Walden University / NRNP 6675
NRNP 6675 Midterm Exam Questions and
Correct Answers 2026-2027| Actual Exam
Questions with Verified Correct Answers|
Already Graded A+
Discrepancy between anatomical sex and gender is B) Gender Discordance
known as?
Which of the following are risk factors for neuroleptic Rapid dose escalation; parental route of administration; higher potency typical
malignant syndrome? Select all that apply antipsychotics
Antipsychotic medication provides D2 blockage in the B) Increases EPS
meso-coritcal pathway causing which of the following
effects? Incorrect: reduces negative s/s, causes prolactinemia, reduces positive
symptoms
Phencyclidine (PCP) and ketamine exert their unique D) NMDA type receptors
behavioral effects by blocking which of the following
receptors? Incorrect: GABA, serotonin, dopamine "receptors"
The diagnosis used to describe a syndrome C) Substance use disorder
characterized by specific s/s resulting from recent
ingestion or exposure to a substance is known as which Incorrect: substance intox, substance withdrawal, all of the above
of the folllowing?
Abnormal involuntary movements in a rhythmic pattern C) Tardive dyskinesia
affecting the face, mouth, tongue jaw is known as which
of the following? Incorrect: akathisia, dystonia, EPS
A deeply held belief despite evidence to the contrary, Delusional disorder
lasting at least 1 month, without prominent
hallucinations, with functional impairment that relates to
the delusional system disorder called?
Which of the following is true about preoccupation with A) This can be serious and life threatening if castration is carried out without
castration? medical supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic
disorder, or sexual machochism disorder
,Which of the following is a system that provides a CPT
uniform language for describing medical and surgical
procedures and diagnostics services rendered by Incorrect: HIPPA, DSM5-, DRG
clinicians?
A patient on Chlorpromazine states his orgasm is dry A) This is likely a harmless response to the Chlorpromazine
and afterwards he will commonly have milky urine. The
APRN realizes this is which of the following? "Thorazine"
A condition which results from absence of second B) Turners Syndrome
female sex chromosome (XO) and is associated with
web neck, dwarfism, cubitus valgus and infertility is Turners syndrome:
known as which of the following?
tx involves hormone therapy; fertility treatments for women when they decide
to have a baby
Which of the following would be characterized as a B & C only
negative s/s of schizophrenia?
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD Patients with OCD can almost always acknowledge the unreasonable nature of
from psychosis? their symptoms
A federal program administered nationally and locally Both A& B (Medicare and Medicaid)
which covers enrolled individuals 65+ who pays
premiums and disabled individuals
Having an adequate legal description of nurse All of the above (to avoid any charges of practicing medicine without a license,
practitioner (NP) scope of practice according to state to place accountability for both benefits and harm to patients squarely on the
law is important for which of the following reasons? NP, to get reimbursed for physician services when provided by a NP
Which of the following is the most widely consumed B) Caffeine
psychoactive substance?
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the B&C
following?
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
Which of the following behaviors are associated with an B) Thought judgement and restraints are impaired
alcohol blood level of 0.05%?
According to HIPPA, which of the following must the A) Health Plans
NP share their NPI with? Check all the above B) Other providers
C) Any entity that may need it for a billing purpose
,A patient presents with delusions, disorganized Schizophrenia
thoughts, and speech with poor self care all of which
has persisted for the past 7 months. The APRN knowns
this presentation means what diagnosis?
Major neurotransmitters possibly involved in A) Dopamine
developing substance abuse and substance
dependence are which of the following? Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of A) Schizophrenia results from too much dopaminergic activity
the following?
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an B) Specific phobia
elevator and since then has avoided elevators. The pt
meets the criteria for:
A patient with a substance use disorder who does not D) All of the above
meet clinical criteria for hospitalization but lacks
sufficient social and vocational skills and lack (Residential tx, partial hospitalization, outpt tx)
substance-free social supports is to
Obscene phone calling to an unsuspecting partner for C) Telephone Scatologia
sexual arousal is known as?
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and B) Anxiety is insidious, fear is sudden
anxiety is best described by which of these statements?
