Science / Medicine / Psychiatry
LMR Georgette’s PMHNP Certification Exam
Latest 2025 Questions And Correct Answers
(Verified Answers).
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementatio
n Evaluation
What should you do when Ask her if it's happened before to assess for sleep issue patterns
a mother reports her child
woke up screaming in the
middle of the night?
What do you do if a patient Scrape nail and send for testing
comes in with fungus on their
toenail?
What do you do if a patient Check renal function
on lithium has dark brown
urine?
What do you do if a patient Check ANC level to assess for agranulocytosis
presents with fever while on
Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
syndrome?
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal bp,
S/S of NMS
sweating, altered mental status, cherry colored urine
What should you do if a Check for rhabdo with CPK
patient presents with cherry
colored urine?
hyperreflexia, muscle spasms, myoclonus (involuntary
s/s of serotonin syndrome
muscle jerk), fever, tachycardia, HTN, shits and shivers
,What is the onset and typical Slow onset (1-2 weeks after changing or starting therapy)
length of NMS? and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication and resolves
within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs within hours
between NMS and acute
dystonia?
What happens with lithium and Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen,
NSAIDs? etc.)
What happens with lithium Increased risk of lithium toxicity related to the increased
and ACE inhibitors? urination from the ACE inhibitors
Why should a patient on Risk of fatal nephrotoxicity
lithium avoid calcium
channel blockers?
What is a fetal side effect of Epstein's anomaly
lithium?
What lab should you check for Specific gravity to assess for dehydration (dehydration is >1.015)
athletes on lithium?
What do you do if the lithium Do not give the next dose and assess for s/s
level is 1.3?
At what level is lithium toxicity >3
a medical emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with Inverted T-waves
lithium?
What medication should Synthroid
treat hypothyroidism caused
by lithium use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote
and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on
depakote reports upper
abdominal pain?
What lab should you check if LFTs
patient has right upper
, quadrant pain and dark brown
urine?
What lab means pregnancy? HCG
Treatment resistant schizophrenia, improves SI, and
Why is Clozaril used?
improves negative symptoms of schizophrenia
What two medications have Clozaril and Tegretol
the highest risk of
agranulocytosis and
aplastic anemia?
What symptoms may Sore throats, sores in mouth/gums, fever
mean a Clozaril induced
infection?
When should you discontinue WBC < 2000 or ANC <1000
Clozaril or Tegretol?
What should you check in For the HLA-B*1502 allele (higher risk of SJS)
Asian patients taking
Tegretol?
What two epidermal issues can Toxic epidermal necrosis and SJS
arise from Tegretol or
Lamictal?
What medication to give during cyproheptadine (Periactin)- 5HT-2A receptor antagonist
SS?
LMR Georgette’s PMHNP Certification Exam
Latest 2025 Questions And Correct Answers
(Verified Answers).
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementatio
n Evaluation
What should you do when Ask her if it's happened before to assess for sleep issue patterns
a mother reports her child
woke up screaming in the
middle of the night?
What do you do if a patient Scrape nail and send for testing
comes in with fungus on their
toenail?
What do you do if a patient Check renal function
on lithium has dark brown
urine?
What do you do if a patient Check ANC level to assess for agranulocytosis
presents with fever while on
Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan
syndrome?
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal bp,
S/S of NMS
sweating, altered mental status, cherry colored urine
What should you do if a Check for rhabdo with CPK
patient presents with cherry
colored urine?
hyperreflexia, muscle spasms, myoclonus (involuntary
s/s of serotonin syndrome
muscle jerk), fever, tachycardia, HTN, shits and shivers
,What is the onset and typical Slow onset (1-2 weeks after changing or starting therapy)
length of NMS? and resolves within 9-14 days
What is the onset of SS? Within 24 hours of starting/changing medication and resolves
within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs within hours
between NMS and acute
dystonia?
What happens with lithium and Increased risk of lithium toxicity (gout meds, ibuprophen, naproxen,
NSAIDs? etc.)
What happens with lithium Increased risk of lithium toxicity related to the increased
and ACE inhibitors? urination from the ACE inhibitors
Why should a patient on Risk of fatal nephrotoxicity
lithium avoid calcium
channel blockers?
What is a fetal side effect of Epstein's anomaly
lithium?
What lab should you check for Specific gravity to assess for dehydration (dehydration is >1.015)
athletes on lithium?
What do you do if the lithium Do not give the next dose and assess for s/s
level is 1.3?
At what level is lithium toxicity >3
a medical emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with Inverted T-waves
lithium?
What medication should Synthroid
treat hypothyroidism caused
by lithium use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote
and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on
depakote reports upper
abdominal pain?
What lab should you check if LFTs
patient has right upper
, quadrant pain and dark brown
urine?
What lab means pregnancy? HCG
Treatment resistant schizophrenia, improves SI, and
Why is Clozaril used?
improves negative symptoms of schizophrenia
What two medications have Clozaril and Tegretol
the highest risk of
agranulocytosis and
aplastic anemia?
What symptoms may Sore throats, sores in mouth/gums, fever
mean a Clozaril induced
infection?
When should you discontinue WBC < 2000 or ANC <1000
Clozaril or Tegretol?
What should you check in For the HLA-B*1502 allele (higher risk of SJS)
Asian patients taking
Tegretol?
What two epidermal issues can Toxic epidermal necrosis and SJS
arise from Tegretol or
Lamictal?
What medication to give during cyproheptadine (Periactin)- 5HT-2A receptor antagonist
SS?
