GEORGETTE REVIEW PMHNP EXAM
VERIFIED ACTUAL QUESTIONS & ANSWERS
FOR GUARANTEED PASS | NEWEST UPDATE
Question 1
When many answers are remarkably similar, they are usually _____________
Correct Answer
wrong
Question 2
Interprofessional collaboration is encouraged.
Correct Answer
Collaborate is usually right.
Delegate is usually wrong.
Question 3
ADPIER
Correct Answer
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Question 4
Lithium
Correct Answer
Normal 0.6-1.2
Page 1 of 85
,Question 5
Lithium toxicity occurs at levels
Correct Answer
> 1.5
Question 6
Signs of Lithium toxicity
Correct Answer
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Question 7
Lithium is gold standard for
Correct Answer
MANIA
Question 8
Lithium has evidence shown to
Correct Answer
reduce suicidal ideation
Question 9
What does lithium cause in neonate, especially 1st trimester
Correct Answer
Ebstein anomaly (congenital heart defect)
Question 10
dehydration and hyponatremia cause lithium levels to
Correct Answer
rise
Page 2 of 85
,Question 11
Baseline labs before initiation of lithium
Correct Answer
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Question 12
Side Effects of Lithium
Correct Answer
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Question 13
Pt education for lithimum
Correct Answer
staying hydrated
avoiding NSAIDS
compliance
Question 14
Depakote normal level
Correct Answer
50-125
Page 3 of 85
, Question 15
Depakote toxicity level
Correct Answer
greater than 150
Question 16
Teratogenic effects of Depakote
Correct Answer
spina bifida
Question 17
Adverse effects of depakote
Correct Answer
alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Question 18
Signs of Depakote toxicity
Correct Answer
disorientation, lethargy, respiratory depression, nausea/vomiting
Question 19
Intervention for depakote toxicity
Correct Answer
DC med
check level
LFT
ammonia
Page 4 of 85
VERIFIED ACTUAL QUESTIONS & ANSWERS
FOR GUARANTEED PASS | NEWEST UPDATE
Question 1
When many answers are remarkably similar, they are usually _____________
Correct Answer
wrong
Question 2
Interprofessional collaboration is encouraged.
Correct Answer
Collaborate is usually right.
Delegate is usually wrong.
Question 3
ADPIER
Correct Answer
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Question 4
Lithium
Correct Answer
Normal 0.6-1.2
Page 1 of 85
,Question 5
Lithium toxicity occurs at levels
Correct Answer
> 1.5
Question 6
Signs of Lithium toxicity
Correct Answer
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Question 7
Lithium is gold standard for
Correct Answer
MANIA
Question 8
Lithium has evidence shown to
Correct Answer
reduce suicidal ideation
Question 9
What does lithium cause in neonate, especially 1st trimester
Correct Answer
Ebstein anomaly (congenital heart defect)
Question 10
dehydration and hyponatremia cause lithium levels to
Correct Answer
rise
Page 2 of 85
,Question 11
Baseline labs before initiation of lithium
Correct Answer
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Question 12
Side Effects of Lithium
Correct Answer
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Question 13
Pt education for lithimum
Correct Answer
staying hydrated
avoiding NSAIDS
compliance
Question 14
Depakote normal level
Correct Answer
50-125
Page 3 of 85
, Question 15
Depakote toxicity level
Correct Answer
greater than 150
Question 16
Teratogenic effects of Depakote
Correct Answer
spina bifida
Question 17
Adverse effects of depakote
Correct Answer
alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue
Question 18
Signs of Depakote toxicity
Correct Answer
disorientation, lethargy, respiratory depression, nausea/vomiting
Question 19
Intervention for depakote toxicity
Correct Answer
DC med
check level
LFT
ammonia
Page 4 of 85
