1
NRNP 6675 MIDTERM EXAM 2025/26
LATEST UPDATED VERSION SPECIFIC TO
REAL EXAM
• As a PMHNP, one of the most common areas you will counsel your
patients about is the importance of sleep hygiene. Which of the
following is NOT consistent with common recommendations for
good sleep hygiene?
B) Set a cool room temp
True sleep hygiene tips:
-avoid alcohol and caffeine
-set TV to turn off within 1 hr of falling asleep
-go to bed at the same time each night
• The need for NPs to practice to the full extent of their education
and training is necessary for which of the following reasons?
Select all of the above
A) The growth in number and proportion of older Americans
B) The projected PCP shortages by 2025
C) increased number of individuals who have access to
healthcare
• According to Freud, stubborn, parsimonious and highly
conscientious traits are associated with?
B) Anal stage
,2
• Freud's Psychosexual Theory and 5 Stages of Human
Development?
1. Oral stage
2. Anal stage
3. Phallic stage
4. Latent stage
5. genital stage
• The mouth, sucking, swallowing etc
Stage 1- oral stage
• EGO develops in which phase?
ORAL phase 1
• The penis or vagina-sexual intercourse?
Stage 5 genital
• `The anus- withholding or expelling feces
1. Anal stage
• Little to no sexual motivation present?
Stage 4. Latent phase
• The penis or clitoris- masturbation
Stage 3 Phallic
• the SUPEREGO develops at what phase?
Stage 3 Phallic
,3
• Features that point to a medical cause of a mental disorder
includes which of the following?
D) A& C
A) Acute onset
C) Visual hallucinations
• A patient currently on risperidone presents to the ED with
increased agitation, restlessness, muscle discomfort and
dysphoria. the ARNP recognizes these symptoms of akathisia and
recommends which of the following? Select all that apply
B) Benztropine IM only
incorrect: reduce antipsychotic dosage, Benadryl PO or IM, B&C
only
• Self-care strategies in preparation for the certificate exam includes
all of the following EXCEPT:
C) Drink lots of caffeine and eat high concentrated sugars
good self care strategies:
-plan to study for short periods over a long time
-study in a distraction free environment
-6-8 hours of sleep is recommended
• Which of the following professionals would be able to precept a
NP student?
, 4
D) A&B
A) ARNP
B) Physician
• the ARNP is treatmenting a 27 year old female who bipolar
disorder who is obese and has renal; dysfunction. Which of the
following is true?
C) An atypical antipsychotic such as olanzapine or risperidone
should be used
• Pts with this PD are described as excitable, emotional and behave
in a colorful, dramatic, extroverted, attention-seeking fashion,
often with an inability to maintain deep long-lasting attachments
B) Histrionic PD
• a PD characterized by emotional constriction, orderliness,
perseverance, stubbornness, indecisiveness and a pattern of
perfectionism and inflexibility is known as which of the following?
D) OCD PD
• Which of the following core competencies are quality
competencies?
D) A&C
A) use best available evidence to continually improve quality of
practice
NRNP 6675 MIDTERM EXAM 2025/26
LATEST UPDATED VERSION SPECIFIC TO
REAL EXAM
• As a PMHNP, one of the most common areas you will counsel your
patients about is the importance of sleep hygiene. Which of the
following is NOT consistent with common recommendations for
good sleep hygiene?
B) Set a cool room temp
True sleep hygiene tips:
-avoid alcohol and caffeine
-set TV to turn off within 1 hr of falling asleep
-go to bed at the same time each night
• The need for NPs to practice to the full extent of their education
and training is necessary for which of the following reasons?
Select all of the above
A) The growth in number and proportion of older Americans
B) The projected PCP shortages by 2025
C) increased number of individuals who have access to
healthcare
• According to Freud, stubborn, parsimonious and highly
conscientious traits are associated with?
B) Anal stage
,2
• Freud's Psychosexual Theory and 5 Stages of Human
Development?
1. Oral stage
2. Anal stage
3. Phallic stage
4. Latent stage
5. genital stage
• The mouth, sucking, swallowing etc
Stage 1- oral stage
• EGO develops in which phase?
ORAL phase 1
• The penis or vagina-sexual intercourse?
Stage 5 genital
• `The anus- withholding or expelling feces
1. Anal stage
• Little to no sexual motivation present?
Stage 4. Latent phase
• The penis or clitoris- masturbation
Stage 3 Phallic
• the SUPEREGO develops at what phase?
Stage 3 Phallic
,3
• Features that point to a medical cause of a mental disorder
includes which of the following?
D) A& C
A) Acute onset
C) Visual hallucinations
• A patient currently on risperidone presents to the ED with
increased agitation, restlessness, muscle discomfort and
dysphoria. the ARNP recognizes these symptoms of akathisia and
recommends which of the following? Select all that apply
B) Benztropine IM only
incorrect: reduce antipsychotic dosage, Benadryl PO or IM, B&C
only
• Self-care strategies in preparation for the certificate exam includes
all of the following EXCEPT:
C) Drink lots of caffeine and eat high concentrated sugars
good self care strategies:
-plan to study for short periods over a long time
-study in a distraction free environment
-6-8 hours of sleep is recommended
• Which of the following professionals would be able to precept a
NP student?
, 4
D) A&B
A) ARNP
B) Physician
• the ARNP is treatmenting a 27 year old female who bipolar
disorder who is obese and has renal; dysfunction. Which of the
following is true?
C) An atypical antipsychotic such as olanzapine or risperidone
should be used
• Pts with this PD are described as excitable, emotional and behave
in a colorful, dramatic, extroverted, attention-seeking fashion,
often with an inability to maintain deep long-lasting attachments
B) Histrionic PD
• a PD characterized by emotional constriction, orderliness,
perseverance, stubbornness, indecisiveness and a pattern of
perfectionism and inflexibility is known as which of the following?
D) OCD PD
• Which of the following core competencies are quality
competencies?
D) A&C
A) use best available evidence to continually improve quality of
practice
