1 of 44
NRNP 6540 MIDTERM EXAM LATEST/NRNP6540 MIDTERM EXAM
PREPARATION/ NRNP 6540 MIDTERM EXAM PRACTICE 500
QUESTIONS AND ANSWERS2026/2026 (VERIFIED ANSWERS)
If a pregnancy begins while the woman is taking high doses of methadone and withdrawal
is desired during which trimester is the least hazardous? - ......ANSWER........D) Withdrawal
from methadone should never be done while the woman is pregnant
Neurochemical or neurophysiological changes in the body that results from the repeated
administration of a drug is known as which of the following? - ......ANSWER........C)
Neuroadaptation
incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the physical and psychological suffering of
another person is known as which of the following? - ......ANSWER........C) Sexual sadism
Which of the following is not consistent with the onset of OCD? - ......ANSWER........D) The
onset of OCD is typically preceded by OCD personality traits
True answers about OCD: -more than 1/2 of pts with OCD have a sudden onset of
symptoms -the onset of symptoms for about 50-70% of patients occurs after a stressful
event -most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ......ANSWER........C) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance use
disorder? Select all that apply - ......ANSWER........D) A&B only
(Patients who have a substance overdose who cannot be safely tx in an output setting &
pts who are at risk for severe or medically complicated withdrawal symptoms
The nursing practice model recommendation for NPs by the National Academy of Medicine
and the National Council of State Boards of Nursing is which of the following?
- ......ANSWER........A) Full practice
Which of the following groups does Medicare cover? Select all the above
- ......ANSWER........A) Individuals 65+ years and older who have enrolled and pay
,2 of 44
premiums B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases libido? - ......ANSWER........D)
Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with OCD?
- ......ANSWER........D) A & C
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current knowledge about schizophrenia?
- ......ANSWER........C) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that
may be. To others known as? - ......ANSWER........C) Trichotillomania
Which of the following are risk factors for neuroleptic malignant syndrome?
- ......ANSWER........B) Rapid dose escalation C) Parental route of admin D) High potency
typical antipsychotics
A method of therapy used to tx individuals with substance use based on the fundamental
principle of a psychology that reinforced behaviors are likely to be. Is known as the
following? - ......ANSWER........B) Contingency Management
The conditions in which people are born, grow, work, live and age are known as?
- ......ANSWER........Social determinants of health
All the following is consistent with the ANCCs rules regarding recertification EXCEPT:
- ......ANSWER........A) You are required to have a maximum of 25 credit hours during each
certification period
Correct: B) you can start the recert process 1 year before your expiration date, but no later
than 3 months before C) You must have 1000 clinical practice hours in a clinical specialty
within the preceding 5 years D) you must have at least 25 contact hours in
pharmacotherapy
,3 of 44
Risks factors for school violence include which of the following? Select all that apply
- ......ANSWER........A) Bullying B) Being bullied C) Isolation
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas in the lives, lack of self-confidence, and may experience
intense discomfort when alone for more than a brief period are demonstrating
characteristics with which of the following personality disorders? - ......ANSWER........C)
Dependent personality disorder
Incorrect: avoid PD, passive PD, antisocial PD
Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the
following lithium levels? - ......ANSWER........D) >25 mEq/L (TOXICITY)
A form of child abuse in which a patient or character repeatedly fabricates or inflicts injury
or illness in a child for whom medical intervention is then sought in an ER is known as
which of the following? - ......ANSWER........D) Munchausen Syndrome by Proxy
Self-care strategies for the ARNP in preparing for the certification exam include all the
following EXCEPT? - ......ANSWER........D) plan to study for short periods over a longer
period
A patient presents with a formal, tense manner. He reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupied with.
