NRNP 6675 Final Exam
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1. Which of the following are risk factors for neuroleptic Rapid dose es-
malignant syndrome? Select all that apply calation; parental
route of adminis-
tration; higher po-
tency typical an-
tipsychotics
2. Discrepancy between anatomical sex and gender is B) Gender Discor-
known as? dance
3. Antipsychotic medication provides D2 blockage in B) Increases EPS
the meso-coritcal pathway causing which of the fol-
lowing effects? Incorrect: reduces
negative s/s, caus-
es prolactinemia,
reduces positive
symptoms
4. Phencyclidine (PCP) and ketamine exert their unique D) NMDA type re-
behavioral effects by blocking which of the following ceptors
receptors?
Incorrect: GABA,
serotonin,
dopamine
"receptors"
5. The diagnosis used to describe a syndrome charac- C) Substance use
terized by specific s/s resulting from recent ingestion disorder
or exposure to a substance is known as which of the
folllowing? Incorrect: sub-
stance intox, sub-
stance withdrawal,
all of the above
6. Abnormal involuntary movements in a rhythmic pat- C) Tardive dyski-
tern affecting the face, mouth, tongue jaw is known nesia
as which of the following?
Incorrect:
, NRNP 6675 Final Exam
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akathisia,
dystonia, EPS
7. A deeply held belief despite evidence to the contrary, Delusional disor-
lasting at least 1 month, without prominent hallucina- der
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
with castration? serious and life
threatening if cas-
tration is carried
out without med-
ical supervision
Incorrect: consis-
tent with transves-
tiatic disorder, oth-
er specified para-
phillic disorder,
or sexual ma-
chochism disorder
9. Which of the following is a system that provides a CPT
uniform language for describing medical and surgi-
cal procedures and diagnostics services rendered by Incorrect: HIPPA,
clinicians? DSM5-, DRG
10. A patient on Chlorpromazine states his orgasm is dry A) This is like-
and afterwards he will commonly have milky urine. ly a harmless re-
The APRN realizes this is which of the following? sponse to the
Chlorpromazine
"Thorazine"
11. A condition which results from absence of second B) Turners Syn-
female sex chromosome (XO) and is associated with drome
web neck, dwarfism, cubitus valgus and infertility is
known as which of the following? Turners syn-
drome:
, NRNP 6675 Final Exam
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tx involves hor-
mone therapy; fer-
tility treatments for
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 occupational
functioning
C) isolation and
impaired self-care
13. Which of the following are keys to distinguishing Patients with OCD
OCD from psychosis? can almost always
acknowledge the
unreasonable na-
ture of their symp-
toms
14. A federal program administered nationally and locally Both A& B
which covers enrolled individuals 65+ who pays pre- (Medicare and
miums and disabled individuals Medicaid)
15. Having an adequate legal description of nurse prac- All of the above
titioner (NP) scope of practice according to state law (to avoid any
is important for which of the following reasons? charges of practic-
ing medicine with-
out a license, to
place accountabil-
ity for both bene-
fits and harm to
patients squarely
on the NP, to
get reimbursed for
physician services
, NRNP 6675 Final Exam
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when provided by
a NP
16. Which of the following is the most widely consumed B) Caffeine
psychoactive substance?
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 follow- B & C
ing?
B) adult and
gerontology were
merged and iden-
tified as PCP or
acute care
C) psychiatric
mental health foci
were stipulated as
across the lifes-
pan
19. Which of the following behaviors are associated with B) Thought judge-
an alcohol blood level of 0.05%? ment and re-
straints 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 purpose
21. A patient presents with delusions, disorganized Schizophrenia
thoughts, and speech with poor self care all of which
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