ANCC PMHNP Cert Exam Review
Questions
How do you assess cranial nerve V trigeminal? Ans- Tell patient to close eyes, take piece of cotton or
other soft item and lightly touch either one of both sides of each of the three divisions of the trigeminal.
How do you assess for cranial nerve VII fac...
ANCC PMHNP Cert Exam Review
Questions
How do you assess cranial nerve V trigeminal? Ans- Tell patient to close eyes, take piece of cotton or
other soft item and lightly touch either one of both sides of each of the three divisions of the trigeminal.
How do you assess for cranial nerve VII facial? Ans- Observe the patient for nystagmus or twitching of
the eye. This nerve controls facial movements and expression, check for symmetry. Have the patient
wrinkle forehead, close eyes, smile, pucker lips, show teeth, and puff out cheeks.
primitive reflexes Ans- reflexes, controlled by "primitive" parts of the brain, that disappear during the
first year of life
Mororeflex Ans- Extending of limbs when they hear a loud noise (defend themselves)
rooting reflex Ans- a baby's tendency, when touched on the cheek, to turn toward the touch, open the
mouth, and search for the nipple
palmer grasp Ans- grasping with the whole hand
scope of practice Ans- The range of clinical procedures and activities that are allowed by law for a
profession
Quality Improvement (QI) Ans- an approach to the continuous study and improvement of the processes
of providing health care services to meet the needs of patients and others and inform health care policy
PDSA model Ans- Plan-Do-Study-Act Model from the Institute for Healthcare Improvement (IHI)
Trendelenburg sign Ans- Occurs with severe subluxation of one hip
When the child stands on the good leg, the pelvis looks level. When the child stands on the affected leg
the pelvis drops toward the good side
, CYP450 inhibitors Ans- Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
CYP450 inducers Ans- Carbamazepine
Phenobarbital
Phenytoin
Rifampin
Griseofulvin
St John's Wort
What is the adverse effect of Depakote on the liver? Ans- can cause liver damage, and the risk is more
likely to occur during the first 6 months of taking the medication. Signs might include nausea or
vomiting, loss of appetite, abdominal pain, dark-colored urine, facial swelling, and yellowing of the skin
or white of eyes
What would you do for a patient on Depakote with +4 protein in the urine? Ans- Rule out UTI, no
adjustment for medication is needed
What happens when you take carbamazepine (tegertal) and erythromycin together? Ans- It will
decrease the effect of the antibiotic by inhibition
What happens when you take zyprexa and smoke? Ans- nicotine will increase the excretion of the drug
thereby inhibiting it's effect
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