LMR Georgette PMHNP Certification || Most Recent Exam Actual
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!! | Newest
Exam | Just Released!!\ACTUAL FINAL EXAM Georgette's - LMR -
2026-2027
What is a toxic level of lithium?
1.5 mEq/L or higher
At what level do you monitor lithium
closely (but not discontinue)?
1.3 -1.4 mEq/L or higher
With suspected lithium toxicity, what is your initial action?
D/C Lithium
Draw Lithium level
Your initial action is not vital signs
What is the appropriate action if lithium level is 1.5 mEq/L?
D/C lithium
Check lithium level
What 2 conditions can increase lithium levels?
Dehydration
Hyponatremia
,If your patient taking lithium is on a hike, what do you recommend they do to
prepare?
Take extra water to avoid dehydration
Dehydration is a condition that can increase lithium levels
What birth defect can lithium cause?
Ebstein anomaly (congenital heart defect)
When working with adolescents, parents often feel they have a right to know
what is going on with their child, but the teen has a right to confidentiality. This
can create an
_____.
Ethical dilemma
When building a therapeutic alliance with adolescents, it is important to stress
____________________________________________________________________________ _.
CONFIDENTIALITY
What they say remains confidential unless
-concern for self-harm
-concern for harm to others
-concern for abuse, statutory rape, sexual assault (ex. a teenage patient
romantically involved with an older adult)
Once an adolescent presents a complaint of abuse even in the presence of their
parents/caregivers, what is your initial action?
INTERVIEW ALONE
Then call CPS
,What 3 neurotransmitters are associated with ADHD?
DNS
DA
NE
5HT
The frontal cortex, basal ganglia, and reticular activating system are associated
with which psychiatric disorder?
ADHD
ADHD inattentive type demonstrates abnormalities in which part of the brain?
Prefrontal cortex (PFC)
What priority action should be completed before placing a patient on
stimulants for ADHD?
CARDIAC HISTORY
Excessive worry, apprehension, or anxiety about events or activities that
occurs more days than not for a period of at least 6 months is ____.
Generalized anxiety disorder (GAD)
If a patient presents with a diagnosis of ADHD and a tic, what medication class is
contraindicated?
Stimulants
, If a stimulant was tried and provided some but not enough benefit (helped, but
not long enough) what can this mean?
The medication has been cleared from the body
What are the lower age limits for stimulants for ADHD?
amphetamine = 3yrs
methylphenidate = 6yrs
When considering Clonidine or Guanfacine for a patient, the PMHNP knows
_________________________________________________________________________ [what
about how they differ from each other}?
Clonidine is more sedating than
Guanfacine Guanfacine lasts longer
than Clonidine
What does thought process assess?
Thoughts and ideas
A normal thought process is described as _.
Logical
Linear
Coherent
Goal-oriented
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!! | Newest
Exam | Just Released!!\ACTUAL FINAL EXAM Georgette's - LMR -
2026-2027
What is a toxic level of lithium?
1.5 mEq/L or higher
At what level do you monitor lithium
closely (but not discontinue)?
1.3 -1.4 mEq/L or higher
With suspected lithium toxicity, what is your initial action?
D/C Lithium
Draw Lithium level
Your initial action is not vital signs
What is the appropriate action if lithium level is 1.5 mEq/L?
D/C lithium
Check lithium level
What 2 conditions can increase lithium levels?
Dehydration
Hyponatremia
,If your patient taking lithium is on a hike, what do you recommend they do to
prepare?
Take extra water to avoid dehydration
Dehydration is a condition that can increase lithium levels
What birth defect can lithium cause?
Ebstein anomaly (congenital heart defect)
When working with adolescents, parents often feel they have a right to know
what is going on with their child, but the teen has a right to confidentiality. This
can create an
_____.
Ethical dilemma
When building a therapeutic alliance with adolescents, it is important to stress
____________________________________________________________________________ _.
CONFIDENTIALITY
What they say remains confidential unless
-concern for self-harm
-concern for harm to others
-concern for abuse, statutory rape, sexual assault (ex. a teenage patient
romantically involved with an older adult)
Once an adolescent presents a complaint of abuse even in the presence of their
parents/caregivers, what is your initial action?
INTERVIEW ALONE
Then call CPS
,What 3 neurotransmitters are associated with ADHD?
DNS
DA
NE
5HT
The frontal cortex, basal ganglia, and reticular activating system are associated
with which psychiatric disorder?
ADHD
ADHD inattentive type demonstrates abnormalities in which part of the brain?
Prefrontal cortex (PFC)
What priority action should be completed before placing a patient on
stimulants for ADHD?
CARDIAC HISTORY
Excessive worry, apprehension, or anxiety about events or activities that
occurs more days than not for a period of at least 6 months is ____.
Generalized anxiety disorder (GAD)
If a patient presents with a diagnosis of ADHD and a tic, what medication class is
contraindicated?
Stimulants
, If a stimulant was tried and provided some but not enough benefit (helped, but
not long enough) what can this mean?
The medication has been cleared from the body
What are the lower age limits for stimulants for ADHD?
amphetamine = 3yrs
methylphenidate = 6yrs
When considering Clonidine or Guanfacine for a patient, the PMHNP knows
_________________________________________________________________________ [what
about how they differ from each other}?
Clonidine is more sedating than
Guanfacine Guanfacine lasts longer
than Clonidine
What does thought process assess?
Thoughts and ideas
A normal thought process is described as _.
Logical
Linear
Coherent
Goal-oriented
