1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply.
A. Age
B. Rapid dose escalation
C. Parenteral route of administration
D. Higher potency typical antipsychotics
2. Antipsychotic medications provide D2 blockade in the mesocortical pathway, causing which of
the following effects?
A. Reduces negative symptoms
B. Increases extrapyramidal symptoms (EPS)
C. Causes prolactinemia
D. Reduces positive symptoms
3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of
the following receptors?
A. GABA type receptors
B. Serotonin receptors
C. Dopamine receptors
D. NMDA type receptors
4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting
from recent ingestion or exposure to a substance is known as which of the following?
A. Substance intoxication
B. Substance withdrawal
C. Substance use disorder
D. Any of the above
5. Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw
are known as which of the following?
A. Akathisia
B. Dystonia
C. Tardive dyskinesia
D. Extrapyramidal side effects
6. A deeply held belief despite evidence to the contrary, lasting at least one month, without
prominent hallucinations, with functional impairment that relates to the delusional system, is
characteristic of which of the following?
A. Schizophrenia
B. Delusional disorder
, C. Brief psychotic disorder
D. Schizophreniform disorder
7. 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.
B. This is consistent with Transvestic Disorder
C. This is consistent with Other Specified Paraphilic Disorder
D. This is consistent with Sexual Masochism Disorder
8. Which of the following is a system that provides a uniform language for describing medical
and surgical procedures and diagnostic services rendered by clinicians?
A. HIPAA
B. DSM-5
C. CPT : Current Procedural Terminology
D. DRG
9. A patient on Chlorpromazine states that his orgasm is dry, and afterward, he will commonly have
milky urine. The ARNP realizes which of the following?
A. This is likely a harmless response to the Chlorpromazine.
B. This is abnormal and needs to be evaluated by a specialist.
C. It is critical to stop the Chlorpromazine immediately.
D. This has nothing to do with the Chlorpromazine; the patient should be referred to his PCP
for follow-up.
10. A condition that results from the absence of a second female sex chromosome (XO) and is
associated with webbed neck, dwarfism, cubitus valgus, and infertility is known as which of the
following?
A. Hermaphroditism
B. Turner’s syndrome
C. Adrenogenital syndrome
D. Androgen insensitivity syndrome
11. Which of the following would be characterized as a negative symptom of schizophrenia?
A. Hallucinations and delusions
B. Impaired social and occupational functioning
C. Isolation and impaired self-care
D. B and C only
12. Which of the following are keys to distinguishing OCD from psychosis?
A. Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms.
, B. Patients with OCD are better able to control their compulsions.
C. Patients with psychosis will have more obsessive thoughts.
D. Patients with OCD have less bizarre obsessions.
13. A federal program administered nationally and locally, which covers enrolled individuals 65 years
and older who pay premiums and disabled individuals is:
A. Medicare
B. Medicaid
C. Both A and B
D. None of the above
14. Having an adequate legal description of nurse practitioner (NP) scope of practice according to
state law is important for which of the following reasons?
A. To avoid any charges of practicing medicine without a license
B. To place accountability for both benefits and harm to patients squarely on the NP
C. To get reimbursement for physician services when provided by an NP
D. All of the above
15. Which of the following is the most widely consumed psychoactive substance?
A. Alcohol
B. Caffeine
C. Heroin
D. Cannabis
16. Which of the following is used to treat Tardive Dyskinesia?
A. Cogentin (benztropine)
B. Artane (trihexyphenidyl)
C. Catapress (Clonidine)
D. None of the above
The treatment of TD typically involves discontinuing or reducing the dose of the offending antipsychotic (if possible)
and using The vesicular monoamine transporter type 2 (VMAT2) inhibitors such as: Valbenazine (Ingrezza),
Deutetrabenazine (Austedo), Tetrabenazine (less commonly used due to side effects)
17. Which of the following did the APRN consensus model do?
A. Merged adult, gerontology, and pediatric foci so that all NPs could truly work across the lifespan.
B. Adult and gerontology were merged and identified as primary care or acute care.
C. Psychiatric mental health foci were stipulated as across the lifespan.
D. B and C
18. Which of the following behaviors are associated with an alcohol blood level of 0.05 percent?
A. Age
B. Rapid dose escalation
C. Parenteral route of administration
D. Higher potency typical antipsychotics
2. Antipsychotic medications provide D2 blockade in the mesocortical pathway, causing which of
the following effects?
