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ANCC PMHNP Cert Exam Review Questions And Answers 2023
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ANCC PMHNP Cert Exam ReviewQuestions And Answers 2023
How do you assess cranial nerve V trigeminal? - -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? - -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 - -reflexes, controlled by "primitive" parts of the brain,
that disappear during the first year of life
-Mororeflex - -Extending of limbs when they hear a loud noise (defend
themselves)
-rooting reflex - -a baby's tendency, when touched on the cheek, to turn
toward the touch, open the mouth, and search for the nipple
-palmer grasp - -grasping with the whole hand
-scope of practice - -The range of clinical procedures and activities that are
allowed by law for a profession
-Quality Improvement (QI) - -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 - -Plan-Do-Study-Act Model from the Institute for Healthcare
Improvement (IHI)
-Trendelenburg sign - -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 - -Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
-CYP450 inducers - -Carbamazepine
, Phenobarbital
Phenytoin
Rifampin
Griseofulvin
St John's Wort
-What is the adverse effect of Depakote on the liver? - -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? -
-Rule out UTI, no adjustment for medication is needed
-What happens when you take carbamazepine (tegertal) and erythromycin
together? - -It will decrease the effect of the antibiotic by inhibition
-What happens when you take zyprexa and smoke? - -nicotine will increase
the excretion of the drug thereby inhibiting it's effect
-ICP in Infants S/S - -Bulging fontanels, high-pitch cry, irritability,
restlessness
-*ICP*
*CHILDREN* signs and symptoms - -• Headache
• Vomiting (usually projectile)
• Seizures
• Diplopia (Dbl vision), blurred vision
-Neuro cry - -high-pitched and very grating on the ears due to their
neurological sxs being overwhelmed
-Neuroleptic Malignant Syndrome - -Adverse reaction to antipsychotics with
severe "lead pipe" rigidty, FEVER, and mental status changes.
FEVER:
Fever
Encephalopathy
Vitals unstable
Elevated enzymes
Rigidity of muscles
-NMS treatment - -Dantrolene
D2 agonists (e.g., bromocriptine).
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