NRNP 6675 Midterm Exam
1. Discrepancy between anatomical sex and gender is B) Gender Discordance
known as?
2. Which of the following are risk factors for neuroleptic Rapid dose escalation;
malignant syndrome? Select all that apply parental route of admin-
istration; higher potency
typical antipsychotics
3. Antipsychotic medication provides D2 blockage in the B) Increases EPS
meso-coritcal pathway causing which of the following
effects? Incorrect: reduces neg-
ative s/s, causes pro-
lactinemia, reduces posi-
tive symptoms
4. Phencyclidine (PCP) and ketamine exert their unique D) NMDA type receptors
behavioral effects by blocking which of the following
receptors? Incorrect: GABA, sero-
tonin, dopamine "recep-
tors"
5. The diagnosis used to describe a syndrome charac- C) Substance use disor-
terized by specific s/s resulting from recent ingestion der
or exposure to a substance is known as which of the
folllowing? Incorrect: substance intox,
substance withdrawal, all
of the above
6. Abnormal involuntary movements in a rhythmic pat- C) Tardive dyskinesia
tern affecting the face, mouth, tongue jaw is known
as which of the following? Incorrect: akathisia, dysto-
nia, EPS
7. Delusional disorder
, NRNP 6675 Midterm Exam
A deeply held belief despite evidence to the contrary,
lasting at least 1 month, without prominent hallucina-
tions, with functional impairment that relates to the
delusional system disorder called?
8. Which of the following is true about preoccupation A) This can be serious and
with castration? life threatening if castra-
tion is carried out without
medical supervision
Incorrect: consistent with
transvestiatic disorder,
other specified paraphillic
disorder, or sexual ma-
chochism disorder
9. Which of the following is a system that provides a CPT
uniform language for describing medical and surgical
procedures and diagnostics services rendered by clin- Incorrect: HIPPA, DSM5-,
icians? DRG
10. A patient on Chlorpromazine states his orgasm is dry A) This is likely a harmless
and afterwards he will commonly have milky urine. response to the Chlorpro-
The APRN realizes this is which of the following? mazine
"Thorazine"
11. A condition which results from absence of second fe- B) Turners Syndrome
male sex chromosome (XO) and is associated with web
neck, dwarfism, cubitus valgus and infertility is known Turners syndrome:
as which of the following?
tx involves hormone ther-
apy; fertility treatments for
, NRNP 6675 Midterm Exam
women when they decide
to have a baby
12. Which of the following would be characterized as a B & C only
negative s/s of schizophrenia?
B) impaired social and oc-
cupational functioning
C) isolation and impaired
self-care
13. Which of the following are keys to distinguishing OCD Patients with OCD can al-
from psychosis? most always acknowledge
the unreasonable nature
of their symptoms
14. A federal program administered nationally and locally Both A& B (Medicare and
which covers enrolled individuals 65+ who pays pre- Medicaid)
miums and disabled individuals
15. Having an adequate legal description of nurse practi- All of the above (to avoid
tioner (NP) scope of practice according to state law is any charges of practic-
important for which of the following reasons? ing medicine without a li-
cense, to place account-
ability for both bene-
fits 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 B) Caffeine
psychoactive substance?
, NRNP 6675 Midterm Exam
Incorrect: alcohol, heroin,
cannabis
17. Which of the following is used to tx TD? None of the above
(cogentin, artane, cata-
press)
18. The APRN consensus model did which of the follow- B & C
ing?
B) adult and gerontology
were merged and identi-
fied as PCP or acute care
C) psychiatric mental
health foci were stipulated
as across the lifespan
19. Which of the following behaviors are associated with B) Thought judgement
an alcohol blood level of 0.05%? and restraints are im-
paired
20. According to HIPPA, which of the following must the A) Health Plans
NP share their NPI with? Check all the above B) Other providers
C) Any entity that may
need it for a billing pur-
pose
21. A patient presents with delusions, disorganized Schizophrenia
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?
