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ANCC PMHNP Cert Exam Review Questions and Correct Answers 2024, Complete Solution.

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ANCC PMHNP Cert Exam Review Questions and Correct Answers 2024, Complete Solution. 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...

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  • March 28, 2024
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ANCC PMHNP Cert Exam Review Questions
and Correct Answers 2024, Complete Solution.
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)
• Seizures
• Diplopia (Dbl vision), blurred vision

Neuro cry

high-pitched and very grating on the ears due to their neurological sxs being overwhelmed

Neuroleptic Malignant Syndrome

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