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1. What does ADPIE Assessment
stand for? Diagnosis
Planning
Implementation
Evaluation
2. What should you Ask her if it's happened before to assess for sleep issue patterns
do when a moth-
er reports her
child woke up
screaming in the
middle of the
night?
3. What do you do Scrape nail and send for testing
if a patient comes
in with fungus on
their toenail?
4. What do you do Check renal function
if a patient on
lithium has dark
brown urine?
5. What do you do Check ANC level to assess for agranulocytosis
if a patient pre-
sents with fever
while on Clozaril?
6. What can cause Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
serotonin syn-
drome?
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7. What labs are in- Elevated WBC (over 11,000) and elevated CPK
dicative of NMS?
8. S/S of NMS muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental
status, cherry colored urine
9. What should you Check for rhabdo with CPK
do if a pa-
tient presents
with cherry col-
ored urine?
10. s/s of serotonin hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachy-
syndrome cardia, HTN, shits and shivers
11. What two med- bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
ications to give
with NMS?
12. What medication cyproheptadine (Periactin)- 5HT-2A receptor antagonist
to give during SS?
13. What is the on- Slow onset (1-2 weeks after changing or starting therapy) and resolves within
set and typical 9-14 days
length of NMS?
14. What is the onset Within 24 hours of starting/changing medication and resolves within a few days
of SS?
15. How do you dis- NMS has a slower onset while acute dystonia occurs within hours
tinguish between
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NMS and acute
dystonia?
16. What happens Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.)
with lithium and
NSAIDs?
17. What happens Increased risk of lithium toxicity related to the increased urination from the ACE
with lithium and inhibitors
ACE inhibitors?
18. Why should a Risk of fatal nephrotoxicity
patient on lithi-
um avoid calcium
channel block-
ers?
19. What is a fe- Epstein's anomaly
tal side effect of
lithium?
20. What lab should Specific gravity to assess for dehydration (dehydration is >1.015)
you check for
athletes on lithi-
um?
21. What do you do Do not give the next dose and assess for s/s
if the lithium level
is 1.3?
22. At what level >3
is lithium toxicity
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LMR Georgette’s PMHNP Certification Exam Latest 2025 Questions And Co
rect Answers(Verified Answers)
Study online at https://quizlet.com/_hqdw92
1. What does ADPIE Assessment
stand for? Diagnosis
Planning
Implementation
Evaluation
2. What should you Ask her if it's happened before to assess for sleep issue patterns
do when a moth-
er reports her
child woke up
screaming in the
middle of the
night?
3. What do you do Scrape nail and send for testing
if a patient comes
in with fungus on
their toenail?
4. What do you do Check renal function
if a patient on
lithium has dark
brown urine?
5. What do you do Check ANC level to assess for agranulocytosis
if a patient pre-
sents with fever
while on Clozaril?
6. What can cause Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
serotonin syn-
drome?
Page 1 of 28 #$%$%$^$@**#&^#*&&%(%%^&*()
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LMR Georgette’s
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PMHNP Certification Exam.pdf #$%$%$^$@**#&^#*&&%(%%^&*()
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rect Answers(Verified Answers)
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7. What labs are in- Elevated WBC (over 11,000) and elevated CPK
dicative of NMS?
8. S/S of NMS muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental
status, cherry colored urine
9. What should you Check for rhabdo with CPK
do if a pa-
tient presents
with cherry col-
ored urine?
10. s/s of serotonin hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachy-
syndrome cardia, HTN, shits and shivers
11. What two med- bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
ications to give
with NMS?
12. What medication cyproheptadine (Periactin)- 5HT-2A receptor antagonist
to give during SS?
13. What is the on- Slow onset (1-2 weeks after changing or starting therapy) and resolves within
set and typical 9-14 days
length of NMS?
14. What is the onset Within 24 hours of starting/changing medication and resolves within a few days
of SS?
15. How do you dis- NMS has a slower onset while acute dystonia occurs within hours
tinguish between
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NMS and acute
dystonia?
16. What happens Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.)
with lithium and
NSAIDs?
17. What happens Increased risk of lithium toxicity related to the increased urination from the ACE
with lithium and inhibitors
ACE inhibitors?
18. Why should a Risk of fatal nephrotoxicity
patient on lithi-
um avoid calcium
channel block-
ers?
19. What is a fe- Epstein's anomaly
tal side effect of
lithium?
20. What lab should Specific gravity to assess for dehydration (dehydration is >1.015)
you check for
athletes on lithi-
um?
21. What do you do Do not give the next dose and assess for s/s
if the lithium level
is 1.3?
22. At what level >3
is lithium toxicity
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