NRNP 6675 Midterm Exam 455+ Questions with Verified Answers ||Complete A+ Guide

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NRNP 6675 MidteRM exaM

455+ Questions with Verified Answers ||Complete A+ Guide


1. Discrepancy between anatomical sex and gender is known as?
f f f f f f f f


B) Gender Discordance
f f




2. Which of the following are risk factors for neuroleptic malignant syndrome? Select
f f f f f f f f f f f


all that apply
f f f


Rapid dose escalation; parental route of administration; higher potency typical
f f f f f f f f f


antipsychotics
f




3. Antipsychotic medication provides D2 blockage in the meso-cortical pathway
f f f f f f f f


causing which of the following effects?
f f f f f f


B) Increases EPS
f f




Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
f f f f f f f f




4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by
f f f f f f f f f


blocking which of the following receptors?
f f f f f f


D) NMDA type receptors
f f f




Incorrect: GABA, serotonin, dopamine "receptors"
f f f f




5. The diagnosis used to describe a syndrome characterized by specific s/s resulting
f f f f f f f f f f f


from recent ingestion or exposure to a substance is known as which of the
f f f f f f f f f f f f f f


folllowing?
f


C) Substance use disorder
f f f




Incorrect: substance intox, substance withdrawal, all of the above
f f f f f f f f




6. Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
f f f f f f f f f f


tongue jaw is known as which of the following?
f f f f f f f f f


C) Tardive dyskinesia
f f




Incorrect: akathisia, dystonia, EPS f f f

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7. A deeply held belief despite evidence to the contrary, lasting at least 1 month,
f f f f f f f f f f f f f


without prominent hallucinations, with functional impairment that relates to the
f f f f f f f f f f


delusional system disorder called?
f f f f


Delusional disorder f


8. Which of the following is true about preoccupation with castration?
f f f f f f f f f


A) This can be serious and life threatening if castration is carried out without
f f f f f f f f f f f f


medical supervision f f




Incorrect: consistent with transvestiatic disorder, other specified f f f f f f


paraphillic disorder, or sexual machochism disorder
f f f f f f




9. Which of the following is a system that provides a uniform language for describing
f f f f f f f f f f f f f


medical and surgical procedures and diagnostics services rendered by clinicians?
f f f f f f f f f f


CPT

Incorrect: HIPPA, DSM5-, DRG f f f




10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
f f f f f f f f f f f f


fcommonly have milky urine. The APRN realizes this is which of the following?
f f f f f f f f f f f f


A) This is likely a harmless response to the Chlorpromazine f f f f f f f f




"Thorazine"

11. A condition which results from absence of second female sex chromosome (XO)
f f f f f f f f f f f


fand is associated with web neck, dwarfism, cubitus valgus and infertility is known
f f f f f f f f f f f f


fas which of the following?
f f f f


B) Turners Syndrome
f f




Treatment involves hormone therapy; fertility treatments for women when they
f f f f f f f f f


decide to have a baby
f f f f f




12. Which of the following would be characterized as a negative s/s of schizophrenia?
f f f f f f f f f f f f


B & C only
f f f


B) impaired social and occupational functioning
f f f f f


C) isolation and impaired self-care
f f f f




13. Which of the following are keys to distinguishing OCD from psychosis?
f f f f f f f f f f


Patients with OCD can almost always acknowledge the unreasonable nature of
f f f f f f f f f f


ftheir symptoms f

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14. A federal program administered nationally and locally which covers enrolled
f f f f f f f f f


findividuals 65+ who pays premiums and disabled individuals f f f f f f f


Both A& B (Medicare and Medicaid)
f f f f f


15. Having an adequate legal description of nurse practitioner (NP) scope of practice
f f f f f f f f f f f


faccording to state law is important for which of the following reasons?
f f f f f f f f f f f


All of the above (to avoid any charges of practicing medicine without a license, to
f f f f f f f f f f f f f f


fplace accountability for both benefits and harm to patients squarely on the NP, to
f f f f f f f f f f f f f


fget reimbursed for physician services when provided by a NP
f f f f f f f f f




16. Which of the following is the most widely consumed psychoactive substance?
f f f f f f f f f f


B) Caffeine
f




Incorrect: alcohol, heroin, cannabis f f f




17. Which of the following is used to treatment TD?
f f f f f f f f


None of the above f f f




(cogentin, artane, catapress) f f




18. The APRN consensus model did which of the following?
f f f f f f f f


B&Cf f




B) adult and gerontology were merged and identified as PCP or acute care
f f f f f f f f f f f f


C) psychiatric mental health foci were stipulated as across the lifespan
f f f f f f f f f f




19. Which of the following behaviors are associated with an alcohol blood level of
f f f f f f f f f f f f


f0.05%?
B) Thought judgement and restraints are impaired
f f f f f f




20. According to HIPPA, which of the following must the NP share their NPI with?
f f f f f f f f f f f f f


fCheck all the above f f f


A) Health Plans f


B) Other providers f f


C) Any entity that may need it for a billing purpose
f f f f f f f f f f




21. A patient presents with delusions, disorganized thoughts, and speech with poor
f f f f f f f f f f


fself care all of which has persisted for the past 7 months. The APRN knowns this
f f f f f f f f f f f f f f f


fpresentation means what diagnosis? f f f


Schizophrenia

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22. Major neurotransmitters possibly involved in developing substance abuse and
f f f f f f f f


fsubstance dependence are which of the following? f f f f f f


A) Dopamine

Incorrect: GABA, serotonin, A& B only f f f f f




23. The dopamine hypothesis of schizophrenia, which of the following?
f f f f f f f f


A) Schizophrenia results from too much dopaminergic activity f f f f f f




incorrect: results from a deprivation of dopamine f f f f f f




24. A patient reports a panic attack several years ago in an elevator and since then has
f f f f f f f f f f f f f f f


favoided elevators. The patient meets the criteria for:
f f f f f f f


B) Specific phobia
f f




25. A patient with a substance use disorder who does not meet clinical criteria for
f f f f f f f f f f f f f


fhospitalization but lacks sufficient social and vocational skills and lack substance- f f f f f f f f f f


free social supports is to
f f f f


D) All of the above
f f f f




(Residential treatment, partial hospitalization, outpatient treatment) f f f f f




26. Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
f f f f f f f f f f f f


C) Telephone Scatologia
f f




(not telephillia, partialism, normal adolescent prank)
f f f f f




27. The main psychological difference between fear and anxiety is best described by
f f f f f f f f f f f


fwhich of these statements? f f f


B) Anxiety is insidious, fear is sudden
f f f f f f




28. A diffuse, unpleasant, vague sense of apprehension often accompanied by
f f f f f f f f f


fautonomic symptoms varies upon persons is commonly known as which of the
f f f f f f f f f f f


ffollowing?
C) Normal anxiety
f f




incorrect- fear, stress, pathological anxiety f f f f




29. If a pregnancy begins while the woman is taking high doses of methadone and
f f f f f f f f f f f f f


fwithdrawal is desired during which trimester is the least hazardous?f f f f f f f f f