A. Reduces negative symptoms
B. Increases extrapyramidal symptoms (EPS)
C. Causes prolactinemia
D. Reduces positive symptoms
3. Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of
the following receptors?
A. GABA type receptors
B. Serotonin receptors
C. Dopamine receptors
D. NMDA type receptors
4. The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting
from recent ingestion or exposure to a substance is known as which of the following?
A. Substance intoxication
B. Substance withdrawal
C. Substance use disorder
D. Any of the above
5. Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and jaw
are known as which of the following?
A. Akathisia
B. Dystonia
C. Tardive dyskinesia
D. Extrapyramidal side effects
6. A deeply held belief despite evidence to the contrary, lasting at least one month, without
prominent hallucinations, with functional impairment that relates to the delusional system, is
characteristic of which of the following?
A. Schizophrenia
B. Delusional disorder
, C. Brief psychotic disorder
D. Schizophreniform disorder
7. 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.
B. This is consistent with Transvestic Disorder
C. This is consistent with Other Specified Paraphilic Disorder
D. This is consistent with Sexual Masochism Disorder
8. Which of the following is a system that provides a uniform language for describing medical
and surgical procedures and diagnostic services rendered by clinicians?
A. HIPAA
B. DSM-5
C. CPT : Current Procedural Terminology
D. DRG
9. A patient on Chlorpromazine states that his orgasm is dry, and afterward, he will commonly have
milky urine. The ARNP realizes which of the following?
A. This is likely a harmless response to the Chlorpromazine.
B. This is abnormal and needs to be evaluated by a specialist.
C. It is critical to stop the Chlorpromazine immediately.
D. This has nothing to do with the Chlorpromazine; the patient should be referred to his PCP
for follow-up.
10. A condition that results from the absence of a second female sex chromosome (XO) and is
associated with webbed neck, dwarfism, cubitus valgus, and infertility is known as which of the
following?
A. Hermaphroditism
B. Turner’s syndrome
C. Adrenogenital syndrome
D. Androgen insensitivity syndrome
11. Which of the following would be characterized as a negative symptom of schizophrenia?
A. Hallucinations and delusions
B. Impaired social and occupational functioning
C. Isolation and impaired self-care
D. B and C only
12. Which of the following are keys to distinguishing OCD from psychosis?
A. Patients with OCD can almost always acknowledge the unreasonable nature of
their symptoms.
, B. Patients with OCD are better able to control their compulsions.
C. Patients with psychosis will have more obsessive thoughts.
D. Patients with OCD have less bizarre obsessions.
13. A federal program administered nationally and locally, which covers enrolled individuals 65 years
and older who pay premiums and disabled individuals is:
A. Medicare
B. Medicaid
C. Both A and B
D. None of the above
14. Having an adequate legal description of nurse practitioner (NP) scope of practice according to
state law is important for which of the following reasons?
A. To avoid any charges of practicing medicine without a license
B. To place accountability for both benefits and harm to patients squarely on the NP
C. To get reimbursement for physician services when provided by an NP
D. All of the above
15. Which of the following is the most widely consumed psychoactive substance?
A. Alcohol
B. Caffeine
C. Heroin
D. Cannabis
16. Which of the following is used to treat Tardive Dyskinesia?
A. Cogentin (benztropine)
B. Artane (trihexyphenidyl)
C. Catapress (Clonidine)
D. None of the above
The treatment of TD typically involves discontinuing or reducing the dose of the offending antipsychotic (if possible)
and using The vesicular monoamine transporter type 2 (VMAT2) inhibitors such as: Valbenazine (Ingrezza),
Deutetrabenazine (Austedo), Tetrabenazine (less commonly used due to side effects)
17. Which of the following did the APRN consensus model do?
A. Merged adult, gerontology, and pediatric foci so that all NPs could truly work across the lifespan.
B. Adult and gerontology were merged and identified as primary care or acute care.
C. Psychiatric mental health foci were stipulated as across the lifespan.
D. B and C
18. Which of the following behaviors are associated with an alcohol blood level of 0.05 percent?
