NRNP 6675 FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS
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
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
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
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"
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
,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
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
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
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
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"
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
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
Which of the following are keys to distinguishing OCD from psychosis?
Patients with OCD can almost always acknowledge the unreasonable
nature of their symptoms
A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
Both A& B (Medicare and Medicaid)
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
Which of the following is the most widely consumed psychoactive
substance?
B) Caffeine
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 following?
B&C
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 alcohol blood level
of 0.05%?
B) Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI
with? Check all the above
A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized 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?
Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse
and substance dependence are which of the following?
A) Dopamine
Incorrect: GABA, serotonin, A& B only
ANSWERS
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
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
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
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"
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
,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
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
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
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
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"
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
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
Which of the following are keys to distinguishing OCD from psychosis?
Patients with OCD can almost always acknowledge the unreasonable
nature of their symptoms
A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
Both A& B (Medicare and Medicaid)
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
Which of the following is the most widely consumed psychoactive
substance?
B) Caffeine
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 following?
B&C
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 alcohol blood level
of 0.05%?
B) Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI
with? Check all the above
A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized 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?
Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse
and substance dependence are which of the following?
A) Dopamine
Incorrect: GABA, serotonin, A& B only
