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Updated: Sep 12, 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: | Multiple-choice, Multiple-response, Computer-based, 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 |
| 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 |
| 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 |
| 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:
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
Correct Answer: B 🗳️
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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
Correct Answer: A 🗳️
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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
Correct Answer: A 🗳️
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What percentage of adolescents who complete suicide have had previous psychiatric treatment?
- A. 90%
- B. 40%
- C. 10%
- D. 1%
Correct Answer: B 🗳️
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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
Correct Answer: C 🗳️
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