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PMHNP test LMR Exam Questions With A+ Answers
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PMHNP test LMR Exam Questions WithA+ Answers
Lurasidone (Latuda) - - correct answer ✅atypical antipsychotic
Lithium Normal levels - - correct answer ✅0.6-1.2 mEq/l,
Lithium toxic level - - correct answer ✅1.5 mEq/l (D/C lithium and
check levels)
Benefits of lithium - - correct answer ✅Evidence of anti suicidal effect,
Neuroprotective (protects nerve cells from damage)
Lithium Baseline labs before initiation - - correct answer ✅Thyroid
panel, Serum creatinine (0.6-1.2), Blood urea nitrogen (BUN)(10-20),
Pregnancy test, UA for protein, ECG for clients older than age 50
Lithium Clinically significant side effects - - correct answer ✅impaired
thyroid functioning, fine hand tremors (can see it, not fine),
maculopapular rash, GI symptoms, T-wave inversion, leukocytosis,
polyuria, polydipsia
Gold standard treatment for manic episodes - - correct answer
✅lithium
,PMHNP test LMR Exam Questions With
A+ Answers
Lithium Signs of toxicity - - correct answer ✅severe GI, confusion,
drowsiness, weakness, palpitations, coarse hand tremor
What can increase serum levels of lithium - - correct answer ✅Kidney
disease or drugs that reduce renal clearance can increase serum
concentration: NSAIDS, thiazides, ACE inhibitors
Dehydration and hyponatremia can increase? - - correct answer
✅lithium levels
Causes Ebstein anomaly (cardiac defect) not recommended in first
trimester - - correct answer ✅lithium
Hypertensive Crisis - - correct answer ✅occurs when MAOIs are taken
in conjunction with foods
containing tyramine, a dietary precursor to norepinephrine.
Meds that cause hypertensive crisis - - correct answer ✅Meperidine,
Decongestants, TCAs, Atypical antipsychotics, St. John's wort, L-
tryptophan, Stimulants and other sympathomimetics, Asthma
medications
•
,PMHNP test LMR Exam Questions With
A+ Answers
Symptoms of hypertensive crisis - - correct answer ✅Sudden,
explosive-like headache, usually in occipital region , Elevated blood
pressure, Facial flushing, Palpitations, Pupillary dilation. Diaphoresis,
Fever (think about what happens with hypertension)
•
Treatment of hypertensive crisis - - correct answer ✅Discontinue the
MAOI, Give phentolamine (binds with norepinephrine receptor sites,
blocks norepinephrine).
•
Floppy baby syndrome, cleft palate caused by, - - correct answer
✅Benzodiazepines
•
Neural tube defects caused by - - correct answer ✅Carbamazepine
(Tegretol):
Neural tube defects specifically spina bifida and atrial septal defect and
cleft palate and possible long-term developmental deficits caused by - -
correct answer ✅Divalproex sodium (Depakote)
, PMHNP test LMR Exam Questions With
A+ Answers
Signs/symptoms of SJS - - correct answer ✅• Fever
• facial swelling
• tongue swelling
• macules, papules, and "burning," confluent erythematous rash
• skin sloughing
Carbamazepine BBW - - correct answer ✅Agranulocytosis - decreased
WBC
o
Monitor for signs of infection (fever, chills, ST, weakness) with what
meds - - correct answer ✅Clozaril/Tegretol
D/C Clozaril/Tegretol if - - correct answer ✅ANC < 1,000 whether signs
of infection or not
Aplastic anemia signs and symptoms - - correct answer ✅pallor,
fatigue, H/A, fever, nosebleeds, bleeding gums, skin rash, SOB
• SJS is a higher risk in what group of people= - - correct answer
✅asian higher risk- screen with HLA-B 1502 allele
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