ANCC CERTIFICATION PMHNP
CERTIFICATION EVALUATION PRACTICE
QUESTIONS WITH FULL SOLUTION
●● a patient sustained facial trauma and has nose pain, NP should obtain
nasal bone xrays if what is present
Answer: septal hematoma, deviation of septum
NOT if tenderness and swelling is secluded to nasal bony bridge
●● urine loss associated with laughing, sneezing, coughing is called
Answer: stress incontinence
●● initial evaluation of this includes
Answer: bladder stress test- stands with full bladder, and coughs or
performs valsalva maneuver
●● functional incontinence
Answer: inability to get to the toilet
●● overflow incontinence
Answer: enlarged bladder and volume leakage overflow
,●● urge incontinence
Answer: incontinence w urge to void
●● bipolar disorder- manic behavior
Answer: increased sexuality
- disinhibition by removing clothing when not asked
- flight of ideas WITHOUT organization
-loud rapid speech that is IMPOSSIBLE to interrupt
●● what does a normal cervix during pregnancy look like
Answer: bluish cervix with friability
due to increased vascularity
- chadwick sign
●● normal non pregnant cervix looks like
Answer: pink color
●● best physical assessment to rule out a high ankle sprain
Answer: squeeze tests
compression of tibia and fibula together
,suggests ligament damage and high ankle sprain
●● thompson test
Answer: assesses achilles tendon
●● normal HR of a 12 month-36 month old
Answer: 92-140
●● respiratory rate
Answer: 20-46
●● actinic cheilitis
Answer: lower lip loses its normal redness and may become scaly,
thickened and slightly everted; mostly from sun exposure; fair skinned
men who work outside be aware of risk for carcinoma
●● biliary cholic physical assessment finding
Answer: RUQ pain radiates to R shoulder
due to presence of gallstones
●● LLQ pain indicates
Answer: acute diverticulitis
, ●● painless mass in popliteal fossa
Answer: bakers cysts
RA is a risk factor for this cyst
●● symptoms of pyelonephritis
Answer: CVA tenderness
Suprapubic tenderness
●● upper abdominal pain after eating or overnight and pain is on/off for
weeks
Answer: peptic ulcer disease
●● what is the diagnostic you would do for this
Answer: upper endoscopy
●● can't feel fetal butt or head at maternal fundus during leopold
maneuver what is the position of the baby then
Answer: transverse lie presentation
(side ways horizontal)
●● Charcot's triad
Answer: abdominal pain, fever, jaundice
CERTIFICATION EVALUATION PRACTICE
QUESTIONS WITH FULL SOLUTION
●● a patient sustained facial trauma and has nose pain, NP should obtain
nasal bone xrays if what is present
Answer: septal hematoma, deviation of septum
NOT if tenderness and swelling is secluded to nasal bony bridge
●● urine loss associated with laughing, sneezing, coughing is called
Answer: stress incontinence
●● initial evaluation of this includes
Answer: bladder stress test- stands with full bladder, and coughs or
performs valsalva maneuver
●● functional incontinence
Answer: inability to get to the toilet
●● overflow incontinence
Answer: enlarged bladder and volume leakage overflow
,●● urge incontinence
Answer: incontinence w urge to void
●● bipolar disorder- manic behavior
Answer: increased sexuality
- disinhibition by removing clothing when not asked
- flight of ideas WITHOUT organization
-loud rapid speech that is IMPOSSIBLE to interrupt
●● what does a normal cervix during pregnancy look like
Answer: bluish cervix with friability
due to increased vascularity
- chadwick sign
●● normal non pregnant cervix looks like
Answer: pink color
●● best physical assessment to rule out a high ankle sprain
Answer: squeeze tests
compression of tibia and fibula together
,suggests ligament damage and high ankle sprain
●● thompson test
Answer: assesses achilles tendon
●● normal HR of a 12 month-36 month old
Answer: 92-140
●● respiratory rate
Answer: 20-46
●● actinic cheilitis
Answer: lower lip loses its normal redness and may become scaly,
thickened and slightly everted; mostly from sun exposure; fair skinned
men who work outside be aware of risk for carcinoma
●● biliary cholic physical assessment finding
Answer: RUQ pain radiates to R shoulder
due to presence of gallstones
●● LLQ pain indicates
Answer: acute diverticulitis
, ●● painless mass in popliteal fossa
Answer: bakers cysts
RA is a risk factor for this cyst
●● symptoms of pyelonephritis
Answer: CVA tenderness
Suprapubic tenderness
●● upper abdominal pain after eating or overnight and pain is on/off for
weeks
Answer: peptic ulcer disease
●● what is the diagnostic you would do for this
Answer: upper endoscopy
●● can't feel fetal butt or head at maternal fundus during leopold
maneuver what is the position of the baby then
Answer: transverse lie presentation
(side ways horizontal)
●● Charcot's triad
Answer: abdominal pain, fever, jaundice
