NRNP 6675 Final Exam Questions and Verified Answers
x x x x x x x
2025 Update.
x x
1. Which of the following are risk factors for neuroleptic malignant syndrome?
x x x x x x x x x x
Select all that apply ...ANS>> Rapid dose escalation;parental route of administration; higher
x x x x x xx x x x x x x x
potency typical antipsychotics
x x x
2. Discrepancy between anatomical sex and gender is known as? ...ANS>> B) Gender x x x x x x x x x xx x
Discordance
x
3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way x x x x x x x x x
causing which of the following effects? ...ANS>> B) Increases EPS
x x x x x x x xx x x
Incorrect ...ANS>> reduces negative s/s, causes prolactinemia, reduces positive symptoms
x xx x x x x x x x
4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by x x x x x x x x x
blocking which of the following receptors? ...ANS>> D) NMDA type receptors
x x x x x x x xx x x x
Incorrect ...ANS>> GABA, serotonin, dopamine "receptors"
x xx x x x
5. The diagnosis used to describe a syndrome characterized by specific s/s
x x x x x x x x x x
resultingfromrecentingestionorexposuretoasubstanceisknownaswhich of the
x x x x x x x x x x x x x x x
folllowing? ...ANS>> C) Substance use disorder
x x xx x x x
Incorrect ...ANS>> substance intox, substance withdrawal, all of the above
x xx x x x x x x x
6. Abnormal involuntary movements in a rhythmic pattern affecting the face,
x x x x x x x x x
mouth,tongue jaw is known as which of the following? ...ANS>> C)Tardive dyskinesia
x x x x x x x x x x x xx x x
Incorrect ...ANS>> akathisia, dystonia, EPS
x xx x x
7. A deeply held belief despite evidence to the contrary, lasting at least 1 month,
x x x x x x x x x x x x x
without prominent hallucinations,with functional impairment that re- lates to the
x x x x x x x x x x x
delusional system disorder called? ...ANS>> Delusional disorder
x x x x x xx x
8. Which of the following is true about preoccupation with castration? ...ANS>> A)
x x x x x x x x x x xx
This can be serious and life threatening if castration is carried out without medical
x x x x x x x x x x x x x x
supervision
x
,Incorrect ...ANS>> consistent with transvestiatic disorder, other specified paraphillic
x xx x x x x x x
disorder, or sexual machochism disorder
x x x x x
9. Which of the following is a system that provides a uniform language for de-
x x x x x x x x x x x x x
scribing medical and surgical procedures and diagnostics services rendered by
x x x x x x x x x x
clinicians? ...ANS>> CPT
x x xx
Incorrect ...ANS>> HIPPA,DSM5-,DRG
x xx x x
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
x x x x x x x x x x x x
commonly have milky urine.The APRN realizes this is which of the following?
x x x x x x x x x x x x x
...ANS>> A) This is likely a harmless response to the Chlorpromazine
x xx x x x x x x x x x
,"Thorazine"
11. A condition which results from absence of second female sex chromo- some
x x x x x x x x x x x
(XO) and is associated with web neck, dwarfism, cubitus valgus and infertility is
x x x x x x x x x x x x x
known as which of the following? ...ANS>> B) Turners Syndrome
x x x x x x x xx x x
Turnerssyndrome ...ANS>> x x x
txinvolveshormonetherapy;fertilitytreatmentsforwomenwhentheydecidetohave a baby
x x x x x x x x x x x x x x
12. Which of the following would be characterized as a negative s/s of schiz-
x x x x x x x x x x x x
ophrenia? ...ANS>> B & C only
x x xx x x x
B) impaired social and occupational functioning x x x x
C) isolation and impaired self-care x x x
13. Which of the following are keys to distinguishing OCD from psychosis? ...ANS>> -
x x x x x x x x x x x x x
Patients with OCD can almost always acknowledge the unreasonable nature of their
x x x x x x x x x x x x
symptoms
x
14. A federal program administered nationally and locally which covers en-
x x x x x x x x x
rolled individuals 65+ who pays premiums and disabled individuals ...ANS>> Both A&
x x x x x x x x x x xx x
B (Medicare and Medicaid)
x x x x
15. Having an adequate legal description of nurse practitioner (NP) scope of
x x x x x x x x x x
practice according to state law is important for which of the following reasons?
