2024 PMHNP BOARDS EXAM WITH
CORRECT ANSWERS
Patient comes in with symptoms of ADHD what lab test should be ordered to
rule out other diagnoses? - CORRECT-ANSWERSThyroid Panel to test for
hyperthyroidism
A normal anxiety response to anxiety does not include - CORRECT-
ANSWERSPerceptual field is diminished with focus on a small area
Which does not reflect understanding of neurotransmitter pathways in
anxiety disorder - CORRECT-ANSWERSDecreasing GABA increases anxiety
What QT interval result places the patient at greatest risk for torsadas de
pointes? - CORRECT-ANSWERS500-700 milliseconds
350-440 is normal
Schizophrenic patient on Risperidal presents with fever, rigidity, and change
in mental status. What is this? - CORRECT-ANSWERSNeuroleptic Malignant
Syndrom (NMS)
Basic signs are autonomic instability, acute mental status change, and
muscular rigidity.
Arcus senilis that presents before the age of 40 is associated with? -
CORRECT-ANSWERSHyperlipidemia
What lab tests should be ordered to rule out dementia? - CORRECT-
ANSWERSLow vitamin B12 levels have been associated with dementia
Maintenance phase for Bipolar 1 includes... - CORRECT-ANSWERSExtended
release Carbamazepine is for acute treatment but not the maintenance
phase of Bipolar 1.
Tommy is a 10 year old boy who is fixated on rules and is distressed when
things are out of place. According to Piaget what stage of development is he
having trouble mastering? - CORRECT-ANSWERSStage of concrete
operations...age 7-11
What area of the brain has been implicated to modulate pain and can explain
how transcranial magnetic stimulation can decrease pain? - CORRECT-
, ANSWERSPrefrontal cortex modulates pain and the perception of pain. Loss
of gray matter has been associated with chronic pain.
23 year old hispanic mother comes in with her 4 year old son for "mal de ojo"
with fitful sleep, diarrhea, vomiting and fever. - CORRECT-ANSWERSNP
respects the understanding of the mother of what is wrong with her child.
The NP would then negotiate with mother for the best outcome of the child.
Negative group outcomes are associated with what qualities of group
leaders? - CORRECT-ANSWERSLeaders that are too confrontational
The following is an example of defense mechanism sublimation? - CORRECT-
ANSWERSA mother whose child is killed by a drunk driver becomes involved
in legislation. Sublimation is redirecting unacceptable feelings into
acceptable channels.
Patient presents with flu-like symptoms after not taking sertraline Zoloft) for
5 days. Which symptoms would indicate SSRI discontinuation syndrome? -
CORRECT-ANSWERSAgitation, nausea, dysphoria and disequilibrium. If it was
Teenagers with poor affect and limited response flexibility which therapeutic
frame open enough for changes consistent enough for stability and safety? -
CORRECT-ANSWERSMindful, reflective, intentional
What direct-acting dopamine receptor agonist is recommended to be used in
the treatment of NMS to help lower the dopamine receptor blockade? -
CORRECT-ANSWERSBromocriptine (parlodel), dantrium is a muscle relaxant,
cogentin and artane are anticholinergics for extrapyramidal side effects.
Mother asks a question about why her son should get the HPV vaccine -
CORRECT-ANSWERSCDC recommends all males between the ages of 11-12.
NP is involved in health promotion.
What features on a 12-year-old boy would raise concern for Fragile X
syndrome? - CORRECT-ANSWERSLong head and ears, short stature,
hyperextensible joints
A girls states this group has made me not feel so alone - CORRECT-
ANSWERSExample of Yalom's currative factor "universality"
When working with an avoidant patient with a history of trauma, what type
of communication techniques are helpful? - CORRECT-ANSWERSTechniques
to increase arousal
Which of the following statements reflect the current understanding of
dopamine pathways and clinical symptoms in schizophrenia? - CORRECT-
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