PMHNP EXAM REPORTED QUESTIONS
WITH IMAGES 2026 | COMPREHENSIVE
BOARD STUDY GUIDE & PRACTICE
QUESTIONS
| GRADED A+ |GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What happens to the brain during adolescence? Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? 10-25 yo
When do females typically present with schizophrenia? 25-35 yo
What does Erythromycin to trileptal? You will need to decreases the level because Trileptal(inducer) and erythromycin
is a inhibitor
ACE Inhibitors are the drug of choice for what? Heart Failure
HTN
What are some psychiatric side effects seen with some Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
asthma drugs anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to CKMB
cardiac muscle damage?
What is the risk of a seriously elevated CKMB? Polymyositis
Rhabdo
What is a normal CKMB? 0.3 mcg/L
What psychoactives does Detrol interact with? Topamax
KCL
Zonegran
,What CN are you assessing when you have the patient CN XI - Spinal Accessory
shrug their shoulders?
What do you see in labs with HIV & Dementia? CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Helps rule-out disease = True Positive = Snout
What is specificity? Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have
descended in 1 hour.
What is a normal sed rate or ESR? 0-22 males
0-29 females
What is a retic count? Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough
RBC's are being produced by bone marrow.
What does a decreased retic count indicate? Anemia - acute or chronic bleeding
What does an increased retic count indicate? Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? Increase tegretol levels.
What happens if a pregnant women takes Accutane? Birth defects.
What labs do you get with RA? Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? ANA
, When do you assume informed consent? Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed Same as with informed consent
consent?
Who can declare a patient incompetent and appoint a Only a court
guardian?
Does impaired judgment mean one is incompetent? No.
Can an advanced directive ever be revoked? Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Nothing. They are all the same.
Surrogate, and Attorney in Fact?
Does the de facto rule of proxy apply in same sex No.
marriages?
How do Asians see HC providers? As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make SIgn of respect
eye contact with the NP?
What is the evil eye? When a stronger or more powerful person looks at a weaker person - often
infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.
How do you protect from the evil eye? Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? Relationship
What is a proximate cause? Connection between A + B.
For there to be damages, what must exist first? Negligence
What is an occurrence basis liability insurance? "occurred" during the policy period, no matter when the claim is brought against
the insured
What is a claims made/based liability insurance? provides coverage for a claim that is brought within the policy period, no matter
when the loss occurred.
Who sets the minimum requirements for NP's? Board of Nursing
State
WITH IMAGES 2026 | COMPREHENSIVE
BOARD STUDY GUIDE & PRACTICE
QUESTIONS
| GRADED A+ |GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What happens to the brain during adolescence? Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? 10-25 yo
When do females typically present with schizophrenia? 25-35 yo
What does Erythromycin to trileptal? You will need to decreases the level because Trileptal(inducer) and erythromycin
is a inhibitor
ACE Inhibitors are the drug of choice for what? Heart Failure
HTN
What are some psychiatric side effects seen with some Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
asthma drugs anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to CKMB
cardiac muscle damage?
What is the risk of a seriously elevated CKMB? Polymyositis
Rhabdo
What is a normal CKMB? 0.3 mcg/L
What psychoactives does Detrol interact with? Topamax
KCL
Zonegran
,What CN are you assessing when you have the patient CN XI - Spinal Accessory
shrug their shoulders?
What do you see in labs with HIV & Dementia? CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Helps rule-out disease = True Positive = Snout
What is specificity? Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have
descended in 1 hour.
What is a normal sed rate or ESR? 0-22 males
0-29 females
What is a retic count? Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough
RBC's are being produced by bone marrow.
What does a decreased retic count indicate? Anemia - acute or chronic bleeding
What does an increased retic count indicate? Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? Increase tegretol levels.
What happens if a pregnant women takes Accutane? Birth defects.
What labs do you get with RA? Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? ANA
, When do you assume informed consent? Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed Same as with informed consent
consent?
Who can declare a patient incompetent and appoint a Only a court
guardian?
Does impaired judgment mean one is incompetent? No.
Can an advanced directive ever be revoked? Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Nothing. They are all the same.
Surrogate, and Attorney in Fact?
Does the de facto rule of proxy apply in same sex No.
marriages?
How do Asians see HC providers? As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make SIgn of respect
eye contact with the NP?
What is the evil eye? When a stronger or more powerful person looks at a weaker person - often
infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.
How do you protect from the evil eye? Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? Relationship
What is a proximate cause? Connection between A + B.
For there to be damages, what must exist first? Negligence
What is an occurrence basis liability insurance? "occurred" during the policy period, no matter when the claim is brought against
the insured
What is a claims made/based liability insurance? provides coverage for a claim that is brought within the policy period, no matter
when the loss occurred.
Who sets the minimum requirements for NP's? Board of Nursing
State
