PMHNP "GEORGETTE REVIEW" FINAL EXAM
ACTUAL EXAM 2026/2027 | MOST TESTED | HIGH-
YIELD GEORGETTE-STYLE REVIEW | VERIFIED
ANSWERS & DETAILED RATIONALES | 315 REAL
QUESTIONS | PASS GUARANTEED - GRADED A+
INSTRUCTIONS:
This exam contains 315 multiple-choice questions modeled on the “Georgette
Review” style (high-yield, rapidly paced, concise rationales).
Time suggested: 4 hours (240 minutes)
Select the best answer for each question.
Answers and rationales are provided after each question.
This is a comprehensive final review designed to test readiness for PMHNP boards.
Q1. First-line treatment for panic disorder?
A) Alprazolam
, B) Sertraline
C) Propranolol
D) Buspirone
Answer: B
Rationale: SSRIs (sertraline, paroxetine, fluoxetine) are first-line for panic
disorder. Benzodiazepines are second-line due to dependence risk.
Q2. A patient with schizophrenia on clozapine develops fever, rigidity, and
elevated CK. Diagnosis?
A) Serotonin syndrome
B) Neuroleptic malignant syndrome (NMS)
C) Tardive dyskinesia
D) EPS
,Answer: B
Rationale: NMS triad: fever, rigidity, autonomic instability + elevated CK.
Stop antipsychotic immediately.
Q3. Lithium therapeutic level for acute mania?
A) 0.4–0.6 mEq/L
B) 0.6–0.8 mEq/L
C) 0.8–1.2 mEq/L
D) 1.2–1.5 mEq/L
Answer: C
Rationale: Acute mania: 0.8–1.2 mEq/L. Maintenance: 0.6–0.8 mEq/L.
Q4. Most common initial side-effect of SSRIs?
A) Weight gain
B) Sexual dysfunction
C) Nausea
, D) Insomnia
Answer: C
Rationale: Nausea occurs in 20–30%, usually resolves in 1–2 weeks.
Q5. Gold-standard psychotherapy for borderline personality disorder?
A) CBT
B) DBT
C) IPT
D) Psychodynamic
Answer: B
Rationale: Dialectical behavior therapy (DBT) is the gold-standard for BPD.
Q6. A patient with PTSD has nightmares. Most evidence-based medication?
A) Trazodone
B) Prazosin
ACTUAL EXAM 2026/2027 | MOST TESTED | HIGH-
YIELD GEORGETTE-STYLE REVIEW | VERIFIED
ANSWERS & DETAILED RATIONALES | 315 REAL
QUESTIONS | PASS GUARANTEED - GRADED A+
INSTRUCTIONS:
This exam contains 315 multiple-choice questions modeled on the “Georgette
Review” style (high-yield, rapidly paced, concise rationales).
Time suggested: 4 hours (240 minutes)
Select the best answer for each question.
Answers and rationales are provided after each question.
This is a comprehensive final review designed to test readiness for PMHNP boards.
Q1. First-line treatment for panic disorder?
A) Alprazolam
, B) Sertraline
C) Propranolol
D) Buspirone
Answer: B
Rationale: SSRIs (sertraline, paroxetine, fluoxetine) are first-line for panic
disorder. Benzodiazepines are second-line due to dependence risk.
Q2. A patient with schizophrenia on clozapine develops fever, rigidity, and
elevated CK. Diagnosis?
A) Serotonin syndrome
B) Neuroleptic malignant syndrome (NMS)
C) Tardive dyskinesia
D) EPS
,Answer: B
Rationale: NMS triad: fever, rigidity, autonomic instability + elevated CK.
Stop antipsychotic immediately.
Q3. Lithium therapeutic level for acute mania?
A) 0.4–0.6 mEq/L
B) 0.6–0.8 mEq/L
C) 0.8–1.2 mEq/L
D) 1.2–1.5 mEq/L
Answer: C
Rationale: Acute mania: 0.8–1.2 mEq/L. Maintenance: 0.6–0.8 mEq/L.
Q4. Most common initial side-effect of SSRIs?
A) Weight gain
B) Sexual dysfunction
C) Nausea
, D) Insomnia
Answer: C
Rationale: Nausea occurs in 20–30%, usually resolves in 1–2 weeks.
Q5. Gold-standard psychotherapy for borderline personality disorder?
A) CBT
B) DBT
C) IPT
D) Psychodynamic
Answer: B
Rationale: Dialectical behavior therapy (DBT) is the gold-standard for BPD.
Q6. A patient with PTSD has nightmares. Most evidence-based medication?
A) Trazodone
B) Prazosin
