GEORGETTE REVIEW PMHNP ACCURATE
EXPERT VERIFIED ACTUAL QUESTIONS &
ANSWERS LATEST 2025-2026 EXAM UPDATE
Teratogenic effects of benzos - Answer-floppy baby, cleft palate
Teratogenic effects of tegratol - Answer-neural tube defect
teratogenic effects of lithium - Answer-ebstein anomaly (heart defect)
(avoid, especially 1st trimester)
teratogenic effects of depakote - Answer-neural tube defects/spina
bifida
Adverse reaction to Lamictal - Answer-Steven Johnson's Syndrome
Signs of SJS - Answer-FEVER --high yield
sore throat
facial swelling
,tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - Answer-sedation or weight gain
Carbamazepine (tegretol) black box warning - Answer-agranulocytosis
(decrease WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums,
skin rash, SOA)
Carbamazepine and asians - Answer-Screen for HLAB-1502 allele
before initiating, due to high incidence of SJS if positive for allele.
Child-bearing aged women - Answer-check for pregnancy before
starting mood stabilizer
start on folic acid to support neural tube development during the first
month that a woman is pregnant
Clozaril/clozapine can cause - Answer-agranulocytosis and neutropenia
,For monitoring neutropenia in Clozaril, monitor - Answer-ANC
DC clozarli if ANC - Answer-less than 1000
DC clozaril if WBC - Answer-2000-3000, risk of agranulocytosis
When on clozaril monitor for - Answer-signs and symptoms of
infection: sudden fever, chills, sore throat, weakness
Clozaril only known antipsychotic to - Answer-decrease risk of suicide
in patients with schizophrenia.
When many answers are remarkably similar, they are usually
_____________ - Answer-wrong
Interprofessional collaboration is encouraged. - Answer-Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - Answer-Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium - Answer-Normal 0.6-1.2
, Lithium toxicity occurs at levels - Answer-> 1.5
Signs of Lithium toxicity - Answer-severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait
Lithium is gold standard for - Answer-MANIA
Lithium has evidence shown to - Answer-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer-
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - Answer-rise
Baseline labs before initiation of lithium - 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)
Side Effects of Lithium - Answer-hypothyroidism
coase hand tremors with toxicity
EXPERT VERIFIED ACTUAL QUESTIONS &
ANSWERS LATEST 2025-2026 EXAM UPDATE
Teratogenic effects of benzos - Answer-floppy baby, cleft palate
Teratogenic effects of tegratol - Answer-neural tube defect
teratogenic effects of lithium - Answer-ebstein anomaly (heart defect)
(avoid, especially 1st trimester)
teratogenic effects of depakote - Answer-neural tube defects/spina
bifida
Adverse reaction to Lamictal - Answer-Steven Johnson's Syndrome
Signs of SJS - Answer-FEVER --high yield
sore throat
facial swelling
,tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - Answer-sedation or weight gain
Carbamazepine (tegretol) black box warning - Answer-agranulocytosis
(decrease WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums,
skin rash, SOA)
Carbamazepine and asians - Answer-Screen for HLAB-1502 allele
before initiating, due to high incidence of SJS if positive for allele.
Child-bearing aged women - Answer-check for pregnancy before
starting mood stabilizer
start on folic acid to support neural tube development during the first
month that a woman is pregnant
Clozaril/clozapine can cause - Answer-agranulocytosis and neutropenia
,For monitoring neutropenia in Clozaril, monitor - Answer-ANC
DC clozarli if ANC - Answer-less than 1000
DC clozaril if WBC - Answer-2000-3000, risk of agranulocytosis
When on clozaril monitor for - Answer-signs and symptoms of
infection: sudden fever, chills, sore throat, weakness
Clozaril only known antipsychotic to - Answer-decrease risk of suicide
in patients with schizophrenia.
When many answers are remarkably similar, they are usually
_____________ - Answer-wrong
Interprofessional collaboration is encouraged. - Answer-Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - Answer-Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium - Answer-Normal 0.6-1.2
, Lithium toxicity occurs at levels - Answer-> 1.5
Signs of Lithium toxicity - Answer-severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait
Lithium is gold standard for - Answer-MANIA
Lithium has evidence shown to - Answer-reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - Answer-
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - Answer-rise
Baseline labs before initiation of lithium - 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)
Side Effects of Lithium - Answer-hypothyroidism
coase hand tremors with toxicity
