NRNP 6675 Final Exam QUESTIONS &
ANSWERS
Which of the following are risk factors for neuroleptic malignant syndrome? Select all
that apply - ANSWERSRapid dose escalation; parental route of administration; higher
potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? - ANSWERSB) Gender
Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects? - ANSWERSB) 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? - ANSWERSD) 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? -
ANSWERSC) 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? - ANSWERSC) 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? - ANSWERSDelusional disorder
Which of the following is true about preoccupation with castration? - ANSWERSA) 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? -
ANSWERSCPT
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? - ANSWERSA) 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? - ANSWERSB) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ANSWERSC) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance
use disorder? Select all that apply - ANSWERSD) A&B only
(Patients who have a substance overdose who cannot be safely tx in an outpt setting &
pts who are at risk for severe or medically complicated withdrawal symptoms
The nursing practice model recommendation for NPs by the NAtional Academy of
Medicine and the National Council of State Boards of Nursing is which of the following?
- ANSWERSA) Full practice
Which of the following groups does medicare cover? Select all the above -
ANSWERSA) Individuals 65+ years and older who have enrolled and pay premiums
B) Disabled individuals who quality for social security disability payments and benefits
Which of the following neurotransmitters increases libidio? - ANSWERSD) Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with
OCD? - ANSWERSD) A & C
(Childhood onset & Co-existing major depressive disorder)
,Which of the following is inconsistent with current knowledge about schizophrenia? -
ANSWERSC) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
A chronic disorder characterized by repetitive hair pulling leading to variable hair loss
that may be..to others known as? - ANSWERSC) Trichotillomania
Which of the following are risk factors for neuroleptic malignant syndrome? -
ANSWERSB) Rapid dose escalation
C) Parental route of admin
D) High potency typical antipsychotics
A method of therapy used to tx individuals with substance use based on the
fundamental principle of a psychology that reinforced behaviors are likely to be..is
known as the following? - ANSWERSB) Contingency Management
The conditions in which people are born, grow, work, live and age are known as? -
ANSWERSSocial determinants of health
All of the following is consistent with the ANCCs rules regarding recertification EXCEPT:
- ANSWERSA) You are required to have a maximum of 25 credit hours during each
certification period
Correct:
B) you can start the recert process 1 year before your expiration date, but no later than
3 months before
C) You must have 1000 clinical practice hours in a clinical speciality within the
preceding 5 years
D)you must have at least 25 contact hours in pharmacotherapy
Risks factors for school violence include which of the following? Select all that apply -
ANSWERSA) Bullying
B) Being bullied
C) Isolation
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas in the lives, lack of self-confidence, and may experience
intense discomfort when alone for more than a brief period of time are demonstrating
characteristics with which of the following personality disorders? - ANSWERSC)
Dependent personality disorder
Incorrect: avoid PD, passive PD, antisocial PD
Generalized convulsions, oliguria, and renal failure are symptoms seen with which of
the following lithium levels? - ANSWERSD) >25 mEq/L
, (TOXICITY)
A form of child abuse in which a patient or character repeatedly fabricates or actually
inflicts injury or illness in a child for whom medical intervention is then sought in an ER
is known as which of the following? - ANSWERSD) Munchausen Syndrome by Proxy
Self-care strategies for the ARNP in preparing for the certification exam include all of
the following EXCEPT? - ANSWERSD) plan to study for short periods over a longer
period of time
A patient presents with a formal, tense manner. He reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupied
with..trustworthiness of friends, unjustified concerns about others deceiving him, angry
about perceived insults and slights, reluctant to confide in the ARNP. The ARNP
suspects that the pt likely has which of the following PDs? - ANSWERSB) Paranoid PD
Incorrect: schizoid PD, BDP, Antisocial PD
A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar
ataxia, and confusion. Symptoms are consistent with which of the following psychiatric
emergencies? - ANSWERSC) Wernickes Encephalopathy
Incorrect: akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication
Cluster A personality disorders are more common in biological families of pts with which
of the following disorders? - ANSWERSD) Schizophrenia
Incorrect: depression, OCD, alcohol use disorder
NP core competencies for INDEPENDENT practice includes all of the following
EXCEPT: - ANSWERSB) Demonstrates the highest level of accountability for
professional practice
NP competencies for independent practice: - ANSWERSA) Maintain a collaboration
agreement with physician
C) Practices independently managing previously diagnosed and under-diagnosed pts
D) Practices patient centered care recognizing culture diversity and the pt or designee
as a full practice in decision making
Cluster A personality traits consists of which of the following? - ANSWERSA)
Schizotypal, schizoid, and paranoid subtypes
The misuse of the charge's funds for personal gain is known as which of the following? -
ANSWERSC) Financial abuse /exploitation
ANSWERS
Which of the following are risk factors for neuroleptic malignant syndrome? Select all
that apply - ANSWERSRapid dose escalation; parental route of administration; higher
potency typical antipsychotics
Discrepancy between anatomical sex and gender is known as? - ANSWERSB) Gender
Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
which of the following effects? - ANSWERSB) 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? - ANSWERSD) 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? -
ANSWERSC) 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? - ANSWERSC) 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? - ANSWERSDelusional disorder
Which of the following is true about preoccupation with castration? - ANSWERSA) 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? -
ANSWERSCPT
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? - ANSWERSA) 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? - ANSWERSB) Turners Syndrome
Turners syndrome:
tx involves hormone therapy; fertility treatments for women when they decide to have a
baby
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ANSWERSC) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance
use disorder? Select all that apply - ANSWERSD) A&B only
(Patients who have a substance overdose who cannot be safely tx in an outpt setting &
pts who are at risk for severe or medically complicated withdrawal symptoms
The nursing practice model recommendation for NPs by the NAtional Academy of
Medicine and the National Council of State Boards of Nursing is which of the following?
