NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of Adults in
Acute Settings I | Questions and V erified Answers| Latest 2026/ 2027
Update- Walden
Discrepancy between anatomical sex and gender is known as?
B)AGenderADiscordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
RapidAdoseAescalation;AparentalArouteAofAadministration;AhigherApotencyAtypicalAantipsychotics
Antipsychotic medication provides D2 blockage in the meso-
coritcal pathway causing which of the following effects?
B)AIncreasesAEPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of t
he following receptors?
D)ANMDAAtypeAreceptors
Incorrect: GABA, serotonin, dopamine "receptors"
TheAdiagnosis used to describe a syndrome characterized by specific s/s resulting from rece
ntAingestion or exposure to a substance is known as which of the folllowing?
C)ASubstanceAuseAdisorder
,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)ATardiveAdyskinesia
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?
DelusionalAdisorder
Which of the following is true about preoccupation with castration?
A) ThisAcanAbeAseriousAandAlifeAthreateningAifAcastrationAisAcarriedAoutAwithoutAmedic
alAsupervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or sexu
al machochism disorder
WhichAofAthe following is a system that provides a uniform language for describing medical a
ndAsurgical 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 ha
ve milky urine. The APRN realizes this is which of the following?
A) ThisAisAlikelyAaAharmlessAresponseAtoAtheAChlorpromazine
"Thorazine"
A condition which results from absence of second female sex chromosome (XO) and is a
ssociated with web neck, dwarfism, cubitus valgus and infertility is known as which of th
e following?
B) TurnersASyndrome
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 schizophreni
a? BA&ACAonly
B) impaired social and occupational functioning
C) isolation and impaired self-care
, Which k of k the k following k are k keys k to k distinguishing k OCD k from k psychosis?
PatientsAwithAOCDAcanAalmostAalwaysAacknowledgeAtheAunreasonableAnatureAofAtheirAsymptoms
A kfederal kprogram kadministered knationally kand klocally kwhich kcovers kenrolled kindividuals
k6 k5+ kwho kpays kpremiums kand kdisabled kindividuals
BothAA&ABA(MedicareAandAMedicaid)
Having kan kadequate klegal kdescription kof knurse kpractitioner k(NP) kscope kof kpractice
kaccording kto kstate klaw kis kimportant kfor kwhich kof kthe kfollowing kreasons?
AllAofAtheAaboveA(toAavoidAanyAchargesAofApracticingAmedicineAwithoutAaAlicense,AtoAplaceAac
countabilityAforAbothAbenefitsAandAharmAtoApatientsAsquarelyAonAtheANP,AtoAgetAreimbursedAfo
rAphysicianAservicesAwhenAprovidedAbyAaANP
Which kof kthe kfollowing kis kthe kmost kwidely kconsumed kpsychoactive
k substanc
B)ACaffeine
ke?
Incorrect:Aalcohol,Aheroin,Acannabis
Which k of k the k following kis k used k to k tx k TD?
NoneAofAthe k above
(cogentin,Aartane, kcatapress)
Acute Settings I | Questions and V erified Answers| Latest 2026/ 2027
Update- Walden
Discrepancy between anatomical sex and gender is known as?
B)AGenderADiscordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
RapidAdoseAescalation;AparentalArouteAofAadministration;AhigherApotencyAtypicalAantipsychotics
Antipsychotic medication provides D2 blockage in the meso-
coritcal pathway causing which of the following effects?
B)AIncreasesAEPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of t
he following receptors?
D)ANMDAAtypeAreceptors
Incorrect: GABA, serotonin, dopamine "receptors"
TheAdiagnosis used to describe a syndrome characterized by specific s/s resulting from rece
ntAingestion or exposure to a substance is known as which of the folllowing?
C)ASubstanceAuseAdisorder
,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)ATardiveAdyskinesia
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?
DelusionalAdisorder
Which of the following is true about preoccupation with castration?
A) ThisAcanAbeAseriousAandAlifeAthreateningAifAcastrationAisAcarriedAoutAwithoutAmedic
alAsupervision
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or sexu
al machochism disorder
WhichAofAthe following is a system that provides a uniform language for describing medical a
ndAsurgical 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 ha
ve milky urine. The APRN realizes this is which of the following?
A) ThisAisAlikelyAaAharmlessAresponseAtoAtheAChlorpromazine
"Thorazine"
A condition which results from absence of second female sex chromosome (XO) and is a
ssociated with web neck, dwarfism, cubitus valgus and infertility is known as which of th
e following?
B) TurnersASyndrome
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 schizophreni
a? BA&ACAonly
B) impaired social and occupational functioning
C) isolation and impaired self-care
, Which k of k the k following k are k keys k to k distinguishing k OCD k from k psychosis?
PatientsAwithAOCDAcanAalmostAalwaysAacknowledgeAtheAunreasonableAnatureAofAtheirAsymptoms
A kfederal kprogram kadministered knationally kand klocally kwhich kcovers kenrolled kindividuals
k6 k5+ kwho kpays kpremiums kand kdisabled kindividuals
BothAA&ABA(MedicareAandAMedicaid)
Having kan kadequate klegal kdescription kof knurse kpractitioner k(NP) kscope kof kpractice
kaccording kto kstate klaw kis kimportant kfor kwhich kof kthe kfollowing kreasons?
AllAofAtheAaboveA(toAavoidAanyAchargesAofApracticingAmedicineAwithoutAaAlicense,AtoAplaceAac
countabilityAforAbothAbenefitsAandAharmAtoApatientsAsquarelyAonAtheANP,AtoAgetAreimbursedAfo
rAphysicianAservicesAwhenAprovidedAbyAaANP
Which kof kthe kfollowing kis kthe kmost kwidely kconsumed kpsychoactive
k substanc
B)ACaffeine
ke?
Incorrect:Aalcohol,Aheroin,Acannabis
Which k of k the k following kis k used k to k tx k TD?
NoneAofAthe k above
(cogentin,Aartane, kcatapress)
