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Updated: Sep 14, 2026
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College Admission PMHNP Exam Overview:
| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
|---|---|
| Exam Name: | Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification Exam |
| Exam Number: | PMHNP-BC |
| Available Languages: | English |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Related Certifications: | Psychiatric-Mental Health Specialty - Board Certified (PMHS-BC) Psychiatric-Mental Health Nursing - Board Certified (PMH-BC) |
| Exam Format: | Computer-based, Multiple-response, Multiple-choice, Chart/exhibit items |
| Exam Duration: | 210 minutes |
| Exam Price: | $295–$395 USD |
| Certificate Validity Period: | 5 years |
| Passing Score: | 350 (scale 0–500) |
| Recommended Training: | American Psychiatric Nurses Association (APNA) Education ANCC Official Review Resources |
| Exam Registration: | ANCC Official Application Portal Prometric Scheduling |
| Sample Questions: | College Admission PMHNP Sample Questions |
| Exam Way: | Computer-based, delivered at Prometric test centers; available year-round within 120-day testing window |
| Pre Condition: | Current active RN license; Master's/post-graduate/DNP degree in PMHNP from accredited program; minimum 500 supervised clinical hours; completion of advanced pathophysiology, health assessment, pharmacology coursework |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/ |
College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions |
| Topic 2: Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles - Therapeutic frameworks and modalities - Crisis intervention and stabilization |
| Topic 3: Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration |
| Topic 4: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes - Pathophysiology of mental health disorders |
| Topic 5: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Advocacy, policy, and quality improvement - Cultural, spiritual, and social determinants of health |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
Which of the following expected benefits, if identified by a patient participating in group therapy as something they expect to achieve, indicates they require further education?
- A. Increased social skills
- B. Increased insight into how others need to change
- C. Cost-effectiveness
- D. Development of a sense of community
Correct Answer: B 🗳️
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Many states have statutes defining malpractice actions against health care providers that pertain to community health nurses. These laws define a time frame within which a legal action must be brought. This is which of the following?
- A. court date
- B. statute of restrictions
- C. pleadings filing date
- D. statute of limitations
Correct Answer: D 🗳️
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A 76-year-old male is admitted to the hospital due to community-acquired pneumonia and dehydration. On day three of his hospitalization, he becomes withdrawn, stops eating, and exhibits a fluctuating level of consciousness. He has no previous psychiatric history. During your examination, he is drowsy and oriented to person only. His vital signs are normal.
What is the most likely diagnosis?
- A. Major depressive disorder
- B. Delirium
- C. Dementia
- D. Generalized anxiety disorder
Correct Answer: B 🗳️
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Common structural tests aiding in the diagnostics of brain-based disorders include which of the following?
- A. Computed tomography
- B. Laboratory testing
- C. X-ray
- D. EMDR
Correct Answer: A 🗳️
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All of the following pertain to The Joint Commission EXCEPT:
- A. It accredits hospitals and other health care facilities.
- B. It evaluates behavioral healthcare organizations that provide mental health, chemical dependency, mental retardation and other psychosocial services.
- C. It is subject to the accrediting standards of the Centers for Medicare and Medicaid Service.
- D. It maintains electronic medical records to protect privacy per HIPAA.
Correct Answer: D 🗳️
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