NRNP 6675 MIDTERM EXAM STUDY GUIDE
1.Discrepancy between anatomical sex and gender is known as?
: B) Gender Discordance
2.Which of the following are risk factors for neuroleptic malignant syndrome?
Select all that apply
: Rapid dose escalation; parental route of administration; higher potency typical
antipsychotics
3.Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects?
: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which
of the following receptors?
: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
5.The diagnosis used to describe a syndrome characterized by specific s/s resulting from
recent ingestion or exposure to a substance is known as which of the folllowing?
: C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
6.Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the following?
: C) Tardive dyskinesia
Incorrect: akathisia, dystonia, EPS
7.A deeply held belief despite evidence to the contrary, lasting at least 1 month, without
prominent hallucinations, with functional impairment that relates to the delusional
system disorder called?
: Delusional disorder
8.Which of the following is true about preoccupation with castration?
: A) This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or
sexual machochism disorder
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
9.Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians?
: CPT
Incorrect: HIPPA, DSM5-, DRG
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
commonly have milky urine. The APRN realizes this is which of the following?
: A)
This is likely a harmless response to the Chlorpromazine
"Thorazine"
11. A condition which results from absence of second female sex chromosome (XO) and
is associated with web neck, dwarfism, cubitus valgus and infertility is known as which of
the following?
: B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
12. Which of the following would be characterized as a negative s/s of schizophrenia?
: B & C only
B) impaired social and occupational
functioning C) isolation and impaired
self-care
13. Which of the following are keys to distinguishing OCD from psychosis?
: Patients with OCD can almost always acknowledge the unreasonable nature of their
symptoms
14. A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
: Both A& B (Medicare and Medicaid)
15. Having an adequate legal description of nurse practitioner (NP) scope of practice
according to state law is important for which of the following reasons?-
: All of the above (to avoid any charges of practicing medicine without a license, to place
accountability for both benefits and harm to patients squarely on the NP, to get reimbursed
for physician services when provided by a NP
1.Discrepancy between anatomical sex and gender is known as?
: B) Gender Discordance
2.Which of the following are risk factors for neuroleptic malignant syndrome?
Select all that apply
: Rapid dose escalation; parental route of administration; higher potency typical
antipsychotics
3.Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects?
: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which
of the following receptors?
: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
5.The diagnosis used to describe a syndrome characterized by specific s/s resulting from
recent ingestion or exposure to a substance is known as which of the folllowing?
: C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above
6.Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the following?
: C) Tardive dyskinesia
Incorrect: akathisia, dystonia, EPS
7.A deeply held belief despite evidence to the contrary, lasting at least 1 month, without
prominent hallucinations, with functional impairment that relates to the delusional
system disorder called?
: Delusional disorder
8.Which of the following is true about preoccupation with castration?
: A) This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or
sexual machochism disorder
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
9.Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians?
: CPT
Incorrect: HIPPA, DSM5-, DRG
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
commonly have milky urine. The APRN realizes this is which of the following?
: A)
This is likely a harmless response to the Chlorpromazine
"Thorazine"
11. A condition which results from absence of second female sex chromosome (XO) and
is associated with web neck, dwarfism, cubitus valgus and infertility is known as which of
the following?
: B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
, NRNP 6675 MIDTERM EXAM STUDY GUIDE
12. Which of the following would be characterized as a negative s/s of schizophrenia?
: B & C only
B) impaired social and occupational
functioning C) isolation and impaired
self-care
13. Which of the following are keys to distinguishing OCD from psychosis?
: Patients with OCD can almost always acknowledge the unreasonable nature of their
symptoms
14. A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
: Both A& B (Medicare and Medicaid)
15. Having an adequate legal description of nurse practitioner (NP) scope of practice
according to state law is important for which of the following reasons?-
: All of the above (to avoid any charges of practicing medicine without a license, to place
accountability for both benefits and harm to patients squarely on the NP, to get reimbursed
for physician services when provided by a NP
