NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
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?
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?
C) Substance use disorder
,NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
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?
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?
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
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?
CPT
,NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
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?
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?
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?
B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
, NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
Which of the following are keys to distinguishing OCD from psychosis?
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
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?
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?
B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD?
None of the above
(cogentin, artane, catapress)
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
Discrepancy between anatomical sex and gender is known as?
B) Gender Discordance
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of
the following effects?
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?
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?
C) Substance use disorder
,NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
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?
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?
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
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?
CPT
,NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
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?
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?
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?
B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
, NRNP 6566/ NRNP6566 Midterm Exam | Advanced Care of
Adults in Acute Settings I | Questions and Verified Answers|
Latest 2025/ 2026 Update- Walden
Which of the following are keys to distinguishing OCD from psychosis?
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
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?
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?
B) Caffeine
Incorrect: alcohol, heroin, cannabis
Which of the following is used to tx TD?
None of the above
(cogentin, artane, catapress)
