LMR Georgette’s PMHNP Certification Exam |BRAND NEW EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ALL GRADED A+|GUARANTEED SUCCESS|LATEST UPDATE 2024
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LMR Georgette’s PMHNP Certification
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LMR Georgette’s PMHNP Certification
LMR Georgette’s PMHNP Certification Exam |BRAND NEW EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ALL GRADED A+|GUARANTEED SUCCESS|LATEST UPDATE 2024
What does ADPIE stand for? - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mo...
LMR Georgette’s PMHNP Certification Exam
2024-2025|BRAND NEW EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS ALL
GRADED A+|GUARANTEED SUCCESS|LATEST
UPDATE 2024
What does ADPIE stand for? - ANSWER-✔Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up screaming in the
middle of the night? - ANSWER-✔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? - ANSWER-
✔Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine? - ANSWER-✔Check
renal function
What do you do if a patient presents with fever while on Clozaril? - ANSWER-
✔Check ANC level to assess for agranulocytosis
What can cause serotonin syndrome? - ANSWER-✔Antidepressants, St. John's Wort,
Same-E, Kava Kava, and Tryptophan
What labs are indicative of NMS? - ANSWER-✔Elevated WBC (over 11,000) and
elevated CPK
What should you do if a patient presents with cherry colored urine? - ANSWER-
✔Check for rhabdo with CPK
s/s of serotonin syndrome - ANSWER-✔hyperreflexia, muscle spasms, myoclonus
(involuntary muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? - ANSWER-✔bromocriptine (Parlodel)- D2
agonist dantrolene- muscle relaxer
What medication to give during SS? - ANSWER-✔cyproheptadine (Periactin)- 5HT-
2A receptor antagonist
What is the onset and typical length of NMS? - ANSWER-✔Slow onset (1-2 weeks
after changing or starting therapy) and resolves within 9-14 days
What is the onset of SS? - ANSWER-✔Within 24 hours of starting/changing
medication and resolves within a few days
How do you distinguish between NMS and acute dystonia? - ANSWER-✔NMS has a
slower onset while acute dystonia occurs within hours
What happens with lithium and NSAIDs? - ANSWER-✔Increased risk of lithium
toxicity (gout meds, ibuprophen, naproxen, etc.)
What happens with lithium and ACE inhibitors? - ANSWER-✔Increased risk of
lithium toxicity related to the increased urination from the ACE inhibitors
Why should a patient on lithium avoid calcium channel blockers? - ANSWER-✔Risk
of fatal nephrotoxicity
What is a fetal side effect of lithium? - ANSWER-✔Epstein's anomaly
What lab should you check for athletes on lithium? - ANSWER-✔Specific gravity to
assess for dehydration (dehydration is >1.015)
What do you do if the lithium level is 1.3? - ANSWER-✔Do not give the next dose
and assess for s/s
At what level is lithium toxicity a medical emergency? - ANSWER-✔>3
S/S of lithium toxicity - ANSWER-✔vomiting, diarrhea, slurred speech, hand tremor,
dry mouth/thirst, muscle weakness/twitching
, Why check an EKG with lithium? - ANSWER-✔Inverted T-waves
What medication should treat hypothyroidism caused by lithium use? - ANSWER-
✔Synthroid
What do you do if patient is prescribed both depakote and lamictal? - ANSWER-
✔Decreased lamictal dose by 50%
Depakote and pregnancy - ANSWER-✔Spina bifida
What emergency may be occuring if patient on depakote reports upper abdominal
pain? - ANSWER-✔Pancreatitis
What lab should you check if patient has right upper quadrant pain and dark brown
urine? - ANSWER-✔LFTs
What lab means pregnancy? - ANSWER-✔HCG
Why is Clozaril used? - ANSWER-✔Treatment resistant schizophrenia, improves SI,
and improves negative symptoms of schizophrenia
What two medications have the highest risk of agranulocytosis and aplastic anemia?
- ANSWER-✔Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection? - ANSWER-✔Sore throats,
sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol? - ANSWER-✔WBC < 2000 or ANC
<1000
What should you check in Asian patients taking Tegretol? - ANSWER-✔For the HLA-
B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal? - ANSWER-✔Toxic
epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever and severe
headache? - ANSWER-✔Aspetic meningitis
What three antipsychotics have very low weight gaining effects? - ANSWER-
✔Geodon, Abilify, and Latuda
Mini-Cog - ANSWER-✔3 word recall and
clock drawing
MMSE scoring - ANSWER-✔24-30 severe impairment
18-23 mild impairment
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