PMHNP MODULE 3 2026 COMPLETE STUDY
GUIDE | PSYCHIATRIC MENTAL HEALTH
NURSE PRACTITIONER EXAM REVIEW &
PRACTICE QUESTIONS
| GRADED A+ |GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What are symptoms of serotonin syndrome -Autonomic Instability
-Altered Sensorium
-Restlessness
-agitation
-myoclonus
-hyperreflexia
-hyperthermia
-diaphoresis
-tremors
-chills
-diarrhea
-ataxia
-headache
-insomnia
-agitation, restlessness
-rapid heart rate and elevation in BP
-headache
-sweating, shivering, and goose bumps
-myoclonic jerking and loss of coordination
-confusion, fever, seizures, unconsciousness
SSRI to MAOI to TCA how long to switch 14 days to prevent serotonin
What is the tx for Serotonin Syndrome d/c rx, supportive treatment and Cyproheptadine, anticonvulsants and autonomic
support
A 24 yr old female attempts suicide by overdose with a D) Serotonin Syndrome - myoclonic jerk, tachycardia, diaphoretic
MAOI phenelzine. She is stabilized at the hospital. Ten - MAOI ( test hypertensive crisis or Serotonin Syndrome?)
days later she started on venlafaxine and becomes -Switching to MAOI must always be 14 days later between RX
tachycardic and diaphoretic and she develops myoclonic
jerks, what condition is this?
a) NMS
b) Opisthotonos
C) Akathisia
D) Serotonin Syndrome
Patient is being treated for 2 weeks develops symptoms PB 253
of NMS. The following factors help PMHNP to 1) Both
differentiate NMS from serotonin syndrome: 2) no leukopenia in both
1) Autonomic instability, diaphoresis, tremors 3) both hyperreflexia (SS), rigidity (NMS), both
2) hyperthermia, leukopenia, tachycardia 4) NMS only
3) rigidity, hyperreflexia, orthostatic hypertention What is in NMS that is not in Serotonin Syndrome:
4) mutism, leukocytosis, myoglobinuria -NMS increase WBC, rhabo may lead to myoglobinuria
, What is serotonin discontinuation syndrome? F.I.N.I.S.H F- lu-like syndrome
I-nsomnia
N-ausea
I- mbalance
S-ensory disturbances
H-hyperarousal
flu-like sx (due to cholinergic rebound; particulary problematic with TCA's)
fatigue and lethargy
myalgia (muscle soreness and achiness)
agitation
decreased concentration
ataxia
nausea and vomiting
impaired memory
A patient being tx for major depressive disorder and on A - agitation, nausea, dysphoria, disequilibrium -the patient has SSRI
sertraline (Zoloft) 150 mg po daily for the past 16 years, discontinuation syndrome and would be presenting flu-like symptoms . If the
presents to the PMHNP for an outpatient follow up visit. patient had serotonin syndrome she would present with sx of autonomaic
During the visit she states that she has not been feeling instability
well, reporting flu. She also states she has not taken her
rx in the last five days. Which of the following sx would
she be describing if you suspect SSRI discontinuation
syndrome?
