LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM LATEST 2025-2026 QUESTIONS AND
CORRECT ANSWERS VERIFIED ANSWERS
WhatFdoesFADPIEFstandFfor?F-FCORRECTFANSWERSAssessment
Diagnosis
Planning
Implementation
Evaluation
WhatFshouldFyouFdoFwhenFaFmotherFreportsFherFchildFwokeFupFscreamingFinFtheFmiddleFofFtheFnig
ht?F-FCORRECTFANSWERSAskFherFifFit'sFhappenedFbeforeFtoFassessFforFsleepFissueFpatterns
WhatFdoFyouFdoFifFaFpatientFcomesFinFwithFfungusFonFtheirFtoenail?F-
FCORRECTFANSWERSScrapeFnailFandFsendFforFtesting
WhatFdoFyouFdoFifFaFpatientFonFlithiumFhasFdarkFbrownFurine?F-
FCORRECTFANSWERSCheckFrenalFfunction
WhatFdoFyouFdoFifFaFpatientFpresentsFwithFfeverFwhileFonFClozaril?F-
FCORRECTFANSWERSCheckFANCFlevelFtoFassessFforFagranulocytosis
WhatFcanFcauseFserotoninFsyndrome?F-
FCORRECTFANSWERSAntidepressants,FSt.FJohn'sFWort,FSame-E,FKavaFKava,FandFTryptophan
WhatFlabsFareFindicativeFofFNMS?F-
FCORRECTFANSWERSElevatedFWBCF(overF11,000)FandFelevatedFCPK
,S/SFofFNMSF-
FCORRECTFANSWERSmuscleFrigidity,Fhyperthermia,Ftachycardia,FabnormalFbp,Fsweating,FalteredF
mentalFstatus,FcherryFcoloredFurine
WhatFshouldFyouFdoFifFaFpatientFpresentsFwithFcherryFcoloredFurine?F-
FCORRECTFANSWERSCheckFforFrhabdoFwithFCPK
s/sFofFserotoninFsyndromeF-
FCORRECTFANSWERShyperreflexia,FmuscleFspasms,FmyoclonusF(involuntaryFmuscleFjerk),Ffever,Fta
chycardia,FHTN,FshitsFandFshivers
WhatFtwoFmedicationsFtoFgiveFwithFNMS?F-FCORRECTFANSWERSbromocriptineF(Parlodel)-
FD2FagonistFdantrolene-FmuscleFrelaxer
WhatFmedicationFtoFgiveFduringFSS?F-FCORRECTFANSWERScyproheptadineF(Periactin)-F5HT-
2AFreceptorFantagonist
WhatFisFtheFonsetFandFtypicalFlengthFofFNMS?F-FCORRECTFANSWERSSlowFonsetF(1-
2FweeksFafterFchangingForFstartingFtherapy)FandFresolvesFwithinF9-14Fdays
WhatFisFtheFonsetFofFSS?F-
FCORRECTFANSWERSWithinF24FhoursFofFstarting/changingFmedicationFandFresolvesFwithinFaFfewFd
ays
HowFdoFyouFdistinguishFbetweenFNMSFandFacuteFdystonia?F-
FCORRECTFANSWERSNMSFhasFaFslowerFonsetFwhileFacuteFdystoniaFoccursFwithinFhours
WhatFhappensFwithFlithiumFandFNSAIDs?F-
FCORRECTFANSWERSIncreasedFriskFofFlithiumFtoxicityF(goutFmeds,Fibuprophen,Fnaproxen,Fetc.)
, WhatFhappensFwithFlithiumFandFACEFinhibitors?F-
FCORRECTFANSWERSIncreasedFriskFofFlithiumFtoxicityFrelatedFtoFtheFincreasedFurination FfromFtheF
ACEFinhibitors
WhyFshouldFaFpatientFonFlithiumFavoidFcalciumFchannelFblockers?F-
FCORRECTFANSWERSRiskFofFfatalFnephrotoxicity
WhatFisFaFfetalFsideFeffectFofFlithium?F-FCORRECTFANSWERSEpstein'sFanomaly
WhatFlabFshouldFyouFcheckFforFathletesFonFlithium?F-
FCORRECTFANSWERSSpecificFgravityFtoFassessFforFdehydrationF(dehydrationFisF>1.015)
WhatFdoFyouFdoFifFtheFlithiumFlevelFisF1.3?F-
FCORRECTFANSWERSDoFnotFgiveFtheFnextFdoseFandFassessFforFs/s
AtFwhatFlevelFisFlithiumFtoxicityFaFmedicalFemergency?F-FCORRECTFANSWERS>3
S/SFofFlithiumFtoxicityF-
FCORRECTFANSWERSvomiting,Fdiarrhea,FslurredFspeech,FhandFtremor,FdryFmouth/thirst,FmuscleFw
eakness/twitching
WhyFcheckFanFEKGFwithFlithium?F-FCORRECTFANSWERSInvertedFT-waves
WhatFmedicationFshouldFtreatFhypothyroidismFcausedFbyFlithiumFuse?F-
FCORRECTFANSWERSSynthroid
WhatFdoFyouFdoFifFpatientFisFprescribedFbothFdepakoteFandFlamictal?F-
