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PMHNP Boards - Scientific Foundation and Advance Practice Skills Exam Q&A 100% Solved

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PMHNP Boards - Scientific Foundation and Advance Practice Skills Exam Q&A 100% Solved Which of the following is a contraindication to benzodiazepines? a. Acute alcohol intoxication b. Acute narrow angle glaucoma c. Psychosis d. All the above - a. Acute alcohol intoxication In the pharmacolo...

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  • October 22, 2024
  • 72
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PMHNP
  • PMHNP
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

PMHNP Boards - Scientific Foundation

and Advance Practice Skills Exam Q&A

100% Solved


Which of the following is a contraindication to benzodiazepines?

a. Acute alcohol intoxication

b. Acute narrow angle glaucoma

c. Psychosis

d. All the above - ✔✔a. Acute alcohol intoxication

In the pharmacological treatment of psychosis, when antipsychotics are

administered, which block dopamine, a secondary effect is blocking in

another tract, which causes potential prolactin problems, such as

gynecomastia in males. This tract is the:

a. mesolimbic

b. tuberoinfundibular

c. nigrostrial dopamine tract

d. mesocortical - ✔✔b. tuberoinfundibular

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

A six-year-old patient with autism spectrum disorder has not responded to

six months of psychosocial interventions and continues to demonstrate

aggressive tendencies toward a younger sibling. The psychiatric-mental

health nurse practitioner prescribes:

1. carbamazepine (Tegretol) 200 mg once a day.

2. haloperidol (Haldol) 2 mg once a day.

3. risperidone (Risperdal) 0.25 mg once a day.

4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔3. risperidone

(Risperdal) 0.25 mg once a day.

Which drug is likely to produce liver failure and hepatitis?

1. Lamotrigine

2. Gabapentin

3. Carbamazepine

4. Topiramate - ✔✔3. Carbamazepine

EPS arises from:

a. D2 blockade in the nigrostriatial tract

b. D2 blockade in the tuberoinfundibular tract

c. D2 blockade in the alpha-1 adrenergic receptor blockade

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

d. D2 blockade in the HPA axis - ✔✔a. D2 blockade in the nigrostriatial

tract

Which drug carries a higher risk of metabolic effects than the other second

generation antipsychotics: weight gain, diabetes, dyslipidemia ?

a. Clozaril

b. Zyprexa

c. Risperdal

d. Geodon - ✔✔b. Zyprexa

A patient has not had any relief of symptoms with Fluoxetine, and is going

to be started on an MAOI. How long before starting the MAOI should the

Fluoxetine be withdrawn?

a. 2 weeks

b. 3 weeks

c. 4 weeks

d. 5 weeks - ✔✔a. 2 weeks

Which drug can produce serious side effect of rash in some Asians, and

the FDA has mandated genetic testing before the administration of this

drug?

a. Dilantin

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

b. Lamictal

c. Depakote

d. Tegretol - ✔✔d. Tegretol

Which is considered the most sedating SSRI?

a. Paroxetine

b. Sertraline

c. Fluoxetine

d. Escitalopram Oxalate - ✔✔a. Paroxetine (Paxil is EVIL)

Brain structure responsible for mediating mood, fear, emotion, and

aggression; also responsible for connecting sensory smell information with

emotions - ✔✔amygdala

Regulates memory and converts short-term memory into long-term memory

- ✔✔

Plays key roles in various regulatory functions such as appetite, sensations

of hunger and thirst, water balance, circadian rhythms, body temperature,

libido, and hormonal regulation - ✔✔

Patient on lithium and cipro Cipro _____________ lithium level - ✔✔

Patient on psych meds and dexamethasone will complain of what? - ✔✔

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