NRNP 6675 Midterm Exam Questions with Answers All Perfectly Solved
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
path- way 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"
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
re- lates 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
9.Which of the following is a system that provides a uniform language for
de- scribing 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
chromo- some (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
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?: 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 en-
rolled 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
16.Which of the following is the most widely consumed psychoactive
sub- stance?: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17.Which of the following is used to tx TD?: None of the above
(cogentin, artane, catapress)
,18.The APRN consensus model did which of the following?: B & C
B) adult and gerontology were merged and identified as PCP or acute car
C) psychiatric mental health foci were stipulated as across the lifespan
19. Which of the following behaviors are associated with an alcohol
blood level of 0.05%?: B) Thought judgement and restraints are impaired
, 20.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
21.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
22.Major neurotransmitters possibly involved in developing substance
abuse and substance dependence are which of the following?: A)
Dopamine
Incorrect: GABA, serotonin, A& B only
23.The dopamine hypothesis of schizophrenia, which of the following?: A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
24.A patient reports a panic attack several years ago in an elevator and
since then has avoided elevators. The pt meets the criteria for:: B) Specific
phobia
25.A patient with a substance use disorder who does not meet clinical
criteria for hospitalization but lacks sufficient social and vocational skills
and lack substance-free social supports is to: D) All of the above
(Residential tx, partial hospitalization, outpt tx)
26.Obscene phone calling to an unsuspecting partner for sexual arousal
is known as?: C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
27.The main psychological difference between fear and anxiety is best de-
scribed by which of these statements?: B) Anxiety is insidious, fear is
sudden
28.A diffuse, unpleasant, vague sense of apprehension often accompanied
by autonomic symptoms varies upon persons is commonly known as which
of the following?: C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
29.If a pregnancy begins while the woman is taking high doses of
methadone and withdrawal is desired during which trimester is the least
hazardous?: D) Withdrawal from methadone should never be done while
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
path- way 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"
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
re- lates 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
9.Which of the following is a system that provides a uniform language for
de- scribing 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
chromo- some (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
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?: 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 en-
rolled 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
16.Which of the following is the most widely consumed psychoactive
sub- stance?: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17.Which of the following is used to tx TD?: None of the above
(cogentin, artane, catapress)
,18.The APRN consensus model did which of the following?: B & C
B) adult and gerontology were merged and identified as PCP or acute car
C) psychiatric mental health foci were stipulated as across the lifespan
19. Which of the following behaviors are associated with an alcohol
blood level of 0.05%?: B) Thought judgement and restraints are impaired
, 20.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
21.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
22.Major neurotransmitters possibly involved in developing substance
abuse and substance dependence are which of the following?: A)
Dopamine
Incorrect: GABA, serotonin, A& B only
23.The dopamine hypothesis of schizophrenia, which of the following?: A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
24.A patient reports a panic attack several years ago in an elevator and
since then has avoided elevators. The pt meets the criteria for:: B) Specific
phobia
25.A patient with a substance use disorder who does not meet clinical
criteria for hospitalization but lacks sufficient social and vocational skills
and lack substance-free social supports is to: D) All of the above
(Residential tx, partial hospitalization, outpt tx)
26.Obscene phone calling to an unsuspecting partner for sexual arousal
is known as?: C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
27.The main psychological difference between fear and anxiety is best de-
scribed by which of these statements?: B) Anxiety is insidious, fear is
sudden
28.A diffuse, unpleasant, vague sense of apprehension often accompanied
by autonomic symptoms varies upon persons is commonly known as which
of the following?: C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
29.If a pregnancy begins while the woman is taking high doses of
methadone and withdrawal is desired during which trimester is the least
hazardous?: D) Withdrawal from methadone should never be done while