FCORRECTFANSWERSDecreasedFlamictalFdoseFbyF50%
EXAM LATEST 2025-2026 QUESTIONS AND
CORRECT ANSWERS VERIFIED ANSWERS
WhatFdoesFADPIEFstandFfor?F-FCORRECTFANSWERSAssessment
Diagnosis
Planning
Implementation
Evaluation
WhatFshouldFyouFdoFwhenFaFmotherFreportsFherFchildFwokeFupFscreamingFinFtheFmiddleFofFtheFnig
ht?F-FCORRECTFANSWERSAskFherFifFit'sFhappenedFbeforeFtoFassessFforFsleepFissueFpatterns
WhatFdoFyouFdoFifFaFpatientFcomesFinFwithFfungusFonFtheirFtoenail?F-
FCORRECTFANSWERSScrapeFnailFandFsendFforFtesting
WhatFdoFyouFdoFifFaFpatientFonFlithiumFhasFdarkFbrownFurine?F-
FCORRECTFANSWERSCheckFrenalFfunction
WhatFdoFyouFdoFifFaFpatientFpresentsFwithFfeverFwhileFonFClozaril?F-
FCORRECTFANSWERSCheckFANCFlevelFtoFassessFforFagranulocytosis
WhatFcanFcauseFserotoninFsyndrome?F-
FCORRECTFANSWERSAntidepressants,FSt.FJohn'sFWort,FSame-E,FKavaFKava,FandFTryptophan
WhatFlabsFareFindicativeFofFNMS?F-
FCORRECTFANSWERSElevatedFWBCF(overF11,000)FandFelevatedFCPK
,S/SFofFNMSF-
FCORRECTFANSWERSmuscleFrigidity,Fhyperthermia,Ftachycardia,FabnormalFbp,Fsweating,FalteredF
mentalFstatus,FcherryFcoloredFurine
WhatFshouldFyouFdoFifFaFpatientFpresentsFwithFcherryFcoloredFurine?F-
FCORRECTFANSWERSCheckFforFrhabdoFwithFCPK
s/sFofFserotoninFsyndromeF-
FCORRECTFANSWERShyperreflexia,FmuscleFspasms,FmyoclonusF(involuntaryFmuscleFjerk),Ffever,Fta
chycardia,FHTN,FshitsFandFshivers
WhatFtwoFmedicationsFtoFgiveFwithFNMS?F-FCORRECTFANSWERSbromocriptineF(Parlodel)-
FD2FagonistFdantrolene-FmuscleFrelaxer
WhatFmedicationFtoFgiveFduringFSS?F-FCORRECTFANSWERScyproheptadineF(Periactin)-F5HT-
2AFreceptorFantagonist
WhatFisFtheFonsetFandFtypicalFlengthFofFNMS?F-FCORRECTFANSWERSSlowFonsetF(1-
2FweeksFafterFchangingForFstartingFtherapy)FandFresolvesFwithinF9-14Fdays
WhatFisFtheFonsetFofFSS?F-
FCORRECTFANSWERSWithinF24FhoursFofFstarting/changingFmedicationFandFresolvesFwithinFaFfewFd
ays
HowFdoFyouFdistinguishFbetweenFNMSFandFacuteFdystonia?F-
FCORRECTFANSWERSNMSFhasFaFslowerFonsetFwhileFacuteFdystoniaFoccursFwithinFhours
WhatFhappensFwithFlithiumFandFNSAIDs?F-
FCORRECTFANSWERSIncreasedFriskFofFlithiumFtoxicityF(goutFmeds,Fibuprophen,Fnaproxen,Fetc.)
, WhatFhappensFwithFlithiumFandFACEFinhibitors?F-
FCORRECTFANSWERSIncreasedFriskFofFlithiumFtoxicityFrelatedFtoFtheFincreasedFurination FfromFtheF
ACEFinhibitors
WhyFshouldFaFpatientFonFlithiumFavoidFcalciumFchannelFblockers?F-
FCORRECTFANSWERSRiskFofFfatalFnephrotoxicity
WhatFisFaFfetalFsideFeffectFofFlithium?F-FCORRECTFANSWERSEpstein'sFanomaly
WhatFlabFshouldFyouFcheckFforFathletesFonFlithium?F-
FCORRECTFANSWERSSpecificFgravityFtoFassessFforFdehydrationF(dehydrationFisF>1.015)
WhatFdoFyouFdoFifFtheFlithiumFlevelFisF1.3?F-
FCORRECTFANSWERSDoFnotFgiveFtheFnextFdoseFandFassessFforFs/s
AtFwhatFlevelFisFlithiumFtoxicityFaFmedicalFemergency?F-FCORRECTFANSWERS>3
S/SFofFlithiumFtoxicityF-
FCORRECTFANSWERSvomiting,Fdiarrhea,FslurredFspeech,FhandFtremor,FdryFmouth/thirst,FmuscleFw
eakness/twitching
WhyFcheckFanFEKGFwithFlithium?F-FCORRECTFANSWERSInvertedFT-waves
WhatFmedicationFshouldFtreatFhypothyroidismFcausedFbyFlithiumFuse?F-
FCORRECTFANSWERSSynthroid
WhatFdoFyouFdoFifFpatientFisFprescribedFbothFdepakoteFandFlamictal?F-
FCORRECTFANSWERSDecreasedFlamictalFdoseFbyF50%