NRNP 6645 Midterm Exam Questions and Answers
100% Verified Graded A+
1. Discrepancy between anatomical sex and gender is known as?
Answer: B) Gender Discor-dance
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"
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
relates 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
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 chromosome
(XO) and is associated with web neck, dwarfism, cubitus valgus and infertility
is known as which of the following?
Answer: B) Turners Syndrome
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 schizo-
phrenia?:
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: Pa-tients 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 rea-
sons?:
Answer: 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
16. Which of the following is the most widely consumed psychoactive sub-
stance?
100% Verified Graded A+
1. Discrepancy between anatomical sex and gender is known as?
Answer: B) Gender Discor-dance
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"
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
relates 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
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 chromosome
(XO) and is associated with web neck, dwarfism, cubitus valgus and infertility
is known as which of the following?
Answer: B) Turners Syndrome
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 schizo-
phrenia?:
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: Pa-tients 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 rea-
sons?:
Answer: 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
16. Which of the following is the most widely consumed psychoactive sub-
stance?