- ANSWERSA) Full practice
Which of the following groups does medicare cover? Select all the above -
ANSWERSA) Individuals 65+ years and older who have enrolled and pay premiums
B) Disabled individuals who quality for social security disability payments and benefits
Which of the following neurotransmitters increases libidio? - ANSWERSD) Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with
OCD? - ANSWERSD) A & C
(Childhood onset & Co-existing major depressive disorder)
,Which of the following is inconsistent with current knowledge about schizophrenia? -
ANSWERSC) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
A chronic disorder characterized by repetitive hair pulling leading to variable hair loss
that may be..to others known as? - ANSWERSC) Trichotillomania
Which of the following are risk factors for neuroleptic malignant syndrome? -
ANSWERSB) Rapid dose escalation
C) Parental route of admin
D) High potency typical antipsychotics
A method of therapy used to tx individuals with substance use based on the
fundamental principle of a psychology that reinforced behaviors are likely to be..is
known as the following? - ANSWERSB) Contingency Management
The conditions in which people are born, grow, work, live and age are known as? -
ANSWERSSocial determinants of health
All of the following is consistent with the ANCCs rules regarding recertification EXCEPT:
- ANSWERSA) You are required to have a maximum of 25 credit hours during each
certification period
Correct:
B) you can start the recert process 1 year before your expiration date, but no later than
3 months before
C) You must have 1000 clinical practice hours in a clinical speciality within the
preceding 5 years
D)you must have at least 25 contact hours in pharmacotherapy
Risks factors for school violence include which of the following? Select all that apply -
ANSWERSA) Bullying
B) Being bullied
C) Isolation
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas in the lives, lack of self-confidence, and may experience
intense discomfort when alone for more than a brief period of time are demonstrating
characteristics with which of the following personality disorders? - ANSWERSC)
Dependent personality disorder
Incorrect: avoid PD, passive PD, antisocial PD
Generalized convulsions, oliguria, and renal failure are symptoms seen with which of
the following lithium levels? - ANSWERSD) >25 mEq/L
, (TOXICITY)
A form of child abuse in which a patient or character repeatedly fabricates or actually
inflicts injury or illness in a child for whom medical intervention is then sought in an ER
is known as which of the following? - ANSWERSD) Munchausen Syndrome by Proxy
Self-care strategies for the ARNP in preparing for the certification exam include all of
the following EXCEPT? - ANSWERSD) plan to study for short periods over a longer
period of time
A patient presents with a formal, tense manner. He reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupied
with..trustworthiness of friends, unjustified concerns about others deceiving him, angry
about perceived insults and slights, reluctant to confide in the ARNP. The ARNP
suspects that the pt likely has which of the following PDs? - ANSWERSB) Paranoid PD
Incorrect: schizoid PD, BDP, Antisocial PD
A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar
ataxia, and confusion. Symptoms are consistent with which of the following psychiatric
emergencies? - ANSWERSC) Wernickes Encephalopathy
Incorrect: akathisia, korsakoff's syndromes, idiosyncratic alcohol intoxication
Cluster A personality disorders are more common in biological families of pts with which
of the following disorders? - ANSWERSD) Schizophrenia
Incorrect: depression, OCD, alcohol use disorder
NP core competencies for INDEPENDENT practice includes all of the following
EXCEPT: - ANSWERSB) Demonstrates the highest level of accountability for
professional practice
NP competencies for independent practice: - ANSWERSA) Maintain a collaboration
agreement with physician
C) Practices independently managing previously diagnosed and under-diagnosed pts
D) Practices patient centered care recognizing culture diversity and the pt or designee
as a full practice in decision making
Cluster A personality traits consists of which of the following? - ANSWERSA)
Schizotypal, schizoid, and paranoid subtypes
The misuse of the charge's funds for personal gain is known as which of the following? -
ANSWERSC) Financial abuse /exploitation
