Barkley DRT PMHNP Exam 3 Questions
with 100% Correct Answers Latest 2026
1. **Ethics – 15 y/o Maya wants gender-affirming hormones**
Parent refuses. You:
A. Deny Rx
B. Petition juvenile court for emancipation
C. Prescribe under minor-consent law
D. Refer to CPS
**Answer: C** – 49 states allow minors consent for gender-
affirming care (WPATH 2025).
2. **Neuro – 68 y/o Ruth forgets stove ×3**
MoCA 19/30. First med:
A. Donepezil 5 mg
B. Memantine 5 mg
C. Rivastigmine patch
,D. Galantamine
, **Answer: A** – AChEI first-line mild-moderate AD.
3. **SUD – 32 y/o firefighter on fentanyl 200 mcg/hr patch**
Switch to SL buprenorphine:
**Answer: Precipitated withdrawal → wait 24–48 h moderate
withdrawal (COWS 8–12)**
4. **Peds – 8 y/o Jax repeats “penis” in class**
Tourette + OCD. First-line:
A. Guanfacine
B. Habit reversal + SSRI
C. Risperidone
D. Clonidine
**Answer: B** – AAP 2025: CBT + fluoxetine.
5. **Telepsych – prescribing quetiapine 300 mg**
Schedule II–V?
**Answer: NO – Schedule IV OK via audio-only (DEA
, permanent 2026)**
with 100% Correct Answers Latest 2026
1. **Ethics – 15 y/o Maya wants gender-affirming hormones**
Parent refuses. You:
A. Deny Rx
B. Petition juvenile court for emancipation
C. Prescribe under minor-consent law
D. Refer to CPS
**Answer: C** – 49 states allow minors consent for gender-
affirming care (WPATH 2025).
2. **Neuro – 68 y/o Ruth forgets stove ×3**
MoCA 19/30. First med:
A. Donepezil 5 mg
B. Memantine 5 mg
C. Rivastigmine patch
,D. Galantamine
, **Answer: A** – AChEI first-line mild-moderate AD.
3. **SUD – 32 y/o firefighter on fentanyl 200 mcg/hr patch**
Switch to SL buprenorphine:
**Answer: Precipitated withdrawal → wait 24–48 h moderate
withdrawal (COWS 8–12)**
4. **Peds – 8 y/o Jax repeats “penis” in class**
Tourette + OCD. First-line:
A. Guanfacine
B. Habit reversal + SSRI
C. Risperidone
D. Clonidine
**Answer: B** – AAP 2025: CBT + fluoxetine.
5. **Telepsych – prescribing quetiapine 300 mg**
Schedule II–V?
**Answer: NO – Schedule IV OK via audio-only (DEA
, permanent 2026)**
