Georgette Review (PMHNP) | 388 QUESTIONS |
WITH COMPLETE SOLUTIONS | Newest 2026
Update!!!!!!
Whenpmanypanswersparepremarkablypsimilar,ptheyparepusuallyp_____________p-pAnswerp:ppwrong
Interprofessionalpcollaborationpispencouraged.p-pAnswerp:ppCollaboratepispusuallypright.p
Delegatepispusuallypwrong.
ADPIERp-pAnswerp:ppAssessment,pdiagnosis,pPlan,pintervention,pevaluate,preferpoutplast.
Lithiump-pAnswerp:ppNormalp0.6-1.2
Lithiumptoxicitypoccurspatplevelsp-pAnswerp:pp>p1.5
SignspofpLithiumptoxicityp-
pAnswerp:ppseverepnausea,pdiarrhea,pvomiting,pconfusion,pdrowsiness,pmusclepweakness,pheartppalpitatio
n,pcoarsephandptremors,punsteadypgait
Lithiumpispgoldpstandardpforp-pAnswerp:ppMANIA
Lithiumphaspevidencepshownptop-pAnswerp:ppreducepsuicidalpideation
Whatpdoesplithiumpcausepinpneonate,pespeciallyp1stptrimesterp-
pAnswerp:ppEbsteinpanomalyp(congenitalpheartpdefect)
dehydrationpandphyponatremiapcauseplithiumplevelsptop-pAnswerp:pprise
Baselineplabspbeforepinitiationpofplithiump-pAnswerp:ppTSH
creatininep(0.6-1.2)
BUNp(10-20)
HCGp(allppsychotropicspfemalesp12-51)
EKGp50+
Urinalysisp(checkpforpproteins,p4+pmaypindicatepkidneypdisease)
SidepEffectspofpLithiump-pAnswerp:pphypothyroidism
coasephandptremorspwithptoxicity
maculopapularprash
diarrhea,pvomiting,pcramps--signspofptoxicity.pMonitorpclosely.p
anorexia
,tpwavepinversions
leukocytosis
Ptpeducationpforplithimump-pAnswerp:ppstayingphydrated
avoidingpNSAIDS
compliance
Depakotepnormalplevelp-pAnswerp:pp50-125
Depakoteptoxicityplevelp-pAnswerp:ppgreaterpthanp150
TeratogenicpeffectspofpDepakotep-pAnswerp:ppspinapbifida
Adversepeffectspofpdepakotep-pAnswerp:ppalopecia
hepatotoxicityp(RUQppainporpbrown/redpurine--orderpLFTs)pASTp5-40,pALTp5-
35,pyellowingpofpskinporpeyes,pfatigue
SignspofpDepakoteptoxicityp-pAnswerp:ppdisorientation,plethargy,prespiratorypdepression,pnausea/vomiting
Interventionpforpdepakoteptoxicityp-pAnswerp:ppDCpmed
checkplevel
LFT
ammonia
MAOIp+ptyraminepcausesp-pAnswerp:pphypertensivepcrisis
Symptomspofphypertensivepcrisisp-pAnswerp:ppelevatedpBP
suddenpexplosiveplikepheadache
facialpflushing
palpitations
pupillarypdilation
diaphoresis
fever
HypertensivepcrisispoccurspwithpMAOIp+p-pAnswerp:ppMEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
,St.pJohn'spwart
L-tryptophan
asthmapmeds
Treatmentpforphypertensivepcrisisp-pAnswerp:ppDCpoffendingpagent
AdministerpPHENTOLAMINE
Teratogenicpeffectspofpbenzosp-pAnswerp:ppfloppypbaby,pcleftppalate
Teratogenicpeffectspofptegratolp-pAnswerp:ppneuralptubepdefect
teratogenicpeffectspofplithiump-
pAnswerp:ppebsteinpanomalyp(heartpdefect)p(avoid,pespeciallyp1stptrimester)
teratogenicpeffectspofpdepakotep-pAnswerp:ppneuralptubepdefects/spinapbifida
AdversepreactionptopLamictalp-pAnswerp:ppStevenpJohnson'spSyndrome
SignspofpSJSp-pAnswerp:ppFEVERp--highpyield
sorepthroat
facialpswelling
tonguepswelling
redprash
skinpsloughing
bodypaches
prodromalpheadache
malaise
arthralgia
painfulpmucuspmembranes
Lamotriginepispleastplikelyptopcausep-pAnswerp:ppsedationporpweightpgain
Carbamazepinep(tegretol)pblackpboxpwarningp-pAnswerp:ppagranulocytosisp(decreasepWBCs)
aplasticpanemiap(pallor,pfatigue,pHA,pfever,pnosebleeds,pbleedingpgums,pskinprash,pSOA)
Carbamazepinepandpasiansp-pAnswerp:ppScreenpforpHLAB-
1502pallelepbeforepinitiating,pdueptophighpincidencepofpSJSpifppositivepforpallele.
