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LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST WITH UPDATED QUESTIONS AND ANSWERS
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LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST 2024- 2025 WITH UPDATED QUESTIONS AND ANSWERS
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LMR GEORGETTE’S PMHNPCERTIFICATION EXAM LATEST 2024-
2025 WITH UPDATED QUESTIONS AND
ANSWERS
What does ADPIE stand for? - ANSWERS-Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up
screaming in the middle of the night? - ANSWERS-Ask her if it's
happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their
toenail? - ANSWERS-Scrape nail and send for testing
,What do you do if a patient on lithium has dark brown urine? -
ANSWERS-Check renal function
What do you do if a patient presents with fever while on
Clozaril? - ANSWERS-Check ANC level to assess for
agranulocytosis
What can cause serotonin syndrome? - ANSWERS-
Antidepressants, St. John's Wort, Same-E, Kava Kava, and
Tryptophan
What labs are indicative of NMS? - ANSWERS-Elevated WBC
(over 11,000) and elevated CPK
S/S of NMS - ANSWERS-muscle rigidity, hyperthermia,
tachycardia, abnormal bp, sweating, altered mental status,
cherry colored urine
What should you do if a patient presents with cherry colored
urine? - ANSWERS-Check for rhabdo with CPK
,s/s of serotonin syndrome - ANSWERS-hyperreflexia, muscle
spasms, myoclonus (involuntary muscle jerk), fever, tachycardia,
HTN, shits and shivers
What two medications to give with NMS? - ANSWERS-
bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
What medication to give during SS? - ANSWERS-cyproheptadine
(Periactin)- 5HT-2A receptor antagonist
What is the onset and typical length of NMS? - ANSWERS-Slow
onset (1-2 weeks after changing or starting therapy) and
resolves within 9-14 days
What is the onset of SS? - ANSWERS-Within 24 hours of
starting/changing medication and resolves within a few days
How do you distinguish between NMS and acute dystonia? -
ANSWERS-NMS has a slower onset while acute dystonia occurs
within hours
What happens with lithium and NSAIDs? - ANSWERS-Increased
risk of lithium toxicity (gout meds, ibuprophen, naproxen, etc.)
, What happens with lithium and ACE inhibitors? - ANSWERS-
Increased risk of lithium toxicity related to the increased
urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel
blockers? - ANSWERS-Risk of fatal nephrotoxicity
What is a fetal side effect of lithium? - ANSWERS-Epstein's
anomaly
What lab should you check for athletes on lithium? - ANSWERS-
Specific gravity to assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? - ANSWERS-Do not
give the next dose and assess for s/s
At what level is lithium toxicity a medical emergency? -
ANSWERS->3
S/S of lithium toxicity - ANSWERS-vomiting, diarrhea, slurred
speech, hand tremor, dry mouth/thirst, muscle
weakness/twitching
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