ANCC PMHNP Psych-Mental Health NP Test 1 with
complete solution 2023
How do you assess cranial nerve V trigeminal? - Correct 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? - Correct 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 reflexes - Correct Answer reflexes, controlled by "primitive" parts of the brain,
that disappear during the first year of life
Mororeflex - Correct Answer Extending of limbs when they hear a loud noise (defend
themselves)
rooting reflex - Correct Answer a baby's tendency, when touched on the cheek, to turn
toward the touch, open the mouth, and search for the nipple
palmer grasp - Correct Answer grasping with the whole hand
scope of practice - Correct Answer The range of clinical procedures and activities that
are allowed by law for a profession
Quality Improvement (QI) - Correct 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 model - Correct Answer Plan-Do-Study-Act Model from the Institute for
Healthcare Improvement (IHI)
Trendelenburg sign - Correct Answer 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 - Correct Answer Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
CYP450 inducers - Correct Answer Carbamazepine
Phenobarbital
Phenytoin
, Rifampin
Griseofulvin
St John's Wort
What is the adverse effect of Depakote on the liver? - Correct 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? - Correct
Answer Rule out UTI, no adjustment for medication is needed
What happens when you take carbamazepine (tegertal) and erythromycin together? -
Correct Answer It will decrease the effect of the antibiotic by inhibition
What happens when you take zyprexa and smoke? - Correct Answer nicotine will
increase the excretion of the drug thereby inhibiting it's effect
ICP in Infants S/S - Correct Answer Bulging fontanels, high-pitch cry, irritability,
restlessness
*ICP*
*CHILDREN* signs and symptoms - Correct Answer • Headache
• Vomiting (usually projectile)
• Seizures
• Diplopia (Dbl vision), blurred vision
Neuro cry - Correct Answer high-pitched and very grating on the ears due to their
neurological sxs being overwhelmed
Neuroleptic Malignant Syndrome - Correct Answer 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 - Correct Answer Dantrolene
D2 agonists (e.g., bromocriptine).
lead poisoning - Correct Answer A medical condition caused by toxic levels of the metal
lead in the blood
complete solution 2023
How do you assess cranial nerve V trigeminal? - Correct 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? - Correct 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 reflexes - Correct Answer reflexes, controlled by "primitive" parts of the brain,
that disappear during the first year of life
Mororeflex - Correct Answer Extending of limbs when they hear a loud noise (defend
themselves)
rooting reflex - Correct Answer a baby's tendency, when touched on the cheek, to turn
toward the touch, open the mouth, and search for the nipple
palmer grasp - Correct Answer grasping with the whole hand
scope of practice - Correct Answer The range of clinical procedures and activities that
are allowed by law for a profession
Quality Improvement (QI) - Correct 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 model - Correct Answer Plan-Do-Study-Act Model from the Institute for
Healthcare Improvement (IHI)
Trendelenburg sign - Correct Answer 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 - Correct Answer Fluvoxamine
Fluoxetine
Paroxetine
Duloxetine
Sertraline
CYP450 inducers - Correct Answer Carbamazepine
Phenobarbital
Phenytoin
, Rifampin
Griseofulvin
St John's Wort
What is the adverse effect of Depakote on the liver? - Correct 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? - Correct
Answer Rule out UTI, no adjustment for medication is needed
What happens when you take carbamazepine (tegertal) and erythromycin together? -
Correct Answer It will decrease the effect of the antibiotic by inhibition
What happens when you take zyprexa and smoke? - Correct Answer nicotine will
increase the excretion of the drug thereby inhibiting it's effect
ICP in Infants S/S - Correct Answer Bulging fontanels, high-pitch cry, irritability,
restlessness
*ICP*
*CHILDREN* signs and symptoms - Correct Answer • Headache
• Vomiting (usually projectile)
• Seizures
• Diplopia (Dbl vision), blurred vision
Neuro cry - Correct Answer high-pitched and very grating on the ears due to their
neurological sxs being overwhelmed
Neuroleptic Malignant Syndrome - Correct Answer 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 - Correct Answer Dantrolene
D2 agonists (e.g., bromocriptine).
lead poisoning - Correct Answer A medical condition caused by toxic levels of the metal
lead in the blood
