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Updated: Aug 09, 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 |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Passing Score: | 350 (scale 0–500) |
| Certificate Validity Period: | 5 years |
| Related Certifications: | Psychiatric-Mental Health Nursing - Board Certified (PMH-BC) Psychiatric-Mental Health Specialty - Board Certified (PMHS-BC) |
| Exam Duration: | 210 minutes |
| Exam Format: | Computer-based, Multiple-choice, Multiple-response, Chart/exhibit items |
| Exam Price: | $295–$395 USD |
| Available Languages: | English |
| Recommended Training: | ANCC Official Review Resources American Psychiatric Nurses Association (APNA) Education |
| 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: Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education |
| Topic 2: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
| Topic 3: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Professional ethics, scope of practice, standards of care - Advocacy, policy, and quality improvement |
| Topic 4: Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry |
| Topic 5: Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring - Differential diagnosis across lifespan |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. A PMHNP is assigned an initial admission intake for a 17-year-old female with symptoms of disordered eating. She admits to recurrent episodes of binge eating over the past six months accompanied by feelings of distress, self-loathing, and distorted body perception. The PMHNP understands that the etiology of eating disorders is multi-factorial with biological, social, and psychological factors all playing a role.
In addition to social and psychological contributors, which of the following neurobiological factors should be ruled out to pinpoint causation?
A) Substance abuse
B) Hyperthyroidism
C) Decreased serotonin
D) Crohn's disease
2. Which of the following amino acids is implicated in bipolar disorder, seizures, and schizophrenia?
A) Glycine
B) Glutamate
C) GABA
D) Aspartate
3. Findings and traits suggestive that someone is experiencing abuse are least likely to include which of the following?
A) Evasiveness
B) Dependence
C) Aggression
D) Fearfulness
4. How are Cluster C personality disorder characteristics best described?
A) Anxious
B) Odd
C) Eccentric
D) Dramatic
5. Which of the following best describes migrant workers?
A) They travel from their permanent residence seasonally for agricultural employment
B) They leave their permanent residence to take agricultural jobs in different locations
C) They are typically men from all cultures
D) They have a lower risk of depression, anxiety, and substance use
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
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