ANCC PMHNP CERT EXAM REVIEW
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
, ANCC PMHNP CERT EXAM REVIEW
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).
lead poisoning - ✔A medical condition caused by toxic levels of the metal lead in the
blood
Lead poisoning treatment - ✔chelation therapy
Amygdala's role in emotion - ✔- Aggression center
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
, ANCC PMHNP CERT EXAM REVIEW
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).
lead poisoning - ✔A medical condition caused by toxic levels of the metal lead in the
blood
Lead poisoning treatment - ✔chelation therapy
Amygdala's role in emotion - ✔- Aggression center
