COMBINED NRNP 6675 MIDTERM EXAM
QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 GRADED A+, FOR NURSING
Discrepancy between anatomical sex and gender is known as? - CORRECT ANS>>B) Gender
Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that
apply - CORRECT ANS>>Rapid dose escalation; parental route of administration; higher
potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-cortical pathway causing
which of the following effects? - CORRECT ANS>>B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinoma, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioural effects by blocking which
of the following receptors? - CORRECT ANS>>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 following? - CORRECT
ANS>>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? - CORRECT ANS>>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? - CORRECT ANS>>Delusional disorder
,Which of the following is true about preoccupation with castration? - CORRECT ANS>>A)
This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphilic 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? - CORRECT
ANS>>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? - CORRECT ANS>>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? - CORRECT ANS>>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? -
CORRECT ANS>>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? - CORRECT
ANS>>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 - CORRECT ANS>>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? - CORRECT ANS>>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? - CORRECT
ANS>>B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - CORRECT ANS>>None of the above
(Cogentin, Artane, catapress)
The APRN consensus model did which of the following? - CORRECT ANS>>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 behaviours are associated with an alcohol blood level of 0.05%? -
CORRECT ANS>>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 - CORRECT ANS>>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? - CORRECT ANS>>Schizophrenia
, Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following? - CORRECT ANS>>A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? - CORRECT ANS>>A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has
avoided elevators. The pt meets the criteria for: - CORRECT ANS>>B) Specific phobia
A patient with a substance use disorder who does not meet clinical criteria for
hospitalization but lacks sufficient social and vocational skills and lack substance-free
social supports is to - CORRECT ANS>>D) All of the above
(Residential tx, partial hospitalization, output tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known as? -
CORRECT ANS>>C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described by which of
these statements? - CORRECT ANS>>B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic
symptoms varies upon persons is commonly known as which of the following? - CORRECT
ANS>>C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
If a pregnancy begins while the woman is taking high doses of methadone and withdrawal
is desired during which trimester is the least hazardous? - CORRECT ANS>>D) Withdrawal
from methadone should never be done while the woman is pregnant
QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 GRADED A+, FOR NURSING
Discrepancy between anatomical sex and gender is known as? - CORRECT ANS>>B) Gender
Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that
apply - CORRECT ANS>>Rapid dose escalation; parental route of administration; higher
potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-cortical pathway causing
which of the following effects? - CORRECT ANS>>B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinoma, reduces positive symptoms
Phencyclidine (PCP) and ketamine exert their unique behavioural effects by blocking which
of the following receptors? - CORRECT ANS>>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 following? - CORRECT
ANS>>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? - CORRECT ANS>>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? - CORRECT ANS>>Delusional disorder
,Which of the following is true about preoccupation with castration? - CORRECT ANS>>A)
This can be serious and life threatening if castration is carried out without medical
supervision
Incorrect: consistent with transvestiatic disorder, other specified paraphilic 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? - CORRECT
ANS>>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? - CORRECT ANS>>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? - CORRECT ANS>>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? -
CORRECT ANS>>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? - CORRECT
ANS>>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 - CORRECT ANS>>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? - CORRECT ANS>>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? - CORRECT
ANS>>B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD? - CORRECT ANS>>None of the above
(Cogentin, Artane, catapress)
The APRN consensus model did which of the following? - CORRECT ANS>>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 behaviours are associated with an alcohol blood level of 0.05%? -
CORRECT ANS>>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 - CORRECT ANS>>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? - CORRECT ANS>>Schizophrenia
, Major neurotransmitters possibly involved in developing substance abuse and substance
dependence are which of the following? - CORRECT ANS>>A) Dopamine
Incorrect: GABA, serotonin, A& B only
The dopamine hypothesis of schizophrenia, which of the following? - CORRECT ANS>>A)
Schizophrenia results from too much dopaminergic activity
incorrect: results from a deprivation of dopamine
A patient reports a panic attack several years ago in an elevator and since then has
avoided elevators. The pt meets the criteria for: - CORRECT ANS>>B) Specific phobia
A patient with a substance use disorder who does not meet clinical criteria for
hospitalization but lacks sufficient social and vocational skills and lack substance-free
social supports is to - CORRECT ANS>>D) All of the above
(Residential tx, partial hospitalization, output tx)
Obscene phone calling to an unsuspecting partner for sexual arousal is known as? -
CORRECT ANS>>C) Telephone Scatologia
(not telephillia, partialism, normal adolescent prank)
The main psychological difference between fear and anxiety is best described by which of
these statements? - CORRECT ANS>>B) Anxiety is insidious, fear is sudden
A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic
symptoms varies upon persons is commonly known as which of the following? - CORRECT
ANS>>C) Normal anxiety
(incorrect- fear, stress, pathological anxiety
If a pregnancy begins while the woman is taking high doses of methadone and withdrawal
is desired during which trimester is the least hazardous? - CORRECT ANS>>D) Withdrawal
from methadone should never be done while the woman is pregnant
