NRNP 6675 FINAL EXAM 1
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
,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
Discrepancy between anatomical sex and gender is known as? - Answer: B) Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the
following effects? - Answer: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
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"
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
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
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
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
Which of the following is a system that provides a uniform language for describing medical and surgical
procedures and diagnostics services rendered by clinicians? - Answer: CPT
Incorrect: HIPPA, DSM5-, DRG
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"
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
Which of the following would be characterized as a negative s/s of schizophrenia? - Answer: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? - Answer: Patients with OCD can
almost always acknowledge the unreasonable nature of their symptoms
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays
premiums and disabled individuals - Answer: Both A& B (Medicare and Medicaid)
, Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law
is important for which of the following reasons? - 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
Which of the following is the most widely consumed psychoactive substance? - Answer: B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - Answer: None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? - Answer: B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
Which of the following behaviors are associated with an alcohol blood level of 0.05%? - Answer: B)
Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the above -
Answer: A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which has
persisted for the past 7 months. The APRN knowns this presentation means what diagnosis? - Answer:
Schizophrenia
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
,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
Discrepancy between anatomical sex and gender is known as? - Answer: B) Gender Discordance
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the
following effects? - Answer: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
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"
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
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
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
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
Which of the following is a system that provides a uniform language for describing medical and surgical
procedures and diagnostics services rendered by clinicians? - Answer: CPT
Incorrect: HIPPA, DSM5-, DRG
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"
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
Which of the following would be characterized as a negative s/s of schizophrenia? - Answer: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
Which of the following are keys to distinguishing OCD from psychosis? - Answer: Patients with OCD can
almost always acknowledge the unreasonable nature of their symptoms
A federal program administered nationally and locally which covers enrolled individuals 65+ who pays
premiums and disabled individuals - Answer: Both A& B (Medicare and Medicaid)
, Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law
is important for which of the following reasons? - 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
Which of the following is the most widely consumed psychoactive substance? - Answer: B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - Answer: None of the above
(cogentin, artane, catapress)
The APRN consensus model did which of the following? - Answer: B & C
B) adult and gerontology were merged and identified as PCP or acute care
C) psychiatric mental health foci were stipulated as across the lifespan
Which of the following behaviors are associated with an alcohol blood level of 0.05%? - Answer: B)
Thought judgement and restraints are impaired
According to HIPPA, which of the following must the NP share their NPI with? Check all the above -
Answer: A) Health Plans
B) Other providers
C) Any entity that may need it for a billing purpose
A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which has
persisted for the past 7 months. The APRN knowns this presentation means what diagnosis? - Answer:
Schizophrenia
