NRNP 6675 Final Exam
(Walden University)
,5/11/24 , 12:36 PM
NRNP 6675 Final Exam study
Which of the following are risk factors for Rapid dose escalation; parental route of administration; higher potency typical
neuroleptic malignant syndrome? Select all antipsychotics
that apply
Discrepancy between anatomical sex and B) Gender Discordance
gender is known as?
Antipsychotic medication provides D2 B) Increases EPS
blockage in the meso-coritcal pathway
causing which of the following effects? Incorrect: reduces negative s/s,causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their D) Ntv1DA type receptors
unique behavioral effects by blocking which
of the following receptors? Incorrect: GABA,serotonin,dopamine "receptors"
The diagnosis used to describe a syndrome C) Substance use disorder
characterized by specific s/s resulting from
recent ingestion or exposure to a substance Incorrect: substance intox,substance withdrawal,all of the above
is known as which of the folllowing?
Abnormal involuntary movements in a C) Tardive dyskinesia
rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the Incorrect: akathisia,dystonia, EPS
following?
A deeply held belief despite evidence to the Delusional disorder
contrary,lasting at least l month,without
prominent hallucinations,with functional
impairment that relates to the delusional
system disorder called?
A) This can be serious and life threatening if castration is carried out without medical
supervision
Which of the following is true about
preoccupation with castration?
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,or
sexual machochism disorder
Which of the following is a system that CPT
provides a uniform language for describing
medical and surgical procedures and Incorrect: HIPPA, DStv15-, DRG
diagnostics services rendered by clinicians?
1/33
, NRNP 6675 Final Exam
commomy nave m1tKy urine. 1 ne A t"'KN ··1 noraz1ne··
realizes this is which of the following?
B) Turners Syndrome
A condition which results from absence of
second female sex chromosome (XO) and is
Turners syndrome:
associated with web neck,dwarfism,cubitus
valgus and infertility is known as which of the
tx involves hormone therapy; fertility treatments for women when they decide to have a
following?
baby
B & C only
Which of the following would be
characterized as a negative s/s of
B) impaired social and occupational functioning
schizophrenia?
C) isolation and impaired self-care
Which of the following are keys to Patients with OCD can almost always acknowledge the unreasonable nature of their
distinguishing OCD from psychosis? symptoms
A federal program administered nationally Both A& B (Medicare and Medicaid)
and locally which covers enrolled individuals
65• who pays premiums and disabled
individuals
Having an adequate legal description of All of the above (to avoid any charges of practicing medicine without a license,to
nurse practitioner (NP) scope of practice place accountability for both benefits and harm to patients squarely on the NP,to get
according to state law is important for which reimbursed for physician services when provided by a NP
of the following reasons?
B) Caffeine
Which of the following is the most widely
consumed psychoactive substance?
Incorrect: alcohol, heroin,cannabis
None of the above
Which of the following is used to tx TD?
(cogentin,artane,catapress)
B&C
The APRN consensus model did which of the
following? 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 B) Thought judgement and restraints are impaired
associated with an alcohol blood level of
0.05%?
According to HIPPA,which of the following A) Health Plans
must the NP share their NPI with? Check all B) Other providers
the above C) Any entity that may need it for a billing purpose
A patient presents with delusions, Schizophrenia
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?
Major neurotransmitters possibly involved in A) Dopamine
developing substance abuse and substance
dependence are which of the following? Incorrect: GABA, serotonin,A& B only
2/33
, NRNP 6675 Final Exam
incorrect: resutts rrom a aepnvanon or aopamine
A patient reports a panic attack several years B) Specific phobia
ago in an elevator and since then has
avoided elevators. The pt meets the criteria
for:
A patient with a substance use disorder who D) All of the above
does not meet clinical criteria for
hospitalization but lacks sufficient social and (Residential tx,partial hospitalization,outpt tx)
vocational skills and lack substance-free
social supports is to
C) Telephone Scatologia
Obscene phone calling to an unsuspecting
partner for sexual arousal is known as?
(not telephillia,partialism,normal adolescent prank)
The main psychological difference between B) Anxiety is insidious,fear is sudden
fear and anxiety is best described by which
of these statements?
A diffuse,unpleasant,vague sense of C) Normal anxiety
apprehension often accompanied by
autonomic symptoms varies upon persons is (incorrect- fear,stress,pathological anxiety
commonly known as which of the following?
If a pregnancy begins while the woman is D) Withdrawal from methadone should never be done while the woman is pregnant
taking high doses of methadone and
withdrawal is desired during which trimester
is the least hazardous?
Neurochemical or neurophysiological C) Neuroadaption
changes in the body that results from the
repeated administration of a drug is known incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
as which of the following?
The recurrent and intense sexual arousal C) Sexual sadism
from the physical and psychological
suffering of another person is known as
which of the following?
D) The onset of OCD is typically preceded by OCD personality traits
Which of the following is not consistent with True answers about OCD:
the onset of OCD? -more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals C) Exhibitionism
to a stranger is known ass which of the
following?
D) A&B only
Which of the following patients would be
appropriate for hospitalization for substance
(Patients who have a substance overdose who cannot be safely tx in an outpt setting &
use disorder? Select all that apply
pts who are at risk for severe or medically complicated withdrawal symptoms
3/33
(Walden University)
,5/11/24 , 12:36 PM
NRNP 6675 Final Exam study
Which of the following are risk factors for Rapid dose escalation; parental route of administration; higher potency typical
neuroleptic malignant syndrome? Select all antipsychotics
that apply
Discrepancy between anatomical sex and B) Gender Discordance
gender is known as?
