PMHNP
Certification Exam Review
500+ Questions & Answers
LMR Exam Preparation
Main Features:
• Focused PMHNP Certification exam
• Questions and Answers
• Extensive collection of Review questions and answers
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
,1. A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do
you suspect? What do you do?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
2. With suspected toxicity with valproic acid, what steps/labs should be drawn?
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
3. A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
Accutane (used for acne; Causes birth Defects!!!)
4. What herbal supplement is used for anxiety, stress, and insomnia? What is the major
side effect with Kava Kava?
Kava Kava
liver damage
5. What are 5 symptoms of Stephen's Johnson Syndrome?
Fever -Key sx to suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
6. Which mood stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
7. Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
,8. Which SGA is the least sedating?
Aripiprazole (Abilify)
9. Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you
add?
Aripiprazole (least sedating)
10. What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
11. How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
12. 16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?
Do UDS; chances are they may be abusing other substances
13. What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
14. What 6 drugs can induce depression?
"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
, 15. Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
16. REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____. What is the
best environment to interview this pt in?
reassure safety, provide environment of safety
private area with door open/partially open
17. What is the therapeutic range for lithium?
0.6-1.2 mEq/L
18. Many postpartum women have SI after delivery, yet they don't have psych evals
before leaving the hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best
care for that pt
19. What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
20. What is the normal range for TSH?
0.5 - 5.0 mu/L
21. What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
22. What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
Certification Exam Review
500+ Questions & Answers
LMR Exam Preparation
Main Features:
• Focused PMHNP Certification exam
• Questions and Answers
• Extensive collection of Review questions and answers
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
,1. A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do
you suspect? What do you do?
Hepatotoxicity; hold med, draw LFT's (priority), DVP level
2. With suspected toxicity with valproic acid, what steps/labs should be drawn?
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
3. A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be d/c'd?
Accutane (used for acne; Causes birth Defects!!!)
4. What herbal supplement is used for anxiety, stress, and insomnia? What is the major
side effect with Kava Kava?
Kava Kava
liver damage
5. What are 5 symptoms of Stephen's Johnson Syndrome?
Fever -Key sx to suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
6. Which mood stabilizer causes the least weight gain?
Lamotrigine (Lamictal)
7. Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
,8. Which SGA is the least sedating?
Aripiprazole (Abilify)
9. Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you
add?
Aripiprazole (least sedating)
10. What are 2 hallmark symptoms of delirium?
Acute onset
disturbance of LOC
impaired cognition
inattention
11. How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
12. 16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?
Do UDS; chances are they may be abusing other substances
13. What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
14. What 6 drugs can induce depression?
"SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
, 15. Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
16. REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____. What is the
best environment to interview this pt in?
reassure safety, provide environment of safety
private area with door open/partially open
17. What is the therapeutic range for lithium?
0.6-1.2 mEq/L
18. Many postpartum women have SI after delivery, yet they don't have psych evals
before leaving the hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best
care for that pt
19. What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
20. What is the normal range for TSH?
0.5 - 5.0 mu/L
21. What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
22. What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