A diffuse, unpleasant, vague sense of apprehension C) Normal anxiety
often accompanied by autonomic symptoms varies
upon persons is commonly known as which of the (incorrect- fear, stress, pathological anxiety
following?
If a pregnancy begins while the woman is taking high D) Withdrawal from methadone should never be done while the woman is
doses of methadone and withdrawal is desired during pregnant
which trimester is the least hazardous?
Neurochemical or neurophysiological changes in the C) Neuroadaption
body that results from the repeated administration of a
drug is known as which of the following? incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the C) Sexual sadism
physical and psychological suffering of another person
is known as which of the following?
, Which of the following is not consistent with the onset D) The onset of OCD is typically preceded by OCD personality traits
of OCD?
True answers about OCD:
-more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful
event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a C) Exhibitionism
stranger is known ass which of the following?
Which of the following patients would be appropriate D) A&B only
for hospitalization for substance use disorder? Select
all that apply (Patients who have a substance overdose who cannot be safely tx in an outpt
setting & pts who are at risk for severe or medically complicated withdrawal
symptoms
The nursing practice model recommendation for NPs A) Full practice
by the NAtional Academy of Medicine and the National
Council of State Boards of Nursing is which of the
following?
Which of the following groups does medicare cover? A) Individuals 65+ years and older who have enrolled and pay premiums
Select all the above B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases D) Dopamine
libidio?
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor D) A & C
prognosis for patients with OCD?
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current C) Dopamine level is a laboratory tests that assists in the diagnosis of
knowledge about schizophrenia? schizophrenia
A chronic disorder characterized by repetitive hair C) Trichotillomania
pulling leading to variable hair loss that may be..to
others known as?
Which of the following are risk factors for neuroleptic B) Rapid dose escalation
malignant syndrome? C) Parental route of admin
D) High potency typical antipsychotics
A method of therapy used to tx individuals with B) Contingency Management
substance use based on the fundamental principle of a
psychology that reinforced behaviors are likely to be..is
known as the following?
The conditions in which people are born, grow, work, Social determinants of health
live and age are known as?
NRNP 6675 Midterm Exam Questions and
Correct Answers 2026-2027| Actual Exam
Questions with Verified Correct Answers|
Already Graded A+
Discrepancy between anatomical sex and gender is B) Gender Discordance
known as?
Which of the following are risk factors for neuroleptic Rapid dose escalation; parental route of administration; higher potency typical
malignant syndrome? Select all that apply antipsychotics
Antipsychotic medication provides D2 blockage in the B) Increases EPS
meso-coritcal pathway causing which of the following
effects? Incorrect: reduces negative s/s, causes prolactinemia, reduces positive
symptoms
Phencyclidine (PCP) and ketamine exert their unique D) NMDA type receptors
behavioral effects by blocking which of the following
receptors? Incorrect: GABA, serotonin, dopamine "receptors"
The diagnosis used to describe a syndrome C) Substance use disorder
characterized by specific s/s resulting from recent
ingestion or exposure to a substance is known as which Incorrect: substance intox, substance withdrawal, all of the above
of the folllowing?
Abnormal involuntary movements in a rhythmic pattern C) Tardive dyskinesia
affecting the face, mouth, tongue jaw is known as which
of the following? Incorrect: akathisia, dystonia, EPS
A deeply held belief despite evidence to the contrary, Delusional disorder
lasting at least 1 month, without prominent
hallucinations, with functional impairment that relates to
the delusional system disorder called?
Which of the following is true about preoccupation with A) This can be serious and life threatening if castration is carried out without
castration? medical supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic
disorder, or sexual machochism disorder
,Which of the following is a system that provides a CPT
uniform language for describing medical and surgical
procedures and diagnostics services rendered by Incorrect: HIPPA, DSM5-, DRG
clinicians?
A patient on Chlorpromazine states his orgasm is dry A) This is likely a harmless response to the Chlorpromazine
and afterwards he will commonly have milky urine. The
APRN realizes this is which of the following? "Thorazine"
A condition which results from absence of second B) Turners Syndrome
female sex chromosome (XO) and is associated with
web neck, dwarfism, cubitus valgus and infertility is Turners syndrome:
known as which of the following?
tx involves hormone therapy; fertility treatments for women when they decide
to have a baby
Which of the following would be characterized as a B & C only
negative s/s of schizophrenia?
