ANCC PMHNP Cert Exam Review Questions

ANCC PMHNP Cert Exam Review Questions 1. 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. 2. 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. 3. primitive reflexes: reflexes, controlled by "primitive" parts of the brain, that disappear during the first year of life 4. Mororeflex: Extending of limbs when they hear a loud noise (defend them- selves) 5. rooting reflex: a baby's tendency, when touched on the cheek, to turn toward the touch, open the mouth, and search for the nipple 6. palmer grasp: grasping with the whole hand 7. scope of practice: The range of clinical procedures and activities that are allowed by law for a profession 8. Quality Improvement (QI): an approach to the continuous study and improve- ment of the processes of providing health care services to meet the needs of patients and others and inform health care policy 9. PDSA model: Plan-Do-Study-Act Model from the Institute for Healthcare Im- provement (IHI) 10. 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 11. CYP450 inhibitors: Fluvoxamine Fluoxetine Paroxetine Duloxetine Sertraline 12. CYP450 inducers: Carbamazepine Phenobarbital Phenytoin Rifampin Griseofulvin St John's Wort 13. 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 14. What would you do for a patient on Depakote with +4 protein in the urine?: Rule out UTI, no adjustment for medication is needed 15. What happens when you take carbamazepine (tegertal) and erythromycin together?: It will decrease the effect of the antibiotic by inhibition 16. What happens when you take zyprexa and smoke?: nicotine will increase the excretion of the drug thereby inhibiting it's effect 17. ICP in Infants S/S: Bulging fontanels, high-pitch cry, irritability, restlessness 18. *ICP* *CHILDREN* signs and symptoms: • Headache • Vomiting (usually projectile) • Seizures • Diplopia (Dbl vision), blurred vision 19. Neuro cry: high-pitched and very grating on the ears due to their neurological sxs being overwhelmed 20. 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 21. NMS treatment: Dantrolene D2 agonists (e.g., bromocriptine). 22. lead poiso