2024c
PMHNPcExamcPrepc(2024)c||cWithcQuestionsc&c100%cCorrectcSolutions
CONCEPTIALCRESEARCH
,Pocket PMHNP Exam (2024) || Questions &
c c c c c c c
Answers (Graded A+) c c
1.cScientificcFoundation
Ac29-year-
oldcAfricancAmericancfemalecwascdiagnosedcwithcschizophreniacapproximatelycthreecyear
scago.cAftercmanyctrialscofcantipsychotics,cshecwascfinallycstabilizedconchaloperidolcduringct
hecpastcsixcmonths.cThreecweekscagocshecbegancexhibitingcmildcpseudo-
Parkinson'scsymptoms.
Whichcclasscofcmedicationscwouldcbecmostcappropriatecforctreatingcthesecsideceffects?
Muscarinicc1cantagonist
Histaminec1cantagonist
Alphac1cadrenergiccagonist
Cholinesterasecinhibitorc-cANSWERc-cCorrectcanswer:cMuscarinicc1cantagonist
Extrapyramidalcsymptomscarecdrug-
inducedcsideceffectscthatcaffectcmotorcfunctioningcandcmusclecmovement.cExtrapyramidalc
symptomscarecassociatedcwithcacdeficiencycofcdopaminecandcancexcesscofcacetylcholinecinc
thecnigrostriatalcpathway.cAccommonctypecofcextrapyramidalcsymptomcisccalledcpseudo-
Parkinson's,cwhichcpresentscwithcacshufflingcgait,cmotorcslowing,cmask-
likecfacialcexpression,ctremors,candcmusclecrigidity.cMuscarinicc1cantagonistcmedicationscr
educectheceffectscofcexcesscacetylcholinecandcrelievecextrapyramidalcsymptoms.
Reference:
,Johnson,cK.,c&cVanderhoef,cD.cPsychiatric-
MentalcHealthcNursecPractitionercReviewcManual,cFourthcEdition.cPgc251-252.
1.cScientificcFoundation
Ascacnursecpractitioner,cyoucarecresponsiblecforcassessingccranialcnervescascacpartcofcthecn
eurologicalcexam.cWhatccranialcnervecassessmentctestschearing?
Oculomotorcnervec(CNcIII)
Trochlearcnervec(CNcIV)
Vestibulocochlearcnervec(CNcVIII)
Trigeminalcnervec(CNcV)c-cANSWERc-cCorrectcanswer:cVestibulocochlearcnervec(CNcVIII)
Olfactorycnervec(CNcI)
Thecolfactorycnervectransmitscinformationctocthecbraincregardingcacperson'scsensecofcsmell.
c Thisccranialcnervecassessmentciscperformedcbychavingcthecclientcclosectheirceyesctocidentif
ycfamiliarcodors.
Opticcnervec(CNcII)
Thecopticcnervectransmitscinformationctocthecbraincregardingcacperson'scvision.
Oculomotorcnervec(CNcIII)
Thecoculomotorcnervechelpsccontrolcmusclecmovementscofctheceyes.cThecoculomotorcnerv
ecprovidescmovementctocmostcofcthecmusclescthatcmovectheceyeballcandcupperceyelid,ckno
wncascextraocularcmuscles.cThecoculomotorcnervecalsochelpscwithcinvoluntarycfunctionscofc
theceye.
, Trochlearcnervec(CNcIV)
Thectrochlearcnerveciscalsocinvolvedcinceyecmovement.cThectrochlearcnerve,clikecthecoculo
motorcnerve,coriginatescincthecmidbrain.cItcpowersctheccontralateralcsuperiorcobliquecmuscl
ecthatcallowsctheceyectocpointcdownwardcandcinward.
Trigeminalcnervec(CNcV)
Thectrigeminalcnervecisctheclargestccranialcnervecandchascbothcmotorcandcsensorycfunctions
.cItscmotorcfunctionschelpcacpersonctocchewcandcclenchcthecteethcandcgivescsensationctocmu
sclescincthectympaniccmembranecofcthecear.cThisctestciscperformedcbyctouchingcthecfacecan
dccornealcreflexcofctheceyecwithcacwispcofccottoncandcpin-
prickingcthecskincandcmucosactoctestctouch.
Abducenscnervec(CNcVI)
Thecabducenscnervecalsochelpsccontrolceyecmovements.cItchelpsctheclateralcrectuscmuscle,c
whichcisconecofcthecextraocularcmuscles,ctocturncthecgazecoutward.
Facialcnervec(CNcVII)
Thecfacialcnervecfunctionsctocproducecfacialcexpressionscandchascbothcmotorcandcsensorycf
unctions.
