NRNP 6675 MIDTERM EXAM QUESTIONS WITH
VERIFIED ANSWERS
1. Which of the following are risk factors for neuroleptic malignant syndrome?S
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elect all that apply: Rapid dose escalation; parental route of administration; higherpote
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ncy typical antipsychotics
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2. Discrepancy between anatomical sex and gender is known as?: B) GenderDi
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scordance
3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- s s s s s s s s
way causing which of the following effects?: B) Increases EPS
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Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
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4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects bybl s s s s s s s s s s
ocking which of the following receptors?: D) NMDA type receptors
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Incorrect: GABA, serotonin, dopamine "receptors"
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5. The diagnosis used to describe a syndrome characterized by specific s/s res
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ulting from recent ingestion or exposure to a substance is known as whichof the
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sfolllowing?: C) Substance use disorder s s s s
Incorrect: substance intox, substance withdrawal, all of the above
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6. Abnormal involuntary movements in a rhythmic pattern affecting the face,m
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outh, tongue jaw is known as which of the following?: C) Tardive dyskinesia
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Incorrect: akathisia, dystonia, EPS s s s
7. A deeply held belief despite evidence to the contrary, lasting at least 1 mont
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h, without prominent hallucinations, with functional impairment that re-
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lates to the delusional system disorder called?: Delusional disorder
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8. Which of the following is true about preoccupation with castration?: A) This
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can be serious and life threatening if castration is carried out without medicalsupervi
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sion
Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder,or
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ssexual machochism disorder s s
9. Which of the following is a system that provides a uniform language for de-
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scribing medical and surgical procedures and diagnostics services renderedb
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,y clinicians?: CPT
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Incorrect: HIPPA, DSM5-, DRG
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10. A patient on Chlorpromazine states his orgasm is dry and afterwards he
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will commonly have milky urine. The APRN realizes this is which of thefollo
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wing?: A) This is likely a harmless response to the Chlorpromazine
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,"Thorazine"
11. A condition which results from absence of second female sex chromo-
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some (XO) and is associated with web neck, dwarfism, cubitus valgus andin
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fertility is known as which of the following?: B) Turners Syndrome
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Turners syndrome: s
tx involves hormone therapy; fertility treatments for women when they decide to havea b
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aby
12. Which of the following would be characterized as a negative s/s of schiz-
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ophrenia?: B & C only
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B) impaired social and occupational functioning s s s s
C) isolation and impaired self-care s s s
13. Which of the following are keys to distinguishing OCD from psychosis?: -
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Patients with OCD can almost always acknowledge the unreasonable nature of theirsy
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mptoms
14. A federal program administered nationally and locally which covers en-
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srolled individuals 65+ who pays premiums and disabled individuals: Both A&B
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(Medicare and Medicaid) s s
15. Having an adequate legal description of nurse practitioner (NP) scope of
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practice according to state law is important for which of the following reasons
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?: All of the above (to avoid any charges of practicing medicine without alicense, to pl
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ace accountability for both benefits and harm to patients squarely onthe NP, to get re
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imbursed for physician services when provided by a NP
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16. Which of the following is the most widely consumed psychoactive sub-
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stance?: B) Caffeine
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Incorrect: alcohol, heroin, cannabis s s s
17. Which of the following is used to tx TD?: None of the above
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(cogentin, artane, catapress) s s
18. The APRN consensus model did which of the following?: B & C
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B) adult and gerontology were merged and identified as PCP or acute care
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C) psychiatric mental health foci were stipulated as across the lifespan s s s s s s s s s
19. Which of the following behaviors are associated with an alcohol blood levelof
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0.05%?: B) Thought judgement and restraints are impaired
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, 20. According to HIPPA, which of the following must the NP share their NPIwi s s s s s s s s s s s s s
th? Check all the above: A) Health Plans
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B) Other providers s
C) Any entity that may need it for a billing purpose
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21. A patient presents with delusions, disorganized thoughts, and speech withp
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oor self care all of which has persisted for the past 7 months. The APRN known
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s this presentation means what diagnosis?: Schizophrenia
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22. Major neurotransmitters possibly involved in developing substance abusea
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nd substance dependence are which of the following?: A) Dopamine
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Incorrect: GABA, serotonin, A& B only s s s s s
23. The dopamine hypothesis of schizophrenia, which of the following?: A)
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Schizophrenia results from too much dopaminergic activity s s s s s s
incorrect: results from a deprivation of dopamine s s s s s s
24. A patient reports a panic attack several years ago in an elevator and sinceth
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en has avoided elevators. The pt meets the criteria for:: B) Specific phobia
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25. A patient with a substance use disorder who does not meet clinical criteriafo
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r hospitalization but lacks sufficient social and vocational skills and lack subst
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ance-free social supports is to: D) All of the above s s s s s s s s s
(Residential tx, partial hospitalization, outpt tx) s s s s s
26. Obscene phone calling to an unsuspecting partner for sexual arousal isk s s s s s s s s s s s
nown as?: C) Telephone Scatologia s s s s
(not telephillia, partialism, normal adolescent prank)
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27. The main psychological difference between fear and anxiety is best de-
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scribed by which of these statements?: B) Anxiety is insidious, fear is sudden
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28. A diffuse, unpleasant, vague sense of apprehension often accompanied bya
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utonomic symptoms varies upon persons is commonly known as which of thes s s s s s s s s s s s
following?: C) Normal anxiety s s s
(incorrect- fear, stress, pathological anxiety s s s s
29. If a pregnancy begins while the woman is taking high doses of methadonean
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d withdrawal is desired during which trimester is the least hazardous?: D)With
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drawal from methadone should never be done while the woman is pregnant
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30. Neurochemical or neurophysiological changes in the body that results fr s s s s s s s s s
om the repeated administration of a drug is known as which of the follow-
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ing?: C) Neuroadaption
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