Newest 2025 NR 547 Midterm Exam
NEWEST 2025 NR 547 MIDTERM EXAM FEATURING ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED NURSING LEADERSHIP, SYSTEMS-BASED
PRACTICE, HEALTHCARE POLICY, INTERPROFESSIONAL COLLABORATION, AND
QUALITY IMPROVEMENT STRATEGIES. DESIGNED FOR GRADUATE-LEVEL
NURSING STUDENTS
Which stage of sleep is associated with dreaming and muscle atonia?
A. Stage 1
B. Stage 2
C. Stage 3
D. REM
REM is the dreaming stage; it's critical for emotional processing.
Which neurotransmitter is most implicated in the positive symptoms of schizophrenia?
A. Serotonin
B. GABA
C. Dopamine
D. Glutamate
Dopamine hyperactivity in the mesolimbic pathway is linked to hallucinations and delusions.
Which symptom is classified as a negative symptom of schizophrenia?
A. Hallucinations
B. Delusions
C. Alogia
D. Paranoia
Alogia-> Negative symptoms = deficits in normal function (alogia, anhedonia, flat affect).
What are the DSM-5 criteria for schizophrenia? (Select all that apply)
A. Delusions
1|Page
, Newest 2025 NR 547 Midterm Exam
B. Hallucinations
C. Disorganized speech
D. Panic attacks
A, B, C: At least 2 of 5 core symptoms (delusions, hallucinations, disorganized speech,
disorganized/catatonic behavior, negative symptoms) must be present for at least 6 months.
What is the most concerning adverse effect of clozapine that requires monitoring?
A. Nausea
B. Agranulocytosis
C. Weight loss
D. Hypervigilance
Agranulocytosis-> Clozapine can cause dangerous drops in white blood cell count—ANC must
be regularly monitored.
What is a common metabolic side effect of second-generation antipsychotics?
A. Bradycardia
B. Weight gain and increased BMI
C. Hyperactivity
D. Hypothyroidism
Weight gain and increased BMI-> Many SGAs increase appetite, glucose levels, and fat storage,
requiring regular metabolic monitoring.
What are classic signs of catatonia? (Select all that applyx3)
A. Mutism
B. Waxy flexibility
C. Auditory hallucinations
D. Echolalia
A, B, D-> Catatonia may present with motoric immobility, bizarre postures, and repetition of
speech (echolalia).
Which neurotransmitters are implicated in schizophrenia? (Select all that applyx3)
2|Page
, Newest 2025 NR 547 Midterm Exam
A. Dopamine
B. Serotonin
C. GABA
D. Norepinephrine
A, B, C: Dopamine dysregulation is primary; serotonin and GABA systems also play a role.
What is the key difference between obsessions and compulsions in OCD?
A. Obsessions are habits; compulsions are thoughts
B. Obsessions are repetitive behaviors
C. Obsessions are intrusive thoughts; compulsions are ritualistic behaviors
D. They are interchangeable
Obsessions are intrusive thoughts; compulsions are ritualistic behaviors-> Obsessions =
unwanted thoughts. Compulsions = behaviors to neutralize those thoughts.
Which of the following is a subclinical OCD symptom?
A. Repetitive hand-washing that causes skin damage
B. Feeling uneasy without organizing books
C. Spending 3+ hours per day checking doors
D. Interference with daily living
Feeling uneasy without organizing books-> Subclinical OCD does not impair functioning
significantly.
Which are recognized social determinants of mental health? (Select all that apply)
A. Housing insecurity
B. Educational access
C. Genetic mutations
D. Racism and discrimination
A, B, D: Environmental and systemic factors influence access to care and risk for mental illness.
What is the GAD-7 used to screen for?
3|Page
, Newest 2025 NR 547 Midterm Exam
A. Psychosis
B. PTSD
C. Generalized Anxiety Disorder
D. Depression
Generalized Anxiety Disorder-> GAD-7 is a 7-item questionnaire measuring the severity of
anxiety symptoms.
What score on the GAD-7 suggests severe anxiety?
A. 5
B. 10
C. 15
D. 20
15-> GAD-7 scoring: 5 = mild, 10 = moderate, 15 = severe.
What does the Hamilton Anxiety Rating Scale (HAM-A) assess?
A. Mood and affect
B. Psychosis
C. Somatic and psychic anxiety symptoms
D. Insomnia only
Somatic and psychic anxiety symptoms-> HAM-A measures physical and emotional symptoms
of anxiety.
Why is urine drug screening (UDS) critical in psychiatric assessment?
A. To detect nutritional status
B. To confirm mood disorder
C. To rule out substance-induced symptoms
D. To evaluate medication metabolism
To rule out substance-induced symptoms-> UDS is essential to differentiate between primary
psychiatric disorders and those triggered by substances.
