1 | Page
GEORGETTE REVIEW PMHNP EXAM WITH
QUESTIONS AND ANSWERS 100% VERIFIED.
When many answers are remarkably similar, they are usually
_____________ - correct answer- wrong
Interprofessional collaboration is encouraged. - correct answer-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - correct answer- Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - correct answer- Normal 0.6-1.2
Lithium toxicity occurs at levels - correct answer- > 1.5
Signs of Lithium toxicity - correct answer- severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle weakness,
heart palpitation, coarse hand tremors, unsteady gait
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Lithium is gold standard for - correct answer- MANIA
Lithium has evidence shown to - correct answer- reduce
suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
correct answer- Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct
answer- rise
Baseline labs before initiation of lithium - correct answer- 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 - correct answer- hypothyroidism
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coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - correct answer- staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct answer- 50-125
Depakote toxicity level - correct answer- greater than 150
Teratogenic effects of Depakote - correct answer- spina bifida
Adverse effects of depakote - correct answer- alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST
5-40, ALT 5-35, yellowing of skin or eyes, fatigue
, 4 | Page
Signs of Depakote toxicity - correct answer- disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - correct answer- DC med
check level
LFT
ammonia
MAOI + tyramine causes - correct answer- hypertensive crisis
Symptoms of hypertensive crisis - correct answer- elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
GEORGETTE REVIEW PMHNP EXAM WITH
QUESTIONS AND ANSWERS 100% VERIFIED.
When many answers are remarkably similar, they are usually
_____________ - correct answer- wrong
Interprofessional collaboration is encouraged. - correct answer-
Collaborate is usually right.
Delegate is usually wrong.
ADPIER - correct answer- Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - correct answer- Normal 0.6-1.2
Lithium toxicity occurs at levels - correct answer- > 1.5
Signs of Lithium toxicity - correct answer- severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle weakness,
heart palpitation, coarse hand tremors, unsteady gait
,2 | Page
Lithium is gold standard for - correct answer- MANIA
Lithium has evidence shown to - correct answer- reduce
suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
correct answer- Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct
answer- rise
Baseline labs before initiation of lithium - correct answer- 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 - correct answer- hypothyroidism
,3 | Page
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - correct answer- staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct answer- 50-125
Depakote toxicity level - correct answer- greater than 150
Teratogenic effects of Depakote - correct answer- spina bifida
Adverse effects of depakote - correct answer- alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST
5-40, ALT 5-35, yellowing of skin or eyes, fatigue
, 4 | Page
Signs of Depakote toxicity - correct answer- disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - correct answer- DC med
check level
LFT
ammonia
MAOI + tyramine causes - correct answer- hypertensive crisis
Symptoms of hypertensive crisis - correct answer- elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
