ANCC PMHNP Certification Exam Review Questions and
answers.
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).
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
- Role in storing implicit emotional memories
- Stimulation (+) anger/violence or fear/anxiety
- Damage (-) mellow; hyperorality; hypersexuality; dis-inhibited behavior
Amygdala role in aggression
answers.
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).
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
- Role in storing implicit emotional memories
- Stimulation (+) anger/violence or fear/anxiety
- Damage (-) mellow; hyperorality; hypersexuality; dis-inhibited behavior
Amygdala role in aggression
