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Updated: Jul 29, 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 |
| Exam Duration: | 210 minutes |
| Exam Format: | Computer-based, Multiple-choice, Multiple-response, Chart/exhibit items |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Price: | $295–$395 USD |
| Related Certifications: | Psychiatric-Mental Health Nursing - Board Certified (PMH-BC) Psychiatric-Mental Health Specialty - Board Certified (PMHS-BC) |
| Passing Score: | 350 (scale 0–500) |
| Available Languages: | English |
| 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 |
|---|---|---|
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions |
| Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health |
| Scientific Foundation | 22% | - Neuroanatomy, neurophysiology, neurochemistry - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Crisis intervention and stabilization - Group, family, and individual therapy principles |
| Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. A young woman brings her 77-year-old father to a clinic. She believes her father has Alzheimer's disease because he has been depressed and forgetful lately. What are the earliest symptoms of Alzheimer's disease?
A) Behavioral symptoms
B) Mood changes
C) Cognitive impairment
D) Decline in functional independence
2. Which of the following pharmaceutical agents should the PMHNP consider as a first-line agent for the treatment of chronic anxiety disorders?
A) SSRIs
B) Valium
C) Ativan
D) Xanax
3. Which of the following is a social risk factor for developing a psychiatric disorder?
A) Poor community integration
B) External locus of control
C) Immature ego defenses
D) Family history of mental illness
4. What percentage of adolescents who complete suicide have had previous psychiatric treatment?
A) 90%
B) 40%
C) 10%
D) 1%
5. Which of the following complications that are associated with TCA overdose would be considered life-threatening?
A) Congestive heart failure
B) Abdominal pain
C) Arrhythmias
D) Hypertension
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: C |
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