Trustworthiness of friends, unjustified concerns about others deceiving him, angry about
perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the
pt likely has which of the following PDs? - ......ANSWER........B) Paranoid PD
Incorrect: schizoid PD, BDP, Antisocial PD
A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar
ataxia, and confusion. Symptoms are consistent with which of the following psychiatric
emergencies? - ......ANSWER........C) Wernicke's Encephalopathy
Incorrect: akathisia, Korsakoff's syndromes, idiosyncratic alcohol intoxication
Cluster A personality disorders are more common in biological families of pts with which of
the following disorders? - ......ANSWER........D) Schizophrenia
Incorrect: depression, OCD, alcohol use disorder
, 4 of 44
NP core competencies for INDEPENDENT practice includes all of the following EXCEPT:
- ......ANSWER........B) Demonstrates the highest level of accountability for professional
practice
NP competencies for independent practice: - ......ANSWER........A) Maintain a
collaboration agreement with physician C) Practices independently managing previously
diagnosed and under-diagnosed pts D) Practices patient centered care recognizing culture
diversity and the pt or designee as a full practice in decision making
Cluster A personality traits consist of which of the following? - ......ANSWER........A)
Schizotypal, schizoid, and paranoid subtypes
The misuse of the charge's funds for personal gain is known as which of the following?
- ......ANSWER........C) Financial abuse /exploitation
the ARNP recognizes which of the following as long term effects of sex trafficking on
victims? - ......ANSWER........D) All of the above
A) Severe depression B) Spiritual questions C) Trauma bonding
In about half of the cases in which suicides occur while pts is on a psychiatric unit, a
lawsuit results; which of the following is NOT consistent with what courts. Related to
impatient psychiatric unit suicide events? - ......ANSWER........B) Courts provide ZERO
suicide rates in input setting
Cultural Dimensions Therapy is a framework for cross-cultural communication that
describes the effects of a society's culture on the values of its members..by which of the
following therorists? - ......ANSWER........A) Hofstede
The tx of choice for pts with paranoid PD includes which of the following?
- ......ANSWER........D) B&C
B) Behavioral Therapy and C) Psychotherapy
The differences in quality of healthcare actions across individuals or groups regard to
access, tx options and p..following? - ......ANSWER........B) Health disparities
The incidence of suicide is highest for which of the following populations?
- ......ANSWER........D) Older African American men
NRNP 6540 MIDTERM EXAM LATEST/NRNP6540 MIDTERM EXAM
PREPARATION/ NRNP 6540 MIDTERM EXAM PRACTICE 500
QUESTIONS AND ANSWERS2026/2026 (VERIFIED ANSWERS)
If a pregnancy begins while the woman is taking high doses of methadone and withdrawal
is desired during which trimester is the least hazardous? - ......ANSWER........D) Withdrawal
from methadone should never be done while the woman is pregnant
Neurochemical or neurophysiological changes in the body that results from the repeated
administration of a drug is known as which of the following? - ......ANSWER........C)
Neuroadaptation
incorrect: cross-tolerance, neurotransformation, neurocognitive adjustment
The recurrent and intense sexual arousal from the physical and psychological suffering of
another person is known as which of the following? - ......ANSWER........C) Sexual sadism
Which of the following is not consistent with the onset of OCD? - ......ANSWER........D) The
onset of OCD is typically preceded by OCD personality traits
True answers about OCD: -more than 1/2 of pts with OCD have a sudden onset of
symptoms -the onset of symptoms for about 50-70% of patients occurs after a stressful
event -most patients keep their symptoms secret initially
The recurrent urge to expose one's genitals to a stranger is known ass which of the
following? - ......ANSWER........C) Exhibitionism
Which of the following patients would be appropriate for hospitalization for substance use
disorder? Select all that apply - ......ANSWER........D) A&B only
(Patients who have a substance overdose who cannot be safely tx in an output setting &
pts who are at risk for severe or medically complicated withdrawal symptoms
The nursing practice model recommendation for NPs by the National Academy of Medicine
and the National Council of State Boards of Nursing is which of the following?
- ......ANSWER........A) Full practice
Which of the following groups does Medicare cover? Select all the above
- ......ANSWER........A) Individuals 65+ years and older who have enrolled and pay
,2 of 44
premiums B) Disabled individuals who quality for social security disability payments and
benefits
Which of the following neurotransmitters increases libido? - ......ANSWER........D)
Dopamine
Incorrect: GABA, serotonin, oxytocin
Which of the following factors are associated with poor prognosis for patients with OCD?
- ......ANSWER........D) A & C
(Childhood onset & Co-existing major depressive disorder)
Which of the following is inconsistent with current knowledge about schizophrenia?
- ......ANSWER........C) Dopamine level is a laboratory tests that assists in the diagnosis of
schizophrenia
A chronic disorder characterized by repetitive hair pulling leading to variable hair loss that
may be. To others known as? - ......ANSWER........C) Trichotillomania
Which of the following are risk factors for neuroleptic malignant syndrome?