Antipsychotic medication provides D2 B) Increases EPS
blockage in the meso-coritcal pathway
causing which of the following effects? Incorrect: reduces negative s/s,causes prolactinemia, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their D) Ntv1DA type receptors
unique behavioral effects by blocking which
of the following receptors? Incorrect: GABA,serotonin,dopamine "receptors"
The diagnosis used to describe a syndrome C) Substance use disorder
characterized by specific s/s resulting from
recent ingestion or exposure to a substance Incorrect: substance intox,substance withdrawal,all of the above
is known as which of the folllowing?
Abnormal involuntary movements in a C) Tardive dyskinesia
rhythmic pattern affecting the face, mouth,
tongue jaw is known as which of the Incorrect: akathisia,dystonia, EPS
following?
A deeply held belief despite evidence to the Delusional disorder
contrary,lasting at least l month,without
prominent hallucinations,with functional
impairment that relates to the delusional
system disorder called?
A) This can be serious and life threatening if castration is carried out without medical
supervision
Which of the following is true about
preoccupation with castration?
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,or
sexual machochism disorder
Which of the following is a system that CPT
provides a uniform language for describing
medical and surgical procedures and Incorrect: HIPPA, DStv15-, DRG
diagnostics services rendered by clinicians?
1/33
, NRNP 6675 Final Exam
commomy nave m1tKy urine. 1 ne A t"'KN ··1 noraz1ne··
realizes this is which of the following?
B) Turners Syndrome
A condition which results from absence of
second female sex chromosome (XO) and is
Turners syndrome:
associated with web neck,dwarfism,cubitus
valgus and infertility is known as which of the
tx involves hormone therapy; fertility treatments for women when they decide to have a
following?
baby
B & C only
Which of the following would be
characterized as a negative s/s of
B) impaired social and occupational functioning
schizophrenia?
C) isolation and impaired self-care
Which of the following are keys to Patients with OCD can almost always acknowledge the unreasonable nature of their
distinguishing OCD from psychosis? symptoms
A federal program administered nationally Both A& B (Medicare and Medicaid)
and locally which covers enrolled individuals
65• who pays premiums and disabled
individuals
Having an adequate legal description of All of the above (to avoid any charges of practicing medicine without a license,to
nurse practitioner (NP) scope of practice place accountability for both benefits and harm to patients squarely on the NP,to get
according to state law is important for which reimbursed for physician services when provided by a NP
of the following reasons?
B) Caffeine
Which of the following is the most widely
consumed psychoactive substance?
Incorrect: alcohol, heroin,cannabis
None of the above
Which of the following is used to tx TD?
(cogentin,artane,catapress)
B&C
The APRN consensus model did which of the
following? 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 B) Thought judgement and restraints are impaired
associated with an alcohol blood level of
0.05%?
According to HIPPA,which of the following A) Health Plans
must the NP share their NPI with? Check all B) Other providers
the above C) Any entity that may need it for a billing purpose
A patient presents with delusions, Schizophrenia
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?
Major neurotransmitters possibly involved in A) Dopamine
developing substance abuse and substance
dependence are which of the following? Incorrect: GABA, serotonin,A& B only
2/33
, NRNP 6675 Final Exam
incorrect: resutts rrom a aepnvanon or aopamine
A patient reports a panic attack several years B) Specific phobia
ago in an elevator and since then has
avoided elevators. The pt meets the criteria
for:
A patient with a substance use disorder who D) All of the above
does not meet clinical criteria for
hospitalization but lacks sufficient social and (Residential tx,partial hospitalization,outpt tx)
vocational skills and lack substance-free
social supports is to
C) Telephone Scatologia
Obscene phone calling to an unsuspecting
partner for sexual arousal is known as?
(not telephillia,partialism,normal adolescent prank)
The main psychological difference between B) Anxiety is insidious,fear is sudden
fear and anxiety is best described by which
of these statements?
A diffuse,unpleasant,vague sense of C) Normal anxiety
apprehension often accompanied by
autonomic symptoms varies upon persons is (incorrect- fear,stress,pathological anxiety
commonly known as which of the following?
If a pregnancy begins while the woman is D) Withdrawal from methadone should never be done while the woman is pregnant
taking high doses of methadone and
withdrawal is desired during which trimester
is the least hazardous?
Neurochemical or neurophysiological C) Neuroadaption
changes in the body that results from the
repeated administration of a drug is known incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
as which of the following?
The recurrent and intense sexual arousal C) Sexual sadism
from the physical and psychological
suffering of another person is known as
which of the following?
D) The onset of OCD is typically preceded by OCD personality traits
Which of the following is not consistent with True answers about OCD:
the onset of OCD? -more than 1/2 of pts with OCD have a sudden onset of symptoms
-the onset of symptoms for about 50-70% of patients occurs after a stressful event
-most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals C) Exhibitionism
to a stranger is known ass which of the
following?
D) A&B only
Which of the following patients would be
appropriate for hospitalization for substance
(Patients who have a substance overdose who cannot be safely tx in an outpt setting &
use disorder? Select all that apply
pts who are at risk for severe or medically complicated withdrawal symptoms
3/33