x x x x x x x x x x x x x
...ANS>> All of the above (to avoid any charges of practicing medicine without a license, to
x xx x x x x x x x x x x x x x x
place accountability for both benefits and harm to patients squarely on the NP, to get
x x x x x x x x x x x x x x x
reimbursed for physician services when provided by a NP
x x x x x x x x x
16. Which of the following is the most widely consumed psychoactive sub-
x x x x x x x x x x
stance? ...ANS>> B) Caffeine
x x xx x
Incorrect ...ANS>> alcohol, heroin, cannabis
x xx x x
17. Which of the following is used to txTD? ...ANS>> None of the above
x x x x x x x x x xx x x x
(cogentin, artane, catapress) x x
18. The APRN consensus model did which of the following? ...ANS>> B & C
x x x x x x x x x xx x x
B) adult and gerontology were merged and identified as PCP or acute care
x x x x x x x x x x x
C) psychiatric mental health foci were stipulated as across the lifespan x x x x x x x x x
19. Whichofthefollowingbehaviorsareassociatedwithanalcoholbloodlevel of
x x x x x x x x x x x x
0.05%? ...ANS>> B) Thought judgement and restraints are impaired
x x xx x x x x x x
, 20. According to HIPPA,which of the following must the NP share their NPI with? x x x x x x x x x x x x x
Check all the above ...ANS>> A) Health Plans
x x x x x xx x x
B) Other providers x
C) Any entity that may need it for a billing purpose
x x x x x x x x x
21. Apatientpresentswithdelusions,disorganizedthoughts,andspeechwith poor
x x x x x x x x x x
self care all of which has persisted for the past 7 months.The APRN knowns this
x x x x x x x x x x x x x x x x
presentation means what diagnosis? ...ANS>> Schizophrenia
x x x x x xx
22. Majorneurotransmitterspossiblyinvolvedindevelopingsubstanceabuse and
x x x x x x x x
substance dependence are which of the following? ...ANS>> A) Dopamine
x x x x x x x x xx x
Incorrect ...ANS>> GABA, serotonin, A& B only x xx x x x x
23. The dopamine hypothesis of schizophrenia,which of the following? ...ANS>> A)
x x x x x x x x x xx
Schizophrenia results from too much dopaminergic activity x x x x x x
incorrect ...ANS>> results from a deprivation of dopamine x xx x x x x x
24. A patient reports apanicattack several years ago inanelevator andsince then
x x x x x x x x x x x x x x
has avoided elevators.The pt meets the criteria for ...ANS>> ...ANS>> B) Specific phobia
x x x x x x x x x x xx xx x x
25. Apatientwithasubstanceusedisorderwhodoesnotmeetclinicalcriteria for
x x x x x x x x x x x x x
hospitalization but lacks sufficient social and vocational skills and lack substance-
x x x x x x x x x x x
free social supports is to ...ANS>> D) All of the above
x x x x x xx x x x x
(Residential tx, partial hospitalization, outpt tx) x x x x x
26. Obscene phone calling to an unsuspecting partner for sexual arousal is known x x x x x x x x x x x
as? ...ANS>> C) Telephone Scatologia
x x xx x x
(not telephillia, partialism, normal adolescent prank)
x x x x x
27. The main psychological difference between fear and anxiety is best de-
x x x x x x x x x x
scribed by which of these statements? ...ANS>> B) Anxiety is insidious, fear is sudden
x x x x x x x xx x x x x x x
28. Adiffuse,unpleasant,vaguesenseofapprehensionoftenaccompaniedby
x x x x x x x x x
autonomic symptoms varies upon persons is commonly known as which of the
x x x x x x x x x x x x
following? ...ANS>> C) Normal anxiety
x x xx x x
(incorrect- fear, stress, pathological anxiety x x x x
29. If a pregnancy begins while the woman is taking high doses of methadone and
x x x x x x x x x x x x x
withdrawal is desired during which trimester is the least hazardous? ...ANS>> D)
x x x x x x x x x x x x x
Withdrawal from methadone should never be done while the woman is pregnant
x x x x x x x x x x x x
30. Neurochemical or neurophysiological changes in the body that results from x x x x x x x x x
the repeated administration of a drug is known as which of the follow- ing? ...ANS>>
