ANCC PMHNP Cert Exam Review Questions
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)
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)
