NRNP 6675 Midterm Exam Questions with Correct Answers

NRNP 6675 Midterm Exam Questions with Correct
Answers


Question 1.
Discrepancy between anatomical sex and gender is known as?
Correct Answer: B) Gender Discordance


Question 2.
Which of the following are risk factors for neuroleptic malignant syndrome? Select all
that apply
Correct Answer: Rapid dose escalation; parental route of administration;
higher potency typical
antipsychotics


Question 3.
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects?
Correct Answer: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive
symptoms


Question 4.
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking
which of the following receptors?
Correct Answer: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"


Question 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?
Correct Answer: C) Substance use disorder
Incorrect: substance intox, substance withdrawal, all of the above


Question 6.
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the following?
Correct Answer: C) Tardive dyskinesia
Incorrect: akathisia, dystonia, EPS

,Question 7.
Delusional disorder
Correct Answer: 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?


Question 8.
Which of the following is true about preoccupation with castration?
Correct Answer: 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


Question 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?
Correct Answer: CPT
Incorrect: HIPPA, DSM5-, DRG


Question 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?
Correct Answer: A) This is likely a harmless response to the Chlorpromazine
"Thorazine"


Question 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?
Correct Answer: B) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for
women when they decide to have a baby


Question 12.
Which of the following would be characterized as a negative s/s of schizophrenia?

,Correct Answer: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care


Question 13.
Which of the following are keys to distinguishing OCD from psychosis?
Correct Answer: Patients with OCD can almost always acknowledge the
unreasonable nature of
their symptoms


Question 14.
A federal program administered nationally and locally which covers enrolled
individuals 65+ who pays premiums and disabled individuals
Correct Answer: Both A& B (Medicare and Medicaid)


Question 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?
Correct Answer: 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


Question 16.
Which of the following is the most widely consumed psychoactive substance?
Correct Answer: B) Caffeine
Incorrect: alcohol, heroin, cannabis


Question 17.
Which of the following is used to tx TD? None of the above
Correct Answer: (cogentin, artane, catapress)


Question 18.
The APRN consensus model did which of the following?
Correct Answer: 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

, Question 19.
Which of the following behaviors are associated with an alcohol blood level of 0.05%?
Correct Answer: B) Thought judgement and restraints are impaired


Question 20.
According to HIPPA, which of the following must the NP share their NPI with? Check
all the above
Correct Answer: A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose


Question 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?
Correct Answer: Schizophrenia


Question 22.
A) Dopamine
Major neurotransmitters possibly involved in developing substance abuse and
substance dependence
are which of the following?
Correct Answer: Incorrect: GABA, serotonin, A& B only


Question 23.
The dopamine hypothesis of schizophrenia, which of the following?
Correct Answer: A) Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine


Question 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:
Correct Answer: B) Specific phobia


Question 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