ANCC PMHNP Cert Exam Review
Questions and Answers 2022
WRITTEN BY BRIAN KARIUKI .
ANCC PMHNP Cert Exam Review
Questions and Answers 2022
How do you assess cranial nerve V trigeminal?answer== 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?answer== 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 reflexesanswer== reflexes, controlled by "primitive" parts of the brain, that
disappear during the first year of life
Mororeflexanswer== Extending of limbs when they hear a loud noise (defend
themselves)
rooting reflexanswer== a baby's tendency, when touched on the cheek, to turn toward
the touch, open the mouth, and search for the nipple
, palmer graspanswer== grasping with the whole hand
scope of practiceanswer== The range of clinical procedures and activities that are
allowed by law for a profession
Quality Improvement (QI)answer== 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 modelanswer== Plan-Do-Study-Act Model from the Institute for Healthcare
Improvement (IHI)
Trendelenburg signanswer== 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 inhibitorsanswer== Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
CYP450 inducersanswer== Carbamazepine
Phenobarbital
Phenytoin
Rifampin
Griseofulvin
St John's Wort
What is the adverse effect of Depakote on the liver?answer== 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?answer==
Rule out UTI, no adjustment for medication is needed
What happens when you take carbamazepine (tegertal) and erythromycin
together?answer== It will decrease the effect of the antibiotic by inhibition
What happens when you take zyprexa and smoke?answer== nicotine will increase the
excretion of the drug thereby inhibiting it's effect
ICP in Infants S/Sanswer== Bulging fontanels, high-pitch cry, irritability, restlessness
Questions and Answers 2022
WRITTEN BY BRIAN KARIUKI .
ANCC PMHNP Cert Exam Review
Questions and Answers 2022
How do you assess cranial nerve V trigeminal?answer== 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?answer== 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 reflexesanswer== reflexes, controlled by "primitive" parts of the brain, that
disappear during the first year of life
Mororeflexanswer== Extending of limbs when they hear a loud noise (defend
themselves)
rooting reflexanswer== a baby's tendency, when touched on the cheek, to turn toward
the touch, open the mouth, and search for the nipple
, palmer graspanswer== grasping with the whole hand
scope of practiceanswer== The range of clinical procedures and activities that are
allowed by law for a profession
Quality Improvement (QI)answer== 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 modelanswer== Plan-Do-Study-Act Model from the Institute for Healthcare
Improvement (IHI)
Trendelenburg signanswer== 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 inhibitorsanswer== Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
CYP450 inducersanswer== Carbamazepine
Phenobarbital
Phenytoin
Rifampin
Griseofulvin
St John's Wort
What is the adverse effect of Depakote on the liver?answer== 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?answer==
Rule out UTI, no adjustment for medication is needed
What happens when you take carbamazepine (tegertal) and erythromycin
together?answer== It will decrease the effect of the antibiotic by inhibition
What happens when you take zyprexa and smoke?answer== nicotine will increase the
excretion of the drug thereby inhibiting it's effect
ICP in Infants S/Sanswer== Bulging fontanels, high-pitch cry, irritability, restlessness
