NRNP 6675 Final Exam
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply ANS:
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? ANS: B) Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the
following effects? ANS: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the
following receptors? ANS: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
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? ANS: C) Substance use disorder
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? ANS: C) Tardive dyskinesia
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? ANS:
Delusional disorder
Which of the following is true about preoccupation with castration? ANS: 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
Which of the following is a system that provides a uniform language for describing medical and surgical
procedures and diagnostics services rendered by clinicians? ANS: CPT
Incorrect: HIPPA, DSM5-, DRG
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? ANS: A) This is likely a harmless response to the
Chlorpromazine
"Thorazine"
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? ANS: B) Turners
Syndrome
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 schizophrenia? ANS: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? ANS: Patients with OCD can
almost always acknowledge the unreasonable nature of their symptoms
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays
premiums and disabled individuals ANS: Both A& B (Medicare and Medicaid)
Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law
is important for which of the following reasons? ANS: 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
Which of the following is the most widely consumed psychoactive substance? ANS: B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? ANS: None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? ANS: 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
Which of the following behaviors are associated with an alcohol blood level of 0.05%? ANS: B) Thought
judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the above ANS:
A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
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? ANS:
Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and substance dependence
are which of the following? ANS: A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? ANS: A) Schizophrenia results from
too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has avoided elevators.
The pt meets the criteria for: ANS: B) Specific phobia
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply ANS:
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? ANS: B) Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the
following effects? ANS: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the
following receptors? ANS: D) NMDA type receptors
Incorrect: GABA, serotonin, dopamine "receptors"
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? ANS: C) Substance use disorder
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? ANS: C) Tardive dyskinesia
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? ANS:
Delusional disorder
Which of the following is true about preoccupation with castration? ANS: 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
Which of the following is a system that provides a uniform language for describing medical and surgical
procedures and diagnostics services rendered by clinicians? ANS: CPT
Incorrect: HIPPA, DSM5-, DRG
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? ANS: A) This is likely a harmless response to the
Chlorpromazine
"Thorazine"
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? ANS: B) Turners
Syndrome
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 schizophrenia? ANS: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? ANS: Patients with OCD can
almost always acknowledge the unreasonable nature of their symptoms
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays
premiums and disabled individuals ANS: Both A& B (Medicare and Medicaid)
Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law
is important for which of the following reasons? ANS: 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
Which of the following is the most widely consumed psychoactive substance? ANS: B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? ANS: None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? ANS: 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
Which of the following behaviors are associated with an alcohol blood level of 0.05%? ANS: B) Thought
judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the above ANS:
A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
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? ANS:
Schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and substance dependence
are which of the following? ANS: A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? ANS: A) Schizophrenia results from
too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has avoided elevators.
The pt meets the criteria for: ANS: B) Specific phobia
