NRNP 6675 Midterm Exam Questions
and complete Detailed 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 - Answer: A. Age
B. Rapid Dose Escalation
C. Parental Route of Administration
D. Higher Potency Typical Antipsychotics
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 - Answer: A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms
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 - Answer: A. GABA
,B. serotonin
C. dopamine 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 - Answer: A. substance intoxication (Sadock p. 269)
B. substance withdrawal
C. Substance Use disorder
D. all of the above
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 - Answer: A. akathisia
B. dystonia
C. tardive dyskinesia
D. 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?
A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
,D. schizophreniform disorder - Answer: A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform 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 - Answer: 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
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 - Answer: A. HIPPA
B. CPT
C. DSM-5
D. 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?
A. this is likely a harmless response to the Chlorpromazine
B. this is abnormal and needs to be evaluated by a specialist
, C. it is critical to stop the Chlorpromazine immediately
D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up - Answer: A.
this is likely a harmless response to the Chlorpromazine
B. this is abnormal and needs to be evaluated by a specialist
C. it is critical to stop the Chlorpromazine immediately
D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up
A condition that results from the absence of a second female sex chromosome (XO) and is associated
with web neck, dwarfism, cubitus valgus, and infertility is known as what?
A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome - Answer: A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome
Which of the following would be characterized as a negative symptom of schizophrenia?
A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only - Answer: A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only
Which of the following are keys to distinguishing OCD from psychosis?
A. patients with OCD can almost always acknowledge the unreasonable nature of their symptoms
B. patient with OCD are better able to control their compulsions
and complete Detailed 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 - Answer: A. Age
B. Rapid Dose Escalation
C. Parental Route of Administration
D. Higher Potency Typical Antipsychotics
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 - Answer: A. reduces negative symptoms
B. Increases EPS
C. causes prolactinemia
D. reduces positive symptoms
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 - Answer: A. GABA
,B. serotonin
C. dopamine 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 - Answer: A. substance intoxication (Sadock p. 269)
B. substance withdrawal
C. Substance Use disorder
D. all of the above
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 - Answer: A. akathisia
B. dystonia
C. tardive dyskinesia
D. 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?
A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
,D. schizophreniform disorder - Answer: A. schizophrenia
B. delusional disorder
C. brief psychotic disorder
D. schizophreniform 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 - Answer: 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
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 - Answer: A. HIPPA
B. CPT
C. DSM-5
D. 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?
A. this is likely a harmless response to the Chlorpromazine
B. this is abnormal and needs to be evaluated by a specialist
, C. it is critical to stop the Chlorpromazine immediately
D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up - Answer: A.
this is likely a harmless response to the Chlorpromazine
B. this is abnormal and needs to be evaluated by a specialist
C. it is critical to stop the Chlorpromazine immediately
D. this has nothing to do with the Chlorpromazine. Refer patient to PCP for follow-up
A condition that results from the absence of a second female sex chromosome (XO) and is associated
with web neck, dwarfism, cubitus valgus, and infertility is known as what?
A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome - Answer: A. Hermaphroditism
B. Turner's Syndrome
C. Andrenogenital Syndrome
D. Androgen Insensitivity Syndrome
Which of the following would be characterized as a negative symptom of schizophrenia?
A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only - Answer: A. Hallucinations
B. impaired social and occupational functioning
C. isolation and impaired self-care
D. B & C only
Which of the following are keys to distinguishing OCD from psychosis?
A. patients with OCD can almost always acknowledge the unreasonable nature of their symptoms
B. patient with OCD are better able to control their compulsions