Vestibulocochlearcnervec(CNcVIII)
Thecvestibulocochlearcnerveciscinvolvedcwithcacperson'schearingcandcbalance.cItciscassesse
dcbyccheckingcthecclient'schearingcusingcancaudiometercorcbycsimplycwhisperingcincthecclien
t'scear.cHearing
PMHNPcExamcPrepc(2024)c||cWithcQuestionsc&c100%cCorrectcSolutions
CONCEPTIALCRESEARCH
,Pocket PMHNP Exam (2024) || Questions &
c c c c c c c
Answers (Graded A+) c c
1.cScientificcFoundation
Ac29-year-
oldcAfricancAmericancfemalecwascdiagnosedcwithcschizophreniacapproximatelycthreecyear
scago.cAftercmanyctrialscofcantipsychotics,cshecwascfinallycstabilizedconchaloperidolcduringct
hecpastcsixcmonths.cThreecweekscagocshecbegancexhibitingcmildcpseudo-
Parkinson'scsymptoms.
Whichcclasscofcmedicationscwouldcbecmostcappropriatecforctreatingcthesecsideceffects?
Muscarinicc1cantagonist
Histaminec1cantagonist
Alphac1cadrenergiccagonist
Cholinesterasecinhibitorc-cANSWERc-cCorrectcanswer:cMuscarinicc1cantagonist
Extrapyramidalcsymptomscarecdrug-
inducedcsideceffectscthatcaffectcmotorcfunctioningcandcmusclecmovement.cExtrapyramidalc
symptomscarecassociatedcwithcacdeficiencycofcdopaminecandcancexcesscofcacetylcholinecinc
thecnigrostriatalcpathway.cAccommonctypecofcextrapyramidalcsymptomcisccalledcpseudo-
Parkinson's,cwhichcpresentscwithcacshufflingcgait,cmotorcslowing,cmask-
likecfacialcexpression,ctremors,candcmusclecrigidity.cMuscarinicc1cantagonistcmedicationscr
educectheceffectscofcexcesscacetylcholinecandcrelievecextrapyramidalcsymptoms.
Reference:
,Johnson,cK.,c&cVanderhoef,cD.cPsychiatric-
MentalcHealthcNursecPractitionercReviewcManual,cFourthcEdition.cPgc251-252.
1.cScientificcFoundation
Ascacnursecpractitioner,cyoucarecresponsiblecforcassessingccranialcnervescascacpartcofcthecn
eurologicalcexam.cWhatccranialcnervecassessmentctestschearing?
Oculomotorcnervec(CNcIII)
Trochlearcnervec(CNcIV)
Vestibulocochlearcnervec(CNcVIII)
Trigeminalcnervec(CNcV)c-cANSWERc-cCorrectcanswer:cVestibulocochlearcnervec(CNcVIII)
Olfactorycnervec(CNcI)
Thecolfactorycnervectransmitscinformationctocthecbraincregardingcacperson'scsensecofcsmell.
c Thisccranialcnervecassessmentciscperformedcbychavingcthecclientcclosectheirceyesctocidentif
ycfamiliarcodors.
Opticcnervec(CNcII)
Thecopticcnervectransmitscinformationctocthecbraincregardingcacperson'scvision.
Oculomotorcnervec(CNcIII)
Thecoculomotorcnervechelpsccontrolcmusclecmovementscofctheceyes.cThecoculomotorcnerv
ecprovidescmovementctocmostcofcthecmusclescthatcmovectheceyeballcandcupperceyelid,ckno
wncascextraocularcmuscles.cThecoculomotorcnervecalsochelpscwithcinvoluntarycfunctionscofc
theceye.
, Trochlearcnervec(CNcIV)
Thectrochlearcnerveciscalsocinvolvedcinceyecmovement.cThectrochlearcnerve,clikecthecoculo
motorcnerve,coriginatescincthecmidbrain.cItcpowersctheccontralateralcsuperiorcobliquecmuscl
ecthatcallowsctheceyectocpointcdownwardcandcinward.
Trigeminalcnervec(CNcV)
Thectrigeminalcnervecisctheclargestccranialcnervecandchascbothcmotorcandcsensorycfunctions
.cItscmotorcfunctionschelpcacpersonctocchewcandcclenchcthecteethcandcgivescsensationctocmu
sclescincthectympaniccmembranecofcthecear.cThisctestciscperformedcbyctouchingcthecfacecan
dccornealcreflexcofctheceyecwithcacwispcofccottoncandcpin-
prickingcthecskincandcmucosactoctestctouch.
Abducenscnervec(CNcVI)
Thecabducenscnervecalsochelpsccontrolceyecmovements.cItchelpsctheclateralcrectuscmuscle,c
whichcisconecofcthecextraocularcmuscles,ctocturncthecgazecoutward.
Facialcnervec(CNcVII)
Thecfacialcnervecfunctionsctocproducecfacialcexpressionscandchascbothcmotorcandcsensorycf
unctions.
Vestibulocochlearcnervec(CNcVIII)
Thecvestibulocochlearcnerveciscinvolvedcwithcacperson'schearingcandcbalance.cItciscassesse
dcbyccheckingcthecclient'schearingcusingcancaudiometercorcbycsimplycwhisperingcincthecclien
t'scear.cHearing
