NRNP 6675 Final Exam
1.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
2.Discrepancy between anatomical sex and gender is known as?: B)
Gender Discordance
3.Antipsychotic medication provides D2 blockage in the meso-coritcal
path- way causing which of the following effects?: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive
symptoms
4.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"
5.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
Incorrect: substance intox, substance withdrawal, all of the above
6.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
7.A deeply held belief despite evidence to the contrary, lasting at least 1
month, without prominent hallucinations, with functional impairment that
re- lates to the delusional system disorder called?: Delusional disorder
8.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
9.Which of the following is a system that provides a uniform language for
de- scribing medical and surgical procedures and diagnostics services
rendered by clinicians?: CPT
Incorrect: HIPPA, DSM5-, DRG
10.A patient on Chlorpromazine states his orgasm is dry and afterwards
, NRNP 6675 Final Exam
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
, NRNP 6675 Final Exam
"Thorazine"
11.A condition which results from absence of second female sex
chromo- some (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
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13.Which of the following are keys to distinguishing OCD from psychosis?:
- Patients with OCD can almost always acknowledge the unreasonable
nature of their symptoms
14.A federal program administered nationally and locally which covers en-
rolled individuals 65+ who pays premiums and disabled individuals: Both
A& B (Medicare and Medicaid)
15.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
16.Which of the following is the most widely consumed psychoactive
sub- stance?: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17.Which of the following is used to tx TD?: None of the above
(cogentin, artane, catapress)
18.The APRN consensus model did which of the following?: B & C
B) adult and gerontology were merged and identified as PCP or acute
care
, NRNP 6675 Final Exam
C) psychiatric mental health foci were stipulated as across the lifespan
19. Which of the following behaviors are associated with an alcohol blood
level of 0.05%?: B) Thought judgement and restraints are impaired
1.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
2.Discrepancy between anatomical sex and gender is known as?: B)
Gender Discordance
3.Antipsychotic medication provides D2 blockage in the meso-coritcal
path- way causing which of the following effects?: B) Increases EPS
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive
symptoms
4.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"
5.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
Incorrect: substance intox, substance withdrawal, all of the above
6.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
7.A deeply held belief despite evidence to the contrary, lasting at least 1
month, without prominent hallucinations, with functional impairment that
re- lates to the delusional system disorder called?: Delusional disorder
8.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
9.Which of the following is a system that provides a uniform language for
de- scribing medical and surgical procedures and diagnostics services
rendered by clinicians?: CPT
Incorrect: HIPPA, DSM5-, DRG
10.A patient on Chlorpromazine states his orgasm is dry and afterwards
, NRNP 6675 Final Exam
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
, NRNP 6675 Final Exam
"Thorazine"
11.A condition which results from absence of second female sex
chromo- some (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
12.Which of the following would be characterized as a negative s/s of
schiz- ophrenia?: B & C only
B) impaired social and occupational functioning
C) isolation and impaired self-care
13.Which of the following are keys to distinguishing OCD from psychosis?:
- Patients with OCD can almost always acknowledge the unreasonable
nature of their symptoms
14.A federal program administered nationally and locally which covers en-
rolled individuals 65+ who pays premiums and disabled individuals: Both
A& B (Medicare and Medicaid)
15.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
16.Which of the following is the most widely consumed psychoactive
sub- stance?: B) Caffeine
Incorrect: alcohol, heroin, cannabis
17.Which of the following is used to tx TD?: None of the above
(cogentin, artane, catapress)
18.The APRN consensus model did which of the following?: B & C
B) adult and gerontology were merged and identified as PCP or acute
care
, NRNP 6675 Final Exam
C) psychiatric mental health foci were stipulated as across the lifespan
19. Which of the following behaviors are associated with an alcohol blood
level of 0.05%?: B) Thought judgement and restraints are impaired