Child-bearingpagedpwomenp-pAnswerp:ppcheckpforppregnancypbeforepstartingpmoodpstabilizer
startponpfolicpacidptopsupportpneuralptubepdevelopmentpduringpthepfirstpmonthpthatpapwomanpisppregnan
t
, Clozaril/clozapinepcanpcausep-pAnswerp:ppagranulocytosispandpneutropenia
ForpmonitoringpneutropeniapinpClozaril,pmonitorp-pAnswerp:ppANC
DCpclozarlipifpANCp-pAnswerp:pplesspthanp1000
DCpclozarilpifpWBCp-pAnswerp:pp2000-3000,priskpofpagranulocytosis
Whenponpclozarilpmonitorpforp-
pAnswerp:ppsignspandpsymptomspofpinfection:psuddenpfever,pchills,psorepthroat,pweakness
Clozarilponlypknownpantipsychoticptop-pAnswerp:ppdecreasepriskpofpsuicidepinppatientspwithpschizophrenia.
Yourppatientpwithpbipolarpdisorderpispadmittedptopapmedicalphospital.pThepinternistpcontactspyourpofficepa
ndpaskspwhetherptheplithiumpyoupprescribedphimpispeffectingphispECG.pHowpdopyouprespond?
A.pLithiumpcanpprolongpthepQTpinterval
B.pLithiumphaspnopeffectponphispECG
C.pLithiumpcanpinvertptheptpwaves
D.pLithiumpcanpshortenpthepPRpintervalp-pAnswerp:ppAnswer:pLithiumpcanpinvertptheptpwaves.
Marypispap45-year-
oldpAfricanpAmericanpfemalepwhophaspbeenptreatedponpIsocarboxazidp(Marplan)pforpoverp6pyears.pMarypi
spgoingpinpforpapsurgicalpprocedure.pWhichpmedicationpispstrictlypcontraindicatedpwithpIsocarboxazid?
A.pMorphine
B.pNSAIDS
C.pMethylphenidate
D.pAcetaminophenp-pAnswerp:ppAnswer:pMethylphenidate
Youpareptreatingpapclientpwithpschizophreniapwhoptakespclozapine.pWhatplabpvaluespwillpindicatepthepclien
tpneedsptopdiscontinueptreatment?
A.pWBCplesspthanp1800pandpANCplesspthanp1200
B.pANCplesspthanp1,000
C.pWBCplesspthanp5,000
D.pANCplesspthanp2000p-pAnswerp:ppAnswer:pANCplesspthanp1000
Ifpgivenpduringppregnancy,psociumpvalproatepcanpcausepwhichpofpthepfollowingpmedicalpproblemspinpthep
baby?
A.pSJS
B.pEbstein'spanomaly
C.pSpinapbifida
WITH COMPLETE SOLUTIONS | Newest 2026
Update!!!!!!
Whenpmanypanswersparepremarkablypsimilar,ptheyparepusuallyp_____________p-pAnswerp:ppwrong
Interprofessionalpcollaborationpispencouraged.p-pAnswerp:ppCollaboratepispusuallypright.p
Delegatepispusuallypwrong.
ADPIERp-pAnswerp:ppAssessment,pdiagnosis,pPlan,pintervention,pevaluate,preferpoutplast.
Lithiump-pAnswerp:ppNormalp0.6-1.2
Lithiumptoxicitypoccurspatplevelsp-pAnswerp:pp>p1.5
SignspofpLithiumptoxicityp-
pAnswerp:ppseverepnausea,pdiarrhea,pvomiting,pconfusion,pdrowsiness,pmusclepweakness,pheartppalpitatio
n,pcoarsephandptremors,punsteadypgait
Lithiumpispgoldpstandardpforp-pAnswerp:ppMANIA
Lithiumphaspevidencepshownptop-pAnswerp:ppreducepsuicidalpideation
Whatpdoesplithiumpcausepinpneonate,pespeciallyp1stptrimesterp-
pAnswerp:ppEbsteinpanomalyp(congenitalpheartpdefect)
dehydrationpandphyponatremiapcauseplithiumplevelsptop-pAnswerp:pprise
Baselineplabspbeforepinitiationpofplithiump-pAnswerp:ppTSH
creatininep(0.6-1.2)
BUNp(10-20)
HCGp(allppsychotropicspfemalesp12-51)
EKGp50+
Urinalysisp(checkpforpproteins,p4+pmaypindicatepkidneypdisease)
SidepEffectspofpLithiump-pAnswerp:pphypothyroidism
coasephandptremorspwithptoxicity
maculopapularprash
diarrhea,pvomiting,pcramps--signspofptoxicity.pMonitorpclosely.p
anorexia
,tpwavepinversions
leukocytosis
Ptpeducationpforplithimump-pAnswerp:ppstayingphydrated
avoidingpNSAIDS
compliance
Depakotepnormalplevelp-pAnswerp:pp50-125
Depakoteptoxicityplevelp-pAnswerp:ppgreaterpthanp150
TeratogenicpeffectspofpDepakotep-pAnswerp:ppspinapbifida
Adversepeffectspofpdepakotep-pAnswerp:ppalopecia
hepatotoxicityp(RUQppainporpbrown/redpurine--orderpLFTs)pASTp5-40,pALTp5-
