Page 1 of 39
LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {250 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
What should you do when a mother reports her child woke up
screaming in the middle of the night? - ✔✔✔ Correct Answer > Ask her
if it's happened before to assess for sleep issue patterns
What does ADPIE stand for? - ✔✔✔ Correct Answer > Assessment
Diagnosis
Planning
Implementation
Evaluation
How does the amygdala work? - ✔✔✔ Correct Answer > Sends signal
to hypothalamus when in distress, which then communicates to
the rest of the body through the nervous system
,Page 2 of 39
anterior cingulate cortex - ✔✔✔ Correct Answer > critical for stress;
implicated in childhood trauma
basal ganglia - ✔✔✔ Correct Answer > directs intentional movements
and is also called the corpus striatum
Hypothalamus - ✔✔✔ Correct Answer > brain region controlling
appetite, sleep, libido, heart rate
What do you do if a patient comes in with fungus on their toenail?
- ✔✔✔ Correct Answer > Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? -
✔✔✔ Correct Answer > Check renal function
What do you do if a patient presents with fever while on Clozaril?
- ✔✔✔ Correct Answer > Check ANC level to assess for
agranulocytosis
What can cause serotonin syndrome? - ✔✔✔ Correct Answer >
Antidepressants, St. John's Wort, Same-E, Kava Kava, and
Tryptophan
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What labs are indicative of NMS? - ✔✔✔ Correct Answer > Elevated
WBC (over 11,000) and elevated CPK
S/S of NMS - ✔✔✔ Correct Answer > muscle rigidity, hyperthermia,
tachycardia, abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient presents with cherry colored
urine? - ✔✔✔ Correct Answer > Check for rhabdo with CPK
s/s of serotonin syndrome - ✔✔✔ Correct Answer > hyperreflexia,
muscle spasms, myoclonus (involuntary muscle jerk), fever,
tachycardia, HTN, shits and shivers
What two medications to give with NMS? - ✔✔✔ Correct Answer >
bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? - ✔✔✔ Correct Answer >
cyproheptadine (Periactin)- 5HT-2A receptor antagonist
What is the onset and typical length of NMS? - ✔✔✔ Correct Answer >
Slow onset (1-2 weeks after changing or starting therapy) and
resolves within 9-14 days
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What is the onset of SS? - ✔✔✔ Correct Answer > Within 24 hours of
starting/changing medication and resolves within a few days
How do you distinguish between NMS and acute dystonia? - ✔✔✔
Correct Answer > NMS has a slower onset while acute dystonia
occurs within hours
What happens with lithium and NSAIDs? - ✔✔✔ Correct Answer >
Increased risk of lithium toxicity (gout meds, ibuprophen,
naproxen, etc.)
What happens with lithium and ACE inhibitors? - ✔✔✔ Correct Answer
> Increased risk of lithium toxicity related to the increased
urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel blockers?
- ✔✔✔ Correct Answer > Risk of fatal nephrotoxicity
What is a fetal side effect of lithium? - ✔✔✔ Correct Answer > Epstein's
anomaly
What lab should you check for athletes on lithium? - ✔✔✔ Correct
Answer > Specific gravity to assess for dehydration (dehydration is
>1.015)
LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {250 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
What should you do when a mother reports her child woke up
screaming in the middle of the night? - ✔✔✔ Correct Answer > Ask her
if it's happened before to assess for sleep issue patterns
What does ADPIE stand for? - ✔✔✔ Correct Answer > Assessment
Diagnosis
Planning
Implementation
Evaluation
How does the amygdala work? - ✔✔✔ Correct Answer > Sends signal
to hypothalamus when in distress, which then communicates to
the rest of the body through the nervous system
,Page 2 of 39
anterior cingulate cortex - ✔✔✔ Correct Answer > critical for stress;
implicated in childhood trauma
basal ganglia - ✔✔✔ Correct Answer > directs intentional movements
and is also called the corpus striatum
Hypothalamus - ✔✔✔ Correct Answer > brain region controlling
appetite, sleep, libido, heart rate
What do you do if a patient comes in with fungus on their toenail?
- ✔✔✔ Correct Answer > Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? -
✔✔✔ Correct Answer > Check renal function
What do you do if a patient presents with fever while on Clozaril?
- ✔✔✔ Correct Answer > Check ANC level to assess for
agranulocytosis
What can cause serotonin syndrome? - ✔✔✔ Correct Answer >
Antidepressants, St. John's Wort, Same-E, Kava Kava, and
Tryptophan
,Page 3 of 39
What labs are indicative of NMS? - ✔✔✔ Correct Answer > Elevated
WBC (over 11,000) and elevated CPK
S/S of NMS - ✔✔✔ Correct Answer > muscle rigidity, hyperthermia,
tachycardia, abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient presents with cherry colored
urine? - ✔✔✔ Correct Answer > Check for rhabdo with CPK
s/s of serotonin syndrome - ✔✔✔ Correct Answer > hyperreflexia,
muscle spasms, myoclonus (involuntary muscle jerk), fever,
tachycardia, HTN, shits and shivers
What two medications to give with NMS? - ✔✔✔ Correct Answer >
bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? - ✔✔✔ Correct Answer >
cyproheptadine (Periactin)- 5HT-2A receptor antagonist
What is the onset and typical length of NMS? - ✔✔✔ Correct Answer >
Slow onset (1-2 weeks after changing or starting therapy) and
resolves within 9-14 days
, Page 4 of 39
What is the onset of SS? - ✔✔✔ Correct Answer > Within 24 hours of
starting/changing medication and resolves within a few days
How do you distinguish between NMS and acute dystonia? - ✔✔✔
Correct Answer > NMS has a slower onset while acute dystonia
occurs within hours
What happens with lithium and NSAIDs? - ✔✔✔ Correct Answer >
Increased risk of lithium toxicity (gout meds, ibuprophen,
naproxen, etc.)
What happens with lithium and ACE inhibitors? - ✔✔✔ Correct Answer
> Increased risk of lithium toxicity related to the increased
urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel blockers?
- ✔✔✔ Correct Answer > Risk of fatal nephrotoxicity
What is a fetal side effect of lithium? - ✔✔✔ Correct Answer > Epstein's
anomaly
What lab should you check for athletes on lithium? - ✔✔✔ Correct
Answer > Specific gravity to assess for dehydration (dehydration is
>1.015)