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD Patients with OCD can almost always acknowledge the unreasonable nature of
from psychosis? their symptoms
A federal program administered nationally and locally Both A& B (Medicare and Medicaid)
which covers enrolled individuals 65+ who pays
premiums and disabled individuals
Having an adequate legal description of nurse All of the above (to avoid any charges of practicing medicine without a license,
practitioner (NP) scope of practice according to state to place accountability for both benefits and harm to patients squarely on the
law is important for which of the following reasons? NP, to get reimbursed for physician services when provided by a NP
Which of the following is the most widely consumed B) Caffeine
psychoactive substance?
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the B&C
following?
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
Which of the following behaviors are associated with an B) Thought judgement and restraints are impaired
alcohol blood level of 0.05%?
According to HIPPA, which of the following must the A) Health Plans
NP share their NPI with? Check all the above B) Other providers
C) Any entity that may need it for a billing purpose
,A patient presents with delusions, disorganized Schizophrenia
thoughts, and speech with poor self care all of which
has persisted for the past 7 months. The APRN knowns
this presentation means what diagnosis?
Major neurotransmitters possibly involved in A) Dopamine
developing substance abuse and substance
dependence are which of the following? Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of A) Schizophrenia results from too much dopaminergic activity
the following?
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an B) Specific phobia
elevator and since then has avoided elevators. The pt
meets the criteria for:
A patient with a substance use disorder who does not D) All of the above
meet clinical criteria for hospitalization but lacks
sufficient social and vocational skills and lack (Residential tx, partial hospitalization, outpt tx)
substance-free social supports is to
Obscene phone calling to an unsuspecting partner for C) Telephone Scatologia
sexual arousal is known as?
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and B) Anxiety is insidious, fear is sudden
anxiety is best described by which of these statements?
A diffuse, unpleasant, vague sense of apprehension C) Normal anxiety
often accompanied by autonomic symptoms varies
upon persons is commonly known as which of the (incorrect- fear, stress, pathological anxiety
following?
If a pregnancy begins while the woman is taking high D) Withdrawal from methadone should never be done while the woman is
doses of methadone and withdrawal is desired during pregnant
which trimester is the least hazardous?
Neurochemical or neurophysiological changes in the C) Neuroadaption
body that results from the repeated administration of a
drug is known as which of the following? incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the C) Sexual sadism
physical and psychological suffering of another person
is known as which of the following?
, Which of the following is not consistent with the onset D) The onset of OCD is typically preceded by OCD personality traits
of OCD?
True answers about OCD:
-more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful
event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a C) Exhibitionism
stranger is known ass which of the following?
Which of the following patients would be appropriate D) A&B only
for hospitalization for substance use disorder? Select
all that apply (Patients who have a substance overdose who cannot be safely tx in an outpt
setting & pts who are at risk for severe or medically complicated withdrawal
symptoms
The nursing practice model recommendation for NPs A) Full practice
by the NAtional Academy of Medicine and the National
Council of State Boards of Nursing is which of the
following?
Which of the following groups does medicare cover? A) Individuals 65+ years and older who have enrolled and pay premiums
Select all the above B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases D) Dopamine
libidio?
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor D) A & C
prognosis for patients with OCD?
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current C) Dopamine level is a laboratory tests that assists in the diagnosis of
knowledge about schizophrenia? schizophrenia
A chronic disorder characterized by repetitive hair C) Trichotillomania
pulling leading to variable hair loss that may be..to
others known as?
Which of the following are risk factors for neuroleptic B) Rapid dose escalation
malignant syndrome? C) Parental route of admin
D) High potency typical antipsychotics
A method of therapy used to tx individuals with B) Contingency Management
substance use based on the fundamental principle of a
psychology that reinforced behaviors are likely to be..is
known as the following?
The conditions in which people are born, grow, work, Social determinants of health
live and age are known as?
