NRNP 6675 MIDTERM EXAM 2024/2025 ACTUAL QUESTIONS AND VERIFIED
ANSWERS
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
A. Age
B. Rapid Dose Escalation
C. Parental Route of Administration
D. Higher Potency Typical Antipsychotics
A. Age
Discrepancy between anatomical sex and gender identity is known as which of the following?
A. gender role behavior
B. gender discordance
C. gender nonconformity
D. internalized sexual prejudice
B. gender discordance
Which of the following is not a common physical effect of cannabis?
A. mild tachycardia
B. mild bradycardia
C. orthostatic hypotension
D. dilation of the conjunctival blood vessels
B. mild bradycardia
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?
A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder
B. delusional disorder
Which of the following is true about preoccupation with castration?
A. this can be serious and life-threatening if castration is carried out without medical supervision
B. consistent with transvestic disorder
C. other specified paraphilic disorder
D. sexual masochism disorder
,A. this can be serious and life-threatening if castration is carried out without medical supervision
Mostly everyone has a firm conviction that they are male or female by which age range?
A. 0-1 years of age
B. 2-3 years of age
C. 4-5 years of age
D. 6-7 years of age
B. 2-3 years of age
a patient who presents absent movement with difficulty starting activities, flat affect, and
avolition would be assessed as having which of the following?
A. dystonia
B. akathisia
C. akinesia
D. pseudo-parkinson's
D. pseudo-parkinson's
a patient who presents with the inability to remain still, with motor restlessness, would be
assessed to have which of the following?
A. dystonia
B. akathisia
C. akinesia
D. tardive dyskinesia
B. akathisia
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms
B. Increases EPS
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the
following receptors?
A. GABA
B. serotonin
,C. dopamine receptors
D. NMDA type receptors
D. NMDA type 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 following?
A. substance intoxication
B. substance withdrawal
C. substance use disorder
D. all of the above
C. Substance Use disorder
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and
jaw is known as which of the following?
A. akathisia
B. dystonia
C. tardive dyskinesia
D. EPS
C. tardive dyskinesia
Which of the following is a system that provides a uniform language for describing medical and
surgical procedures and diagnostics services rendered by clinicians?
A. HIPPA
B. CPT
C. DSM-5
D. DRG
B. CPT
Which of the following is the most widely consumed psychoactive substance?
A. alcohol
B. caffeine
c. heroin
d. cannabis
B. caffeine
Which of the following is used to treat Tardive Dyskinesia?
A. Cogentin
B. Artane
, C. Catapress
D. None of the above
D. None of the above
The APRN consensus model did which of the following?
A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the
lifespan
B. Adult and gerontology were merged and identified as primary care or acute care
C. Psychiatric mental health foci were stipulated as across the lifespan
D. both B& C
D. both B& C
Which of the following behaviors are associated with an alcohol blood level of 0.05%?
A. voluntary motor actions usually become perceptibly clumsy
B. thought, judgement, and restraint are impaired
C. confusion and stupor
D. none of the above
B. thought, judgement, and restraint are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the
above
A. health plans
B. other providers
C. any entity that may need it for a billing purpose
D. A & C only
D. A & C only
A patient presents with delusions, disorganized thoughts, and speech with poor self-care all of
which have persisted for the past 7 months. The APRN knows this presentation fits what
diagnosis?
A. schizophrenia
B. schizophreniform disorder
C. brief psychotic disorder
D. delusional disorder
A. schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following?
ANSWERS
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
A. Age
B. Rapid Dose Escalation
C. Parental Route of Administration
D. Higher Potency Typical Antipsychotics
A. Age
Discrepancy between anatomical sex and gender identity is known as which of the following?
A. gender role behavior
B. gender discordance
C. gender nonconformity
D. internalized sexual prejudice
B. gender discordance
Which of the following is not a common physical effect of cannabis?
A. mild tachycardia
B. mild bradycardia
C. orthostatic hypotension
D. dilation of the conjunctival blood vessels
B. mild bradycardia
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?
A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform disorder
B. delusional disorder
Which of the following is true about preoccupation with castration?
A. this can be serious and life-threatening if castration is carried out without medical supervision
B. consistent with transvestic disorder
C. other specified paraphilic disorder
D. sexual masochism disorder
,A. this can be serious and life-threatening if castration is carried out without medical supervision
Mostly everyone has a firm conviction that they are male or female by which age range?
A. 0-1 years of age
B. 2-3 years of age
C. 4-5 years of age
D. 6-7 years of age
B. 2-3 years of age
a patient who presents absent movement with difficulty starting activities, flat affect, and
avolition would be assessed as having which of the following?
A. dystonia
B. akathisia
C. akinesia
D. pseudo-parkinson's
D. pseudo-parkinson's
a patient who presents with the inability to remain still, with motor restlessness, would be
assessed to have which of the following?
A. dystonia
B. akathisia
C. akinesia
D. tardive dyskinesia
B. akathisia
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms
B. Increases EPS
Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking which of the
following receptors?
A. GABA
B. serotonin
,C. dopamine receptors
D. NMDA type receptors
D. NMDA type 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 following?
A. substance intoxication
B. substance withdrawal
C. substance use disorder
D. all of the above
C. Substance Use disorder
Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth, tongue, and
jaw is known as which of the following?
A. akathisia
B. dystonia
C. tardive dyskinesia
D. EPS
C. tardive dyskinesia
Which of the following is a system that provides a uniform language for describing medical and
surgical procedures and diagnostics services rendered by clinicians?
A. HIPPA
B. CPT
C. DSM-5
D. DRG
B. CPT
Which of the following is the most widely consumed psychoactive substance?
A. alcohol
B. caffeine
c. heroin
d. cannabis
B. caffeine
Which of the following is used to treat Tardive Dyskinesia?
A. Cogentin
B. Artane
, C. Catapress
D. None of the above
D. None of the above
The APRN consensus model did which of the following?
A. Merged adult, gerontology and pediatric foci so that all NPs could truly work across the
lifespan
B. Adult and gerontology were merged and identified as primary care or acute care
C. Psychiatric mental health foci were stipulated as across the lifespan
D. both B& C
D. both B& C
Which of the following behaviors are associated with an alcohol blood level of 0.05%?
A. voluntary motor actions usually become perceptibly clumsy
B. thought, judgement, and restraint are impaired
C. confusion and stupor
D. none of the above
B. thought, judgement, and restraint are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the
above
A. health plans
B. other providers
C. any entity that may need it for a billing purpose
D. A & C only
D. A & C only
A patient presents with delusions, disorganized thoughts, and speech with poor self-care all of
which have persisted for the past 7 months. The APRN knows this presentation fits what
diagnosis?
A. schizophrenia
B. schizophreniform disorder
C. brief psychotic disorder
D. delusional disorder
A. schizophrenia
Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following?