35,pyellowingpofpskinporpeyes,pfatigue
SignspofpDepakoteptoxicityp-pAnswerp:ppdisorientation,plethargy,prespiratorypdepression,pnausea/vomiting
Interventionpforpdepakoteptoxicityp-pAnswerp:ppDCpmed
checkplevel
LFT
ammonia
MAOIp+ptyraminepcausesp-pAnswerp:pphypertensivepcrisis
Symptomspofphypertensivepcrisisp-pAnswerp:ppelevatedpBP
suddenpexplosiveplikepheadache
facialpflushing
palpitations
pupillarypdilation
diaphoresis
fever
HypertensivepcrisispoccurspwithpMAOIp+p-pAnswerp:ppMEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
,St.pJohn'spwart
L-tryptophan
asthmapmeds
Treatmentpforphypertensivepcrisisp-pAnswerp:ppDCpoffendingpagent
AdministerpPHENTOLAMINE
Teratogenicpeffectspofpbenzosp-pAnswerp:ppfloppypbaby,pcleftppalate
Teratogenicpeffectspofptegratolp-pAnswerp:ppneuralptubepdefect
teratogenicpeffectspofplithiump-
pAnswerp:ppebsteinpanomalyp(heartpdefect)p(avoid,pespeciallyp1stptrimester)
teratogenicpeffectspofpdepakotep-pAnswerp:ppneuralptubepdefects/spinapbifida
AdversepreactionptopLamictalp-pAnswerp:ppStevenpJohnson'spSyndrome
SignspofpSJSp-pAnswerp:ppFEVERp--highpyield
sorepthroat
facialpswelling
tonguepswelling
redprash
skinpsloughing
bodypaches
prodromalpheadache
malaise
arthralgia
painfulpmucuspmembranes
Lamotriginepispleastplikelyptopcausep-pAnswerp:ppsedationporpweightpgain
Carbamazepinep(tegretol)pblackpboxpwarningp-pAnswerp:ppagranulocytosisp(decreasepWBCs)
aplasticpanemiap(pallor,pfatigue,pHA,pfever,pnosebleeds,pbleedingpgums,pskinprash,pSOA)
Carbamazepinepandpasiansp-pAnswerp:ppScreenpforpHLAB-
1502pallelepbeforepinitiating,pdueptophighpincidencepofpSJSpifppositivepforpallele.
Child-bearingpagedpwomenp-pAnswerp:ppcheckpforppregnancypbeforepstartingpmoodpstabilizer
startponpfolicpacidptopsupportpneuralptubepdevelopmentpduringpthepfirstpmonthpthatpapwomanpisppregnan
t
, Clozaril/clozapinepcanpcausep-pAnswerp:ppagranulocytosispandpneutropenia
ForpmonitoringpneutropeniapinpClozaril,pmonitorp-pAnswerp:ppANC
DCpclozarlipifpANCp-pAnswerp:pplesspthanp1000
DCpclozarilpifpWBCp-pAnswerp:pp2000-3000,priskpofpagranulocytosis
Whenponpclozarilpmonitorpforp-
pAnswerp:ppsignspandpsymptomspofpinfection:psuddenpfever,pchills,psorepthroat,pweakness
Clozarilponlypknownpantipsychoticptop-pAnswerp:ppdecreasepriskpofpsuicidepinppatientspwithpschizophrenia.
Yourppatientpwithpbipolarpdisorderpispadmittedptopapmedicalphospital.pThepinternistpcontactspyourpofficepa
ndpaskspwhetherptheplithiumpyoupprescribedphimpispeffectingphispECG.pHowpdopyouprespond?
A.pLithiumpcanpprolongpthepQTpinterval
B.pLithiumphaspnopeffectponphispECG
C.pLithiumpcanpinvertptheptpwaves
D.pLithiumpcanpshortenpthepPRpintervalp-pAnswerp:ppAnswer:pLithiumpcanpinvertptheptpwaves.
Marypispap45-year-
oldpAfricanpAmericanpfemalepwhophaspbeenptreatedponpIsocarboxazidp(Marplan)pforpoverp6pyears.pMarypi
spgoingpinpforpapsurgicalpprocedure.pWhichpmedicationpispstrictlypcontraindicatedpwithpIsocarboxazid?
A.pMorphine
B.pNSAIDS
C.pMethylphenidate
D.pAcetaminophenp-pAnswerp:ppAnswer:pMethylphenidate
Youpareptreatingpapclientpwithpschizophreniapwhoptakespclozapine.pWhatplabpvaluespwillpindicatepthepclien
tpneedsptopdiscontinueptreatment?
A.pWBCplesspthanp1800pandpANCplesspthanp1200
B.pANCplesspthanp1,000
C.pWBCplesspthanp5,000
D.pANCplesspthanp2000p-pAnswerp:ppAnswer:pANCplesspthanp1000
Ifpgivenpduringppregnancy,psociumpvalproatepcanpcausepwhichpofpthepfollowingpmedicalpproblemspinpthep
baby?
A.pSJS
B.pEbstein'spanomaly
C.pSpinapbifida
