COMBINED NRNP 6675 MIDTERM EXAM QUESTIONS AND
ANSWERS. LATEST UPDATE 2025/2026 GRADED A+, FOR
NURSING.
Discrepancy between anatomical sex and gender is known as? - ANS>>B)
Gender Discordance
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
Antipsychotic medication provides D2 blockage in the meso-cortical pathway
causing which of the following effects? - ANS>>B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinoma, reduces positive
symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioural 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 following? - 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 paraphilic
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 behaviours 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
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 - ANS>>D) All of the above
(Residential tx, partial hospitalization, output tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known
as? - ANS>>C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described
by which of these statements? - ANS>>B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by
autonomic symptoms varies upon persons is commonly known as which of
the following? - ANS>>C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
If a pregnancy begins while the woman is taking high doses of methadone and
withdrawal is desired during which trimester is the least hazardous? -
ANS>>D) Withdrawal from methadone should never be done while the woman
is pregnant
ANSWERS. LATEST UPDATE 2025/2026 GRADED A+, FOR
NURSING.
Discrepancy between anatomical sex and gender is known as? - ANS>>B)
Gender Discordance
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
Antipsychotic medication provides D2 blockage in the meso-cortical pathway
causing which of the following effects? - ANS>>B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinoma, reduces positive
symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioural 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 following? - 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 paraphilic
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 behaviours 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
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 - ANS>>D) All of the above
(Residential tx, partial hospitalization, output tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known
as? - ANS>>C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described
by which of these statements? - ANS>>B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by
autonomic symptoms varies upon persons is commonly known as which of
the following? - ANS>>C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
If a pregnancy begins while the woman is taking high doses of methadone and
withdrawal is desired during which trimester is the least hazardous? -
ANS>>D) Withdrawal from methadone should never be done while the woman
is pregnant