x x x x x x x x x x x x x x x x
C) Neuroadaption
x x
x x x x x x x
2025 Update.
x x
1. Which of the following are risk factors for neuroleptic malignant syndrome?
x x x x x x x x x x
Select all that apply ...ANS>> Rapid dose escalation;parental route of administration; higher
x x x x x xx x x x x x x x
potency typical antipsychotics
x x x
2. Discrepancy between anatomical sex and gender is known as? ...ANS>> B) Gender x x x x x x x x x xx x
Discordance
x
3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way x x x x x x x x x
causing which of the following effects? ...ANS>> B) Increases EPS
x x x x x x x xx x x
Incorrect ...ANS>> reduces negative s/s, causes prolactinemia, reduces positive symptoms
x xx x x x x x x x
4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by x x x x x x x x x
blocking which of the following receptors? ...ANS>> D) NMDA type receptors
x x x x x x x xx x x x
Incorrect ...ANS>> GABA, serotonin, dopamine "receptors"
x xx x x x
5. The diagnosis used to describe a syndrome characterized by specific s/s
x x x x x x x x x x
resultingfromrecentingestionorexposuretoasubstanceisknownaswhich of the
x x x x x x x x x x x x x x x
folllowing? ...ANS>> C) Substance use disorder
x x xx x x x
Incorrect ...ANS>> substance intox, substance withdrawal, all of the above
x xx x x x x x x x
6. Abnormal involuntary movements in a rhythmic pattern affecting the face,
x x x x x x x x x
mouth,tongue jaw is known as which of the following? ...ANS>> C)Tardive dyskinesia
x x x x x x x x x x x xx x x
Incorrect ...ANS>> akathisia, dystonia, EPS
x xx x x
7. A deeply held belief despite evidence to the contrary, lasting at least 1 month,
x x x x x x x x x x x x x
without prominent hallucinations,with functional impairment that re- lates to the
x x x x x x x x x x x
delusional system disorder called? ...ANS>> Delusional disorder
x x x x x xx x
8. Which of the following is true about preoccupation with castration? ...ANS>> A)
x x x x x x x x x x xx
This can be serious and life threatening if castration is carried out without medical
x x x x x x x x x x x x x x
supervision
x
,Incorrect ...ANS>> consistent with transvestiatic disorder, other specified paraphillic
x xx x x x x x x
disorder, or sexual machochism disorder
x x x x x
9. Which of the following is a system that provides a uniform language for de-
x x x x x x x x x x x x x
scribing medical and surgical procedures and diagnostics services rendered by
x x x x x x x x x x
clinicians? ...ANS>> CPT
x x xx
Incorrect ...ANS>> HIPPA,DSM5-,DRG
x xx x x
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
x x x x x x x x x x x x
commonly have milky urine.The APRN realizes this is which of the following?
x x x x x x x x x x x x x
...ANS>> A) This is likely a harmless response to the Chlorpromazine
x xx x x x x x x x x x
,"Thorazine"
11. A condition which results from absence of second female sex chromo- some
x x x x x x x x x x x
(XO) and is associated with web neck, dwarfism, cubitus valgus and infertility is
x x x x x x x x x x x x x
known as which of the following? ...ANS>> B) Turners Syndrome
x x x x x x x xx x x
Turnerssyndrome ...ANS>> x x x
txinvolveshormonetherapy;fertilitytreatmentsforwomenwhentheydecidetohave a baby
x x x x x x x x x x x x x x
12. Which of the following would be characterized as a negative s/s of schiz-
x x x x x x x x x x x x
ophrenia? ...ANS>> B & C only
x x xx x x x
B) impaired social and occupational functioning x x x x
C) isolation and impaired self-care x x x
13. Which of the following are keys to distinguishing OCD from psychosis? ...ANS>> -
x x x x x x x x x x x x x
Patients with OCD can almost always acknowledge the unreasonable nature of their
x x x x x x x x x x x x
symptoms
x
14. A federal program administered nationally and locally which covers en-
x x x x x x x x x
rolled individuals 65+ who pays premiums and disabled individuals ...ANS>> Both A&
x x x x x x x x x x xx x
B (Medicare and Medicaid)
x x x x
15. Having an adequate legal description of nurse practitioner (NP) scope of
x x x x x x x x x x
practice according to state law is important for which of the following reasons?