22. A) Dopamine
1. Discrepancy between anatomical sex and gender is B) Gender Discordance
known as?
2. Which of the following are risk factors for neuroleptic Rapid dose escalation;
malignant syndrome? Select all that apply parental route of admin-
istration; higher potency
typical antipsychotics
3. Antipsychotic medication provides D2 blockage in the B) Increases EPS
meso-coritcal pathway causing which of the following
effects? Incorrect: reduces neg-
ative s/s, causes pro-
lactinemia, reduces posi-
tive symptoms
4. Phencyclidine (PCP) and ketamine exert their unique D) NMDA type receptors
behavioral effects by blocking which of the following
receptors? Incorrect: GABA, sero-
tonin, dopamine "recep-
tors"
5. The diagnosis used to describe a syndrome charac- C) Substance use disor-
terized by specific s/s resulting from recent ingestion der
or exposure to a substance is known as which of the
folllowing? Incorrect: substance intox,
substance withdrawal, all
of the above
6. Abnormal involuntary movements in a rhythmic pat- C) Tardive dyskinesia
tern affecting the face, mouth, tongue jaw is known
as which of the following? Incorrect: akathisia, dysto-
nia, EPS
7. Delusional disorder
, NRNP 6675 Midterm Exam
A deeply held belief despite evidence to the contrary,
lasting at least 1 month, without prominent hallucina-
tions, with functional impairment that relates to the
delusional system disorder called?
8. Which of the following is true about preoccupation A) This can be serious and
with castration? life threatening if castra-
tion is carried out without
medical supervision
Incorrect: consistent with
transvestiatic disorder,
other specified paraphillic
disorder, or sexual ma-
chochism disorder
9. Which of the following is a system that provides a CPT
uniform language for describing medical and surgical
procedures and diagnostics services rendered by clin- Incorrect: HIPPA, DSM5-,
icians? DRG
10. A patient on Chlorpromazine states his orgasm is dry A) This is likely a harmless
and afterwards he will commonly have milky urine. response to the Chlorpro-
The APRN realizes this is which of the following? mazine
"Thorazine"
11. A condition which results from absence of second fe- B) Turners Syndrome
male sex chromosome (XO) and is associated with web
neck, dwarfism, cubitus valgus and infertility is known Turners syndrome:
as which of the following?
tx involves hormone ther-
apy; fertility treatments for
, NRNP 6675 Midterm Exam
women when they decide
to have a baby
12. Which of the following would be characterized as a B & C only
negative s/s of schizophrenia?
B) impaired social and oc-
cupational functioning
C) isolation and impaired
self-care
13. Which of the following are keys to distinguishing OCD Patients with OCD can al-
from psychosis? most always acknowledge
the unreasonable nature
of their symptoms
14. A federal program administered nationally and locally Both A& B (Medicare and
which covers enrolled individuals 65+ who pays pre- Medicaid)
miums and disabled individuals
15. Having an adequate legal description of nurse practi- All of the above (to avoid
tioner (NP) scope of practice according to state law is any charges of practic-
important for which of the following reasons? ing medicine without a li-
cense, to place account-
ability for both bene-
fits 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 B) Caffeine
psychoactive substance?
, NRNP 6675 Midterm Exam
Incorrect: alcohol, heroin,
cannabis
17. Which of the following is used to tx TD? None of the above
(cogentin, artane, cata-
press)
18. The APRN consensus model did which of the follow- B & C
ing?
B) adult and gerontology
were merged and identi-
fied as PCP or acute care
C) psychiatric mental
health foci were stipulated
as across the lifespan
19. Which of the following behaviors are associated with B) Thought judgement
an alcohol blood level of 0.05%? and restraints are im-
paired
20. According to HIPPA, which of the following must the A) Health Plans
NP share their NPI with? Check all the above B) Other providers
C) Any entity that may
need it for a billing pur-
pose
21. A patient presents with delusions, disorganized Schizophrenia
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?
22. A) Dopamine