- ......ANSWER........B) Rapid dose escalation C) Parental route of admin D) High potency
typical antipsychotics
A method of therapy used to tx individuals with substance use based on the fundamental
principle of a psychology that reinforced behaviors are likely to be. Is known as the
following? - ......ANSWER........B) Contingency Management
The conditions in which people are born, grow, work, live and age are known as?
- ......ANSWER........Social determinants of health
All the following is consistent with the ANCCs rules regarding recertification EXCEPT:
- ......ANSWER........A) You are required to have a maximum of 25 credit hours during each
certification period
Correct: B) you can start the recert process 1 year before your expiration date, but no later
than 3 months before C) You must have 1000 clinical practice hours in a clinical specialty
within the preceding 5 years D) you must have at least 25 contact hours in
pharmacotherapy
,3 of 44
Risks factors for school violence include which of the following? Select all that apply
- ......ANSWER........A) Bullying B) Being bullied C) Isolation
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas in the lives, lack of self-confidence, and may experience
intense discomfort when alone for more than a brief period are demonstrating
characteristics with which of the following personality disorders? - ......ANSWER........C)
Dependent personality disorder
Incorrect: avoid PD, passive PD, antisocial PD
Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the
following lithium levels? - ......ANSWER........D) >25 mEq/L (TOXICITY)
A form of child abuse in which a patient or character repeatedly fabricates or inflicts injury
or illness in a child for whom medical intervention is then sought in an ER is known as
which of the following? - ......ANSWER........D) Munchausen Syndrome by Proxy
Self-care strategies for the ARNP in preparing for the certification exam include all the
following EXCEPT? - ......ANSWER........D) plan to study for short periods over a longer
period
A patient presents with a formal, tense manner. He reluctantly reports a longstanding
(since early adulthood) pervasive suspiciousness of others, preoccupied with.
Trustworthiness of friends, unjustified concerns about others deceiving him, angry about
perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects that the
pt likely has which of the following PDs? - ......ANSWER........B) Paranoid PD
Incorrect: schizoid PD, BDP, Antisocial PD
A pt will a hx of alcohol use presents to the ED with oculomotor disturbances, cerebellar
ataxia, and confusion. Symptoms are consistent with which of the following psychiatric
emergencies? - ......ANSWER........C) Wernicke's Encephalopathy
Incorrect: akathisia, Korsakoff's syndromes, idiosyncratic alcohol intoxication
Cluster A personality disorders are more common in biological families of pts with which of
the following disorders? - ......ANSWER........D) Schizophrenia
Incorrect: depression, OCD, alcohol use disorder
, 4 of 44
NP core competencies for INDEPENDENT practice includes all of the following EXCEPT:
- ......ANSWER........B) Demonstrates the highest level of accountability for professional
practice
NP competencies for independent practice: - ......ANSWER........A) Maintain a
collaboration agreement with physician C) Practices independently managing previously
diagnosed and under-diagnosed pts D) Practices patient centered care recognizing culture
diversity and the pt or designee as a full practice in decision making
Cluster A personality traits consist of which of the following? - ......ANSWER........A)
Schizotypal, schizoid, and paranoid subtypes
The misuse of the charge's funds for personal gain is known as which of the following?
- ......ANSWER........C) Financial abuse /exploitation
the ARNP recognizes which of the following as long term effects of sex trafficking on
victims? - ......ANSWER........D) All of the above
A) Severe depression B) Spiritual questions C) Trauma bonding
In about half of the cases in which suicides occur while pts is on a psychiatric unit, a
lawsuit results; which of the following is NOT consistent with what courts. Related to
impatient psychiatric unit suicide events? - ......ANSWER........B) Courts provide ZERO
suicide rates in input setting
Cultural Dimensions Therapy is a framework for cross-cultural communication that
describes the effects of a society's culture on the values of its members..by which of the
following therorists? - ......ANSWER........A) Hofstede
The tx of choice for pts with paranoid PD includes which of the following?
- ......ANSWER........D) B&C
B) Behavioral Therapy and C) Psychotherapy
The differences in quality of healthcare actions across individuals or groups regard to
access, tx options and p..following? - ......ANSWER........B) Health disparities
The incidence of suicide is highest for which of the following populations?
- ......ANSWER........D) Older African American men