x x x x x x x x x x x x x
...ANS>> All of the above (to avoid any charges of practicing medicine without a license, to
x xx x x x x x x x x x x x x x x
place accountability for both benefits and harm to patients squarely on the NP, to get
x x x x x x x x x x x x x x x
reimbursed for physician services when provided by a NP
x x x x x x x x x
16. Which of the following is the most widely consumed psychoactive sub-
x x x x x x x x x x
stance? ...ANS>> B) Caffeine
x x xx x
Incorrect ...ANS>> alcohol, heroin, cannabis
x xx x x
17. Which of the following is used to txTD? ...ANS>> None of the above
x x x x x x x x x xx x x x
(cogentin, artane, catapress) x x
18. The APRN consensus model did which of the following? ...ANS>> B & C
x x x x x x x x x xx x x
B) adult and gerontology were merged and identified as PCP or acute care
x x x x x x x x x x x
C) psychiatric mental health foci were stipulated as across the lifespan x x x x x x x x x
19. Whichofthefollowingbehaviorsareassociatedwithanalcoholbloodlevel of
x x x x x x x x x x x x
0.05%? ...ANS>> B) Thought judgement and restraints are impaired
x x xx x x x x x x
, 20. According to HIPPA,which of the following must the NP share their NPI with? x x x x x x x x x x x x x
Check all the above ...ANS>> A) Health Plans
x x x x x xx x x
B) Other providers x
C) Any entity that may need it for a billing purpose
x x x x x x x x x
21. Apatientpresentswithdelusions,disorganizedthoughts,andspeechwith poor
x x x x x x x x x x
self care all of which has persisted for the past 7 months.The APRN knowns this
x x x x x x x x x x x x x x x x
presentation means what diagnosis? ...ANS>> Schizophrenia
x x x x x xx
22. Majorneurotransmitterspossiblyinvolvedindevelopingsubstanceabuse and
x x x x x x x x
substance dependence are which of the following? ...ANS>> A) Dopamine
x x x x x x x x xx x
Incorrect ...ANS>> GABA, serotonin, A& B only x xx x x x x
23. The dopamine hypothesis of schizophrenia,which of the following? ...ANS>> A)
x x x x x x x x x xx
Schizophrenia results from too much dopaminergic activity x x x x x x
incorrect ...ANS>> results from a deprivation of dopamine x xx x x x x x
24. A patient reports apanicattack several years ago inanelevator andsince then
x x x x x x x x x x x x x x
has avoided elevators.The pt meets the criteria for ...ANS>> ...ANS>> B) Specific phobia
x x x x x x x x x x xx xx x x
25. Apatientwithasubstanceusedisorderwhodoesnotmeetclinicalcriteria for
x x x x x x x x x x x x x
hospitalization but lacks sufficient social and vocational skills and lack substance-
x x x x x x x x x x x
free social supports is to ...ANS>> D) All of the above
x x x x x xx x x x x
(Residential tx, partial hospitalization, outpt tx) x x x x x
26. Obscene phone calling to an unsuspecting partner for sexual arousal is known x x x x x x x x x x x
as? ...ANS>> C) Telephone Scatologia
x x xx x x
(not telephillia, partialism, normal adolescent prank)
x x x x x
27. The main psychological difference between fear and anxiety is best de-
x x x x x x x x x x
scribed by which of these statements? ...ANS>> B) Anxiety is insidious, fear is sudden
x x x x x x x xx x x x x x x
28. Adiffuse,unpleasant,vaguesenseofapprehensionoftenaccompaniedby
x x x x x x x x x
autonomic symptoms varies upon persons is commonly known as which of the
x x x x x x x x x x x x
following? ...ANS>> C) Normal anxiety
x x xx x x
(incorrect- fear, stress, pathological anxiety x x x x
29. If a pregnancy begins while the woman is taking high doses of methadone and
x x x x x x x x x x x x x
withdrawal is desired during which trimester is the least hazardous? ...ANS>> D)
x x x x x x x x x x x x x
Withdrawal from methadone should never be done while the woman is pregnant
x x x x x x x x x x x x
30. Neurochemical or neurophysiological changes in the body that results from x x x x x x x x x
the repeated administration of a drug is known as which of the follow- ing? ...ANS>>
x x x x x x x x x x x x x x x x
C) Neuroadaption
x x
