Georgette S. LMR PMHNP Certification
Exam Bank 2027 Comprehensive Practice
Questions with Verified Answers and
Detailed Rationales
Question 1
How often is Haldol Decanoate typically adminitered?
Correct Answer
monthly
Question 2
What are 7 signs of lithium toxicity?
Correct Answer
Severe nausea, vomiting, diarrhea
Confusion
Drowsiness
Muscle weakness
Heart palpitations
Coarse hand tremor
Unsteadiness while standing or walking
Bold =must knows
Page 1 of 117
,Question 3
If a patient's COWS score is between 5 - 12, what do you do?
Correct Answer
Administer clonidine (mild score)
Question 4
What 7 signs/symptoms are associated with stimulant abuse?
Correct Answer
Insomnia
Tremors
Irritability,
Mood swings.
Agitation,
Anxiety
CV (increased HR/BP, palpitations)
Question 5
What is the goal or Reflective Practice?
Correct Answer
Improve practice
Question 6
What are 3 treatments for depressed patients with neuropathic pain?
Correct Answer
SNRI
TCA (think safety tho)
Gabapentin/Pregabalin (alpha2 delta ligands)
BOLD = know
Page 2 of 117
,Question 7
What birth defect can lithium cause?
Correct Answer
Ebstein anomaly (congenital heart defect)
Question 8
With suspected lithium toxicity, what do you do first?
Correct Answer
D/C Li and draw Lithium level (not VS)
Question 9
Thought content includes 3 items
Correct Answer
Suicidal ideation
Homicidal ideation
Hallucinations/Delusions
Question 10
Which SGA is the least sedating?
Correct Answer
Aripiprazole (Abilify)
Question 11
What is a common side effect of SSRIs in the older population
Correct Answer
Anxiety
Page 3 of 117
, Question 12
Acute or chronic blood loss (GI bleeding, heaving menses) can cause what type of
anemia?
Correct Answer
Normocytic
Question 13
At what ANC should clozapine be stopped (even if asymptomatic)?
Correct Answer
<1000
Question 14
What 2 factors differentiate Conduct Disorder from ODD?
Correct Answer
Severity
Aggression
Question 15
What is the moderate range for HAM-A?
Correct Answer
0-56
0-17 mild
> 18 moderate
> 25 severe
Just moderate 18-24
Page 4 of 117
Exam Bank 2027 Comprehensive Practice
Questions with Verified Answers and
Detailed Rationales
Question 1
How often is Haldol Decanoate typically adminitered?
Correct Answer
monthly
Question 2
What are 7 signs of lithium toxicity?
Correct Answer
Severe nausea, vomiting, diarrhea
Confusion
Drowsiness
Muscle weakness
Heart palpitations
Coarse hand tremor
Unsteadiness while standing or walking
Bold =must knows
Page 1 of 117
,Question 3
If a patient's COWS score is between 5 - 12, what do you do?
Correct Answer
Administer clonidine (mild score)
Question 4
What 7 signs/symptoms are associated with stimulant abuse?
Correct Answer
Insomnia
Tremors
Irritability,
Mood swings.
Agitation,
Anxiety
CV (increased HR/BP, palpitations)
Question 5
What is the goal or Reflective Practice?
Correct Answer
Improve practice
Question 6
What are 3 treatments for depressed patients with neuropathic pain?
Correct Answer
SNRI
TCA (think safety tho)
Gabapentin/Pregabalin (alpha2 delta ligands)
BOLD = know
Page 2 of 117
,Question 7
What birth defect can lithium cause?
Correct Answer
Ebstein anomaly (congenital heart defect)
Question 8
With suspected lithium toxicity, what do you do first?
Correct Answer
D/C Li and draw Lithium level (not VS)
Question 9
Thought content includes 3 items
Correct Answer
Suicidal ideation
Homicidal ideation
Hallucinations/Delusions
Question 10
Which SGA is the least sedating?
Correct Answer
Aripiprazole (Abilify)
Question 11
What is a common side effect of SSRIs in the older population
Correct Answer
Anxiety
Page 3 of 117
, Question 12
Acute or chronic blood loss (GI bleeding, heaving menses) can cause what type of
anemia?
Correct Answer
Normocytic
Question 13
At what ANC should clozapine be stopped (even if asymptomatic)?
Correct Answer
<1000
Question 14
What 2 factors differentiate Conduct Disorder from ODD?
Correct Answer
Severity
Aggression
Question 15
What is the moderate range for HAM-A?
Correct Answer
0-56
0-17 mild
> 18 moderate
> 25 severe
Just moderate 18-24
Page 4 of 117
