GEORGETTE REVIEW PMHNP ACTUAL
EXAM 2026 WITH 400 QUESTIONS AND
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ | GUARANTEED
PASS | GEORGETTE REVIEW PMHNP
LATEST EXAM 2025/2026
Mary is a 45-year-old African American female who has been treated on
Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical
procedure. Which medication is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen - ANSWER-Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values
will indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - ANSWER-Answer: ANC less than 1000
,If given during pregnancy, socium valproate can cause which of the following
medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - ANSWER-A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the
Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - ANSWER-A. Carbamazepine
Bulimia, weight is ___________ - ANSWER-within the normal range.
Pharm treatment for bulimia - ANSWER-Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ANSWER-low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ANSWER-there is none
,therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ANSWER-Low BMI
If a patient is depression, low energy, fatigued, you would prescribe - ANSWER-
Wellbutrin
Wellbutrin is contraindicated in patients with - ANSWER-seizure disorder or
conditions that increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a
norepinephrine and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ANSWER-bupropion
What muscle relaxant is recommended to be used in treatment of NMS?
A. Bromocriptine
B. Trihexyphenidyl
C. Dantrolene
D. Benztropine - ANSWER-Dantrolene
, A week after raising the dose of clomipramine, a patient treated for depression
presents to the clinic with reports of change in mental status, fever, and
hyperreflexxia. As the treating PMHNP, you know these symptoms are consistent
with which of the following?
A. NMS
B. EPS
C. Hypertensive crisis
D. Serotonin syndrome - ANSWER-serotonin syndrome
A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is
stabilized in the hospital. Ten days later she is started on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ANSWER-serotonin syndrome
a 17 year old arrives at the emergency department with nonspecific complaints The
patient's temperature is 100.8, pulse rate and blood pressure are elevated, and
pupils are dilated with decreased reaction to light. Two days ago, the patient began
taking sertraline for the treatment of depression. the patient has a history of
substance use and smoked marijuana one week ago. The diagnosis is - ANSWER-
serotonin syndrome
Patient being treated for psychosis for 2 weeks develops symptoms of NMS. The
following factors help the pMHNP to differentiate NMS from serotonin syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
EXAM 2026 WITH 400 QUESTIONS AND
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ | GUARANTEED
PASS | GEORGETTE REVIEW PMHNP
LATEST EXAM 2025/2026
Mary is a 45-year-old African American female who has been treated on
Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical
procedure. Which medication is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen - ANSWER-Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values
will indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - ANSWER-Answer: ANC less than 1000
,If given during pregnancy, socium valproate can cause which of the following
medical problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - ANSWER-A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the
Asian population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - ANSWER-A. Carbamazepine
Bulimia, weight is ___________ - ANSWER-within the normal range.
Pharm treatment for bulimia - ANSWER-Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ANSWER-low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ANSWER-there is none
,therapy
Which of the following physical exam findings would help the PMHNP
differentiate anorexia nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ANSWER-Low BMI
If a patient is depression, low energy, fatigued, you would prescribe - ANSWER-
Wellbutrin
Wellbutrin is contraindicated in patients with - ANSWER-seizure disorder or
conditions that increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a
norepinephrine and dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ANSWER-bupropion
What muscle relaxant is recommended to be used in treatment of NMS?
A. Bromocriptine
B. Trihexyphenidyl
C. Dantrolene
D. Benztropine - ANSWER-Dantrolene
, A week after raising the dose of clomipramine, a patient treated for depression
presents to the clinic with reports of change in mental status, fever, and
hyperreflexxia. As the treating PMHNP, you know these symptoms are consistent
with which of the following?
A. NMS
B. EPS
C. Hypertensive crisis
D. Serotonin syndrome - ANSWER-serotonin syndrome
A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is
stabilized in the hospital. Ten days later she is started on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ANSWER-serotonin syndrome
a 17 year old arrives at the emergency department with nonspecific complaints The
patient's temperature is 100.8, pulse rate and blood pressure are elevated, and
pupils are dilated with decreased reaction to light. Two days ago, the patient began
taking sertraline for the treatment of depression. the patient has a history of
substance use and smoked marijuana one week ago. The diagnosis is - ANSWER-
serotonin syndrome
Patient being treated for psychosis for 2 weeks develops symptoms of NMS. The
following factors help the pMHNP to differentiate NMS from serotonin syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
