NRNP 6675 MIDTERM EXAM
Questions and Answers
1.Discrepancy between anatomical sex and gender is known as?
Answer B) Gender Discordance
2.Which of the following are risk factors for neuroleptic malignant
syndrome? Select all that apply
Answer Rapid dose escalation; parental route of administration; higher
potency typical antipsychotics
3.Antipsychotic medication provides D2 blockage in the meso-coritcal
path- way causing which of the following effects?
Answer B) Increases EPS
Incorrect
reduces negative s/s, causes prolactinemia, reduces positive symptoms
4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects
by blocking which of the following receptors?
Answer D) NMDA type receptors
Incorrect
GABA, serotonin, dopamine "receptors"
1/
102
,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?
Answer C) Substance use disorder
Incorrect
substance intox, substance withdrawal, all of the above
6.Abnormal involuntary movements in a rhythmic pattern affecting the
face, mouth, tongue jaw is known as which of the following?
Answer C) Tardive dyskinesia
Incorrect
akathisia, dystonia, EPS
7.A deeply held belief despite evidence to the contrary, lasting at least 1
month, without prominent hallucinations, with functional impairment that
re- lates to the delusional system disorder called?
Answer Delusional disorder
8.Which of the following is true about preoccupation with castration?
Answer A) This can be serious and life threatening if castration is
carried out without medical supervision
2/
102
,Incorrect
consistent with transvestiatic disorder, other specified paraphillic
disorder, or sexual machochism disorder
9.Which of the following is a system that provides a uniform language for
de- scribing medical and surgical procedures and diagnostics services
rendered by clinicians?
Answer CPT
Incorrect
HIPPA, DSM5-, DRG
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?
Answer A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
11.A condition which results from absence of second female sex
chromo- some (XO) and is associated with web neck, dwarfism, cubitus
valgus and infertility is known as which of the following?
Answer B) Turners Syndrome
3/
102
, Turners syndrome
tx involves hormone therapy; fertility treatments for women when they
decide to have a baby
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?
Answer B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13.Which of the following are keys to distinguishing OCD from psychosis?
Answer - Patients with OCD can almost always acknowledge the
unreasonable nature of their symptoms
14.A federal program administered nationally and locally which covers en-
rolled individuals 65+ who pays premiums and disabled individuals
Answer Both A& B (Medicare and Medicaid)
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?
Answer All of the above (to avoid any charges of practicing medicine
without a license, to place accountability for both benefits and harm to
4/
102
Questions and Answers
1.Discrepancy between anatomical sex and gender is known as?
Answer B) Gender Discordance
2.Which of the following are risk factors for neuroleptic malignant
syndrome? Select all that apply
Answer Rapid dose escalation; parental route of administration; higher
potency typical antipsychotics
3.Antipsychotic medication provides D2 blockage in the meso-coritcal
path- way causing which of the following effects?
Answer B) Increases EPS
Incorrect
reduces negative s/s, causes prolactinemia, reduces positive symptoms
4.Phencyclidine (PCP) and ketamine exert their unique behavioral effects
by blocking which of the following receptors?
Answer D) NMDA type receptors
Incorrect
GABA, serotonin, dopamine "receptors"
1/
102
,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?
Answer C) Substance use disorder
Incorrect
substance intox, substance withdrawal, all of the above
6.Abnormal involuntary movements in a rhythmic pattern affecting the
face, mouth, tongue jaw is known as which of the following?
Answer C) Tardive dyskinesia
Incorrect
akathisia, dystonia, EPS
7.A deeply held belief despite evidence to the contrary, lasting at least 1
month, without prominent hallucinations, with functional impairment that
re- lates to the delusional system disorder called?
Answer Delusional disorder
8.Which of the following is true about preoccupation with castration?
Answer A) This can be serious and life threatening if castration is
carried out without medical supervision
2/
102
,Incorrect
consistent with transvestiatic disorder, other specified paraphillic
disorder, or sexual machochism disorder
9.Which of the following is a system that provides a uniform language for
de- scribing medical and surgical procedures and diagnostics services
rendered by clinicians?
Answer CPT
Incorrect
HIPPA, DSM5-, DRG
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?
Answer A) This is likely a harmless response to the Chlorpromazine
"Thorazine"
11.A condition which results from absence of second female sex
chromo- some (XO) and is associated with web neck, dwarfism, cubitus
valgus and infertility is known as which of the following?
Answer B) Turners Syndrome
3/
102
, Turners syndrome
tx involves hormone therapy; fertility treatments for women when they
decide to have a baby
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?
Answer B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13.Which of the following are keys to distinguishing OCD from psychosis?
Answer - Patients with OCD can almost always acknowledge the
unreasonable nature of their symptoms
14.A federal program administered nationally and locally which covers en-
rolled individuals 65+ who pays premiums and disabled individuals
Answer Both A& B (Medicare and Medicaid)
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?
Answer All of the above (to avoid any charges of practicing medicine
without a license, to place accountability for both benefits and harm to
4/
102