a) agitation, nausea, dysphoria, and disequilibrium
b) agitation, ataxia, nausea, tremor
c) restlessness, tremor, fever and shivering
d) restlessness, headache, increased heart rate and
diarrhea
What is a persistent pattern of inattention or ADHD
hyperactivity, impulsivity, or both, that interferes with
functioning and development; problems with executive
functioning; abnormalities of fronto-subcortical
pathways; frontal cortex; basal ganglia; structural
abnormalities producing neurotransmitter abnormalities -
dopamine dysfunction, norepinephrine dysfunction; tx -
stimulants (Adderall and methylphenidate); assess cardiac
hx before placing patient on stimulants, amphetamines
are approved in children age 3 and older and
menthylphenidate is approve in age 6 and older; non
stimulants - clonidine, guanfacine - approved in ages 6
and older; signs of stimulant abuse - agitation, anxiety,
irritability, mood swings, elevated mood, insomnia,
tremors
GUIDE | PSYCHIATRIC MENTAL HEALTH
NURSE PRACTITIONER EXAM REVIEW &
PRACTICE QUESTIONS
| GRADED A+ |GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What are symptoms of serotonin syndrome -Autonomic Instability
-Altered Sensorium
-Restlessness
-agitation
-myoclonus
-hyperreflexia
-hyperthermia
-diaphoresis
-tremors
-chills
-diarrhea
-ataxia
-headache
-insomnia
-agitation, restlessness
-rapid heart rate and elevation in BP
-headache
-sweating, shivering, and goose bumps
-myoclonic jerking and loss of coordination
-confusion, fever, seizures, unconsciousness
SSRI to MAOI to TCA how long to switch 14 days to prevent serotonin
What is the tx for Serotonin Syndrome d/c rx, supportive treatment and Cyproheptadine, anticonvulsants and autonomic
support
A 24 yr old female attempts suicide by overdose with a D) Serotonin Syndrome - myoclonic jerk, tachycardia, diaphoretic
MAOI phenelzine. She is stabilized at the hospital. Ten - MAOI ( test hypertensive crisis or Serotonin Syndrome?)
days later she started on venlafaxine and becomes -Switching to MAOI must always be 14 days later between RX
tachycardic and diaphoretic and she develops myoclonic
jerks, what condition is this?
a) NMS
b) Opisthotonos
C) Akathisia
D) Serotonin Syndrome
Patient is being treated for 2 weeks develops symptoms PB 253
of NMS. The following factors help PMHNP to 1) Both
differentiate NMS from serotonin syndrome: 2) no leukopenia in both
1) Autonomic instability, diaphoresis, tremors 3) both hyperreflexia (SS), rigidity (NMS), both
2) hyperthermia, leukopenia, tachycardia 4) NMS only
3) rigidity, hyperreflexia, orthostatic hypertention What is in NMS that is not in Serotonin Syndrome:
4) mutism, leukocytosis, myoglobinuria -NMS increase WBC, rhabo may lead to myoglobinuria
, What is serotonin discontinuation syndrome? F.I.N.I.S.H F- lu-like syndrome
I-nsomnia
N-ausea
I- mbalance
S-ensory disturbances
H-hyperarousal
flu-like sx (due to cholinergic rebound; particulary problematic with TCA's)
fatigue and lethargy
myalgia (muscle soreness and achiness)
agitation
decreased concentration
ataxia
nausea and vomiting
impaired memory
A patient being tx for major depressive disorder and on A - agitation, nausea, dysphoria, disequilibrium -the patient has SSRI
sertraline (Zoloft) 150 mg po daily for the past 16 years, discontinuation syndrome and would be presenting flu-like symptoms . If the
presents to the PMHNP for an outpatient follow up visit. patient had serotonin syndrome she would present with sx of autonomaic
During the visit she states that she has not been feeling instability
well, reporting flu. She also states she has not taken her
rx in the last five days. Which of the following sx would
she be describing if you suspect SSRI discontinuation
syndrome?
a) agitation, nausea, dysphoria, and disequilibrium
b) agitation, ataxia, nausea, tremor
c) restlessness, tremor, fever and shivering
d) restlessness, headache, increased heart rate and
diarrhea
What is a persistent pattern of inattention or ADHD
hyperactivity, impulsivity, or both, that interferes with
functioning and development; problems with executive
functioning; abnormalities of fronto-subcortical
pathways; frontal cortex; basal ganglia; structural
abnormalities producing neurotransmitter abnormalities -
dopamine dysfunction, norepinephrine dysfunction; tx -
stimulants (Adderall and methylphenidate); assess cardiac
hx before placing patient on stimulants, amphetamines
are approved in children age 3 and older and
menthylphenidate is approve in age 6 and older; non
stimulants - clonidine, guanfacine - approved in ages 6
and older; signs of stimulant abuse - agitation, anxiety,
irritability, mood swings, elevated mood, insomnia,
tremors
