NRNP 6675 Midterm UPDATED ACTUAL Exam Questions and CORRECT Answers

NRNP 6675 Midterm
UPDATED ACTUAL Exam Questions and CORRECT Answers

Question 1.
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects?
A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms

Correct Answer: A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms


Question 2.
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking
which of the following receptors?
A. GABA
B. serotonin
C. dopamine receptors
D. NMDA type receptors

Correct Answer: A. GABA
B. serotonin
C. dopamine receptors
D. NMDA type receptors


Question 3.
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 following?
A. substance intoxication
B. substance withdrawal
C. substance use disorder
D. all of the above

Correct Answer: A. substance intoxication (Sadock p. 269)
B. substance withdrawal
C. Substance Use disorder
D. all of the above


Question 4.
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
tongue, and jaw is known as which of the following?
A. akathisia

,B. dystonia
C. tardive dyskinesia
D. EPS

Correct Answer: A. akathisia
B. dystonia
C. tardive dyskinesia
D. EPS


Question 5.
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?
A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder

Correct Answer: A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder


Question 6.
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. consistent with transvestic disorder
C. other specified paraphilic disorder
D. sexual masochism disorder

Correct Answer: A. this can be serious and life-threatening if castration is
carried out without medical supervision
B. consistent with transvestic disorder
C. other specified paraphilic disorder
D. sexual masochism disorder


Question 7.
Which of the following is a system that provides a uniform language for describing
medical and surgical procedures and diagnostics services rendered by clinicians?
A. HIPPA
B. CPT
C. DSM-5
D. DRG

,Correct Answer: A. HIPPA
B. CPT
C. DSM-5
D. DRG


Question 8.
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
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. Refer patient to PCP for follow-up

Correct Answer: 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. Refer patient to PCP for
follow-up


Question 9.
A condition that results from the absence of a second female sex chromosome (XO) and
is associated with web neck, dwarfism, cubitus valgus, and infertility is known as what?
A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome

Correct Answer: A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome


Question 10.
Which of the following would be characterized as a negative symptom of schizophrenia?
A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only

Correct Answer: A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only

, Question 11.
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. patient with OCD are better able to control their compulsions
C. patient with psychosis will have more obsessive thoughts
D. patients with OCD have less bizarre obsessions

Correct Answer: A. patients with OCD can almost always acknowledge the
unreasonable nature of their symptoms
B. patient with OCD are better able to control their compulsions
C. patient with psychosis will have more obsessive thoughts
D. patients with OCD have less bizarre obsessions


Question 12.
A federal program administered nationally and locally that covers enrolled individuals 65
who pay premiums and disabled individuals...
A. Medicare
B. Medicaid
C. both A & B
D. none of the above

Correct Answer: A. Medicare
B. Medicaid
C. both A & B
D. none of the above


Question 13.
Having an adequate legal description of the nurse practitioner's (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 reimbursed for physician services when provided by an NP
D. all of the above

Correct Answer: 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 reimbursed for physician services when provided by an NP
D. all of the above


Question 14.
Which of the following is the most widely consumed psychoactive substance?
A. alcohol
B. caffeine