ANCC PMHNP Cert Exam Review Questions and Answers with Complete Solutions

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 Lead poisoning treatment Correct Answer-chelation therapy