NRNP 6675 MIDTERM AND FINAL EXAM
REVIEW QUESTIONS AND ANSWERS
2027.
1. Which neurotransmitter is primarily associated with the reward system and executive
function in the prefrontal cortex?
A. Serotonin
B. GABA
C. Dopamine
D. Glutamate
Answer: C
Conceptual Explanation: Dopamine is key to the reward system and is involved in
executive functions such as focus and motivation within the prefrontal cortex.
2. According to Erikson’s stages of development, what is the primary conflict for a child aged
3 to 5 years?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
,D. Initiative vs. Guilt
Answer: D
Conceptual Explanation: Initiative vs. Guilt occurs during the preschool years where
children begin to assert power and control through play.
3. Which laboratory value is most critical to monitor for a patient prescribed Clozapine?
A. Liver enzymes
B. Absolute Neutrophil Count (ANC)
C. Serum Creatinine
D. Thyroid Stimulating Hormone (TSH)
Answer: B
Conceptual Explanation: Clozapine carries a risk of agranulocytosis, requiring regular
monitoring of the ANC to ensure patient safety.
4. A patient presents with muscle rigidity, high fever, and autonomic instability after starting
a high-potency antipsychotic. What is the likely diagnosis?
A. Serotonin Syndrome
B. Akathisia
C. Neuroleptic Malignant Syndrome (NMS)
D. Tardive Dyskinesia
, Answer: C
Conceptual Explanation: NMS is a life-threatening reaction to antipsychotic drugs
characterized by ‘lead pipe’ rigidity, hyperthermia, and autonomic dysfunction.
5. The therapeutic reference range for Lithium in the maintenance phase is generally:
A. 0.1 to 0.5 mEq/L
B. 0.6 to 1.2 mEq/L
C. 1.5 to 2.0 mEq/L
D. 2.0 to 2.5 mEq/L
Answer: B
Conceptual Explanation: Lithium maintenance levels are usually targeted between 0.6
and 1.2 mEq/L to balance efficacy and toxicity.
6. Which brain region is primarily responsible for the processing of fear and emotional
memory?
A. Amygdala
B. Thalamus
C. Hippocampus
D. Basal Ganglia
Answer: A
REVIEW QUESTIONS AND ANSWERS
2027.
1. Which neurotransmitter is primarily associated with the reward system and executive
function in the prefrontal cortex?
A. Serotonin
B. GABA
C. Dopamine
D. Glutamate
Answer: C
Conceptual Explanation: Dopamine is key to the reward system and is involved in
executive functions such as focus and motivation within the prefrontal cortex.
2. According to Erikson’s stages of development, what is the primary conflict for a child aged
3 to 5 years?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
,D. Initiative vs. Guilt
Answer: D
Conceptual Explanation: Initiative vs. Guilt occurs during the preschool years where
children begin to assert power and control through play.
3. Which laboratory value is most critical to monitor for a patient prescribed Clozapine?
A. Liver enzymes
B. Absolute Neutrophil Count (ANC)
C. Serum Creatinine
D. Thyroid Stimulating Hormone (TSH)
Answer: B
Conceptual Explanation: Clozapine carries a risk of agranulocytosis, requiring regular
monitoring of the ANC to ensure patient safety.
4. A patient presents with muscle rigidity, high fever, and autonomic instability after starting
a high-potency antipsychotic. What is the likely diagnosis?
A. Serotonin Syndrome
B. Akathisia
C. Neuroleptic Malignant Syndrome (NMS)
D. Tardive Dyskinesia
, Answer: C
Conceptual Explanation: NMS is a life-threatening reaction to antipsychotic drugs
characterized by ‘lead pipe’ rigidity, hyperthermia, and autonomic dysfunction.
5. The therapeutic reference range for Lithium in the maintenance phase is generally:
A. 0.1 to 0.5 mEq/L
B. 0.6 to 1.2 mEq/L
C. 1.5 to 2.0 mEq/L
D. 2.0 to 2.5 mEq/L
Answer: B
Conceptual Explanation: Lithium maintenance levels are usually targeted between 0.6
and 1.2 mEq/L to balance efficacy and toxicity.
6. Which brain region is primarily responsible for the processing of fear and emotional
memory?
A. Amygdala
B. Thalamus
C. Hippocampus
D. Basal Ganglia
Answer: A
