NRNP 6675 MIDTERM EXAM |COMPLETE QUESTIONS WITH EXPERT SOLUTION |
2026 LATEST UPDATED GET A+
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"
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
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
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?: Pa-
tients 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 rea-
sons?: 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 substance?: 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 care
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 described 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)
2026 LATEST UPDATED GET A+
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"
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
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
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?: Pa-
tients 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 rea-
sons?: 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 substance?: 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 care
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 described 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)
