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Walden University
PMNHP Psychiatric- Mental Health Nurse Practitioner
PMHNP Last Minute Review LMR Exam

Course Title and Number: PMHNP Last Minute Review LMR
Exam
Exam Title: Board Exam
Exam Date: Exam 2024- 2025
Instructor: [Insert Instructor’s Name]
Student Name: [Insert Student’s Name]
Student ID: [Insert Student ID]

Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.


Good Luck!

, For Inquiries about This or Any Other Exam
HMU Hybridgrades101@gmail.com
PMNHP Psychiatric-Mental Health Nurse Practitioner
2024-2025
Last Minute Review Georgette’s LMR Comprehensive
PMHNP Exam Review Questions with Correct Answers |
100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -

When many answers are remarkably similar, they are
usually _____________ - Answer>> wrong

Interprofessional collaboration is encouraged. -
Answer>> Collaborate is usually right.
Delegate is usually wrong.

ADPIER - Answer>> Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.

Lithium - Answer>> Normal 0.6-1.2

Lithium toxicity occurs at levels - Answer>> > 1.5

Signs of Lithium toxicity - Answer>> severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle
weakness, heart palpitation, coarse hand tremors,
unsteady gait

Lithium is gold standard for - Answer>> MANIA

Lithium has evidence shown to - Answer>> reduce
suicidal ideation

When questions ask for a priority action...think about...
- Answer>> ABC, airway breathing, circulation
Maslows hierarchy
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If undecided on an answer due to high similarities,
choose: - Answer>> the umbrella answer

What is the most common side effect of
olanzapine/zyprexa - Answer>> metabolic syndrome

what is the difference between typical and atypical
antipsychotics - Answer>> Atypical 5HT2A specific

1st psychotic break... two actions to take - Answer>>
UDS and r/o sub
Consider IM Geodon or Invega

Three AP with least weight gain - Answer>> Latuda,
Abilify, Geodon

Always encourage interprofessional collaboration -
Answer>> between therapists/pcps/SW/RN, the
ENTIRE team

TSH High, then....t3/t4 - Answer>> T3, T4 low

TSH low, then...t3/t4 - Answer>> T3, T4 high

cold/hot sensitivity with t3/t4 relationship - Answer>>
T3/T4 low, hypothyroid, cold, slow
T3/T4 high, hyperthyroid, hot, flushed, tachy

What birth defect can be caused by depakote? -
Answer>> Spina bifida

What organ does depakote cause toxicity? and what sx
would you expect to see? labs to run? - Answer>>
Hepatotoxicity: RUQ pain, reddish brown urine-

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Do LFTs

kava kava is used to treat - Answer>> anxiety and
insomnia

Rash and fever associated with tegretol, suspect -
Answer>>

What allele is HLAB 1502 associated? - Answer>>
Asians. They CANNOT have tegretol. Test all asians for
this allele.

what rare and dangerous side effects are associated
with tegretol - Answer>> Aplastic anemia
Agranulocytosis-DC at ANC less than 1000

Sx's of agranulocytosis - Answer>> unusual bleeding
or bruising, mouth sores, infections, fever, sore throat,
fatigue

if starting a woman on lithium what test should be
done? why? - Answer>> HCG--risk of ebstein anomaly

adverse s/e of lamictal/lamotrigine - Answer>> SJS

labs to checke BEFORE starting on lithium - Answer>>
BUN
CRE
urine protein

What does protein in urine indicate - Answer>>
kidney impairment; 4+ protein in urine=you cannot
start on lithium



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