PMHNP EXAM 2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE
PACK| ACE YOUR GRADES.
1. Reflexes expected at 1 month - Correct Answer-Moro until 4 months,
Palmer until 4 months, Plantar util 8 months, Babinski (2 years is
disease)
2. Signs of fetal alcohol syndrome - Correct Answer-small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
3. Rhett Syndrome - Correct Answer-a rare disorder found virtually
exclusively in girls, is a neurodevelopmental disorder in which the child
usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head
growth, and disinterest in play activities
4. EPS types - Correct Answer-Tardive dyskinesia happen after years (eps
is a precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia
(days)
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,5. Where do EPS originate - Correct Answer-nigrostiatal tract.
6. How does tegretol interact with cipro - Correct Answer-cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
7. Tegretol side effects - Correct Answer-Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
8. nuchal rigidity - Correct Answer-stiffness in cervical neck area,
meningitis
9. ACE inhibitors - Correct Answer--pril, CHF
10. signs of serotonin syndrome - Correct Answer--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital
sign instability, encephalopathy, restlessness, sweating
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, 11. Serotonin Discontinuation Syndrome - Correct Answer-syndrome
caused by abrupt withdrawal of an antidepressant drug, resulting in
sensory disturbances, sleeping disturbances, disequilibrium, flu-like
symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting,
and gastrointestinal effects
12. NMS - Correct Answer-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood
cell count/cpk, rigidity
13. Levels of Prevention - Correct Answer-Primary: prevent/promotion,
classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
14. Risk factors for serotonin syndrome - Correct Answer-more than 1
SSRI, st johns wart, tramadol, demerol, ultram, maperidone, 5HT
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