4|Page
NEWEST 2025 NR 547 MIDTERM EXAM FEATURING ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED NURSING LEADERSHIP, SYSTEMS-BASED
PRACTICE, HEALTHCARE POLICY, INTERPROFESSIONAL COLLABORATION, AND
QUALITY IMPROVEMENT STRATEGIES. DESIGNED FOR GRADUATE-LEVEL
NURSING STUDENTS
Which stage of sleep is associated with dreaming and muscle atonia?
A. Stage 1
B. Stage 2
C. Stage 3
D. REM
REM is the dreaming stage; it's critical for emotional processing.
Which neurotransmitter is most implicated in the positive symptoms of schizophrenia?
A. Serotonin
B. GABA
C. Dopamine
D. Glutamate
Dopamine hyperactivity in the mesolimbic pathway is linked to hallucinations and delusions.
Which symptom is classified as a negative symptom of schizophrenia?
A. Hallucinations
B. Delusions
C. Alogia
D. Paranoia
Alogia-> Negative symptoms = deficits in normal function (alogia, anhedonia, flat affect).
What are the DSM-5 criteria for schizophrenia? (Select all that apply)
A. Delusions
1|Page
, Newest 2025 NR 547 Midterm Exam
B. Hallucinations
C. Disorganized speech
D. Panic attacks
A, B, C: At least 2 of 5 core symptoms (delusions, hallucinations, disorganized speech,
disorganized/catatonic behavior, negative symptoms) must be present for at least 6 months.
What is the most concerning adverse effect of clozapine that requires monitoring?
A. Nausea
B. Agranulocytosis
C. Weight loss
D. Hypervigilance
Agranulocytosis-> Clozapine can cause dangerous drops in white blood cell count—ANC must
be regularly monitored.
What is a common metabolic side effect of second-generation antipsychotics?
A. Bradycardia
B. Weight gain and increased BMI
C. Hyperactivity
D. Hypothyroidism
Weight gain and increased BMI-> Many SGAs increase appetite, glucose levels, and fat storage,
requiring regular metabolic monitoring.
What are classic signs of catatonia? (Select all that applyx3)
A. Mutism
B. Waxy flexibility
C. Auditory hallucinations
D. Echolalia
A, B, D-> Catatonia may present with motoric immobility, bizarre postures, and repetition of
speech (echolalia).
Which neurotransmitters are implicated in schizophrenia? (Select all that applyx3)
2|Page
, Newest 2025 NR 547 Midterm Exam
A. Dopamine
B. Serotonin
C. GABA
D. Norepinephrine
A, B, C: Dopamine dysregulation is primary; serotonin and GABA systems also play a role.
What is the key difference between obsessions and compulsions in OCD?
A. Obsessions are habits; compulsions are thoughts
B. Obsessions are repetitive behaviors
C. Obsessions are intrusive thoughts; compulsions are ritualistic behaviors
D. They are interchangeable
Obsessions are intrusive thoughts; compulsions are ritualistic behaviors-> Obsessions =
unwanted thoughts. Compulsions = behaviors to neutralize those thoughts.
Which of the following is a subclinical OCD symptom?
A. Repetitive hand-washing that causes skin damage
B. Feeling uneasy without organizing books
C. Spending 3+ hours per day checking doors
D. Interference with daily living
Feeling uneasy without organizing books-> Subclinical OCD does not impair functioning
significantly.
Which are recognized social determinants of mental health? (Select all that apply)
A. Housing insecurity
B. Educational access
C. Genetic mutations
D. Racism and discrimination
A, B, D: Environmental and systemic factors influence access to care and risk for mental illness.
What is the GAD-7 used to screen for?
3|Page
, Newest 2025 NR 547 Midterm Exam
A. Psychosis
B. PTSD
C. Generalized Anxiety Disorder
D. Depression
Generalized Anxiety Disorder-> GAD-7 is a 7-item questionnaire measuring the severity of
anxiety symptoms.
What score on the GAD-7 suggests severe anxiety?
A. 5
B. 10
C. 15
D. 20
15-> GAD-7 scoring: 5 = mild, 10 = moderate, 15 = severe.
What does the Hamilton Anxiety Rating Scale (HAM-A) assess?
A. Mood and affect
B. Psychosis
C. Somatic and psychic anxiety symptoms
D. Insomnia only
Somatic and psychic anxiety symptoms-> HAM-A measures physical and emotional symptoms
of anxiety.
Why is urine drug screening (UDS) critical in psychiatric assessment?
A. To detect nutritional status
B. To confirm mood disorder
C. To rule out substance-induced symptoms
D. To evaluate medication metabolism
To rule out substance-induced symptoms-> UDS is essential to differentiate between primary
psychiatric disorders and those triggered by substances.
4|Page
