORRECTRANSWERSDCRoffendingRagent
AdministerRPHENTOLAMINE
TeratogenicReffectsRofRbenzosR-RCORRECTRANSWERSfloppyRbaby,RcleftRpalate
TeratogenicReffectsRofRtegratolR-RCORRECTRANSWERSneuralRtubeRdefect
teratogenicReffectsRofRlithiumR-
RCORRECTRANSWERSebsteinRanomalyR(heartRdefect)R(avoid,RespeciallyR1stRtrimester)
teratogenicReffectsRofRdepakoteR-RCORRECTRANSWERSneuralRtubeRdefects/spinaRbifida
AdverseRreactionRtoRLamictalR-RCORRECTRANSWERSStevenRJohnson'sRSyndrome
SignsRofRSJSR-RCORRECTRANSWERSFEVERR--highRyield
soreRthroat
facialRswelling
tongueRswelling
redRrash
skinRsloughing
QUESTIONS WITH CORRECT ANSWERS
RATED A+
WhenRmanyRanswersRareRremarkablyRsimilar,RtheyRareRusuallyR_____________R-
RCORRECTRANSWERSwrong
InterprofessionalRcollaborationRisRencouraged.R-RCORRECTRANSWERSCollaborateRisRusuallyRright.R
DelegateRisRusuallyRwrong.
ADPIERR-RCORRECTRANSWERSAssessment,Rdiagnosis,RPlan,Rintervention,Revaluate,RreferRoutRlast.
LithiumR-RCORRECTRANSWERSNormalR0.6-1.2
LithiumRtoxicityRoccursRatRlevelsR-RCORRECTRANSWERS>R1.5
SignsRofRLithiumRtoxicityR-
RCORRECTRANSWERSsevereRnausea,Rdiarrhea,Rvomiting,Rconfusion,Rdrowsiness,RmuscleRweakness
,RheartRpalpitation,RcoarseRhandRtremors,RunsteadyRgait
LithiumRisRgoldRstandardRforR-RCORRECTRANSWERSMANIA
LithiumRhasRevidenceRshownRtoR-RCORRECTRANSWERSreduceRsuicidalRideation
WhatRdoesRlithiumRcauseRinRneonate,RespeciallyR1stRtrimesterR-
RCORRECTRANSWERSEbsteinRanomalyR(congenitalRheartRdefect)
,dehydrationRandRhyponatremiaRcauseRlithiumRlevelsRtoR-RCORRECTRANSWERSrise
BaselineRlabsRbeforeRinitiationRofRlithiumR-RCORRECTRANSWERSTSH
creatinineR(0.6-1.2)
BUNR(10-20)
HCGR(allRpsychotropicsRfemalesR12-51)
EKGR50+
UrinalysisR(checkRforRproteins,R4+RmayRindicateRkidneyRdisease)
SideREffectsRofRLithiumR-RCORRECTRANSWERShypothyroidism
coaseRhandRtremorsRwithRtoxicity
maculopapularRrash
diarrhea,Rvomiting,Rcramps--signsRofRtoxicity.RMonitorRclosely.R
anorexia
tRwaveRinversions
leukocytosis
PtReducationRforRlithimumR-RCORRECTRANSWERSstayingRhydrated
avoidingRNSAIDS
compliance
DepakoteRnormalRlevelR-RCORRECTRANSWERS50-125
DepakoteRtoxicityRlevelR-RCORRECTRANSWERSgreaterRthanR150
,TeratogenicReffectsRofRDepakoteR-RCORRECTRANSWERSspinaRbifida
AdverseReffectsRofRdepakoteR-RCORRECTRANSWERSalopecia
hepatotoxicityR(RUQRpainRorRbrown/redRurine--orderRLFTs)RASTR5-40,RALTR5-
35,RyellowingRofRskinRorReyes,Rfatigue
SignsRofRDepakoteRtoxicityR-
RCORRECTRANSWERSdisorientation,Rlethargy,RrespiratoryRdepression,Rnausea/vomiting
InterventionRforRdepakoteRtoxicityR-RCORRECTRANSWERSDCRmed
checkRlevel
LFT
ammonia
MAOIR+RtyramineRcausesR-RCORRECTRANSWERShypertensiveRcrisis
SymptomsRofRhypertensiveRcrisisR-RCORRECTRANSWERSelevatedRBP
suddenRexplosiveRlikeRheadache
facialRflushing
palpitations
pupillaryRdilation
diaphoresis
fever
HypertensiveRcrisisRoccursRwithRMAOIR+R-RCORRECTRANSWERSMEPERIDINE
STIMULANTS
decongestants
, TCAs
atypicals
St.RJohn'sRwart
L-tryptophan
asthmaRmeds
TreatmentRforRhypertensiveRcrisisR-RCORRECTRANSWERSDCRoffendingRagent
AdministerRPHENTOLAMINE
TeratogenicReffectsRofRbenzosR-RCORRECTRANSWERSfloppyRbaby,RcleftRpalate
TeratogenicReffectsRofRtegratolR-RCORRECTRANSWERSneuralRtubeRdefect
teratogenicReffectsRofRlithiumR-
RCORRECTRANSWERSebsteinRanomalyR(heartRdefect)R(avoid,RespeciallyR1stRtrimester)
teratogenicReffectsRofRdepakoteR-RCORRECTRANSWERSneuralRtubeRdefects/spinaRbifida
AdverseRreactionRtoRLamictalR-RCORRECTRANSWERSStevenRJohnson'sRSyndrome
SignsRofRSJSR-RCORRECTRANSWERSFEVERR--highRyield
soreRthroat
facialRswelling
tongueRswelling
redRrash
skinRsloughing