ANCC PMHNP Cert Exam Review Questions and
answers 2026\2027 A+ Grade
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
answers 2026\2027 A+ Grade
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
