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NRNP 6675 Midterm Exam 455+ Questions with Verified Answers ||Complete A+ Guide
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NRNP 6675 Midterm Exam 455+ Questions with Verified Answers ||Complete A+ Guide
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1|PageNRNP 6675 MidteRM exaM
455+ Questions with Verified Answers ||Complete A+ Guide
1. Discrepancy between anatomical sex and gender is known as?
f f f f f f f f
B) Gender Discordance
f f
2. Which of the following are risk factors for neuroleptic malignant syndrome? Select
f f f f f f f f f f f
all that apply
f f f
Rapid dose escalation; parental route of administration; higher potency typical
f f f f f f f f f
antipsychotics
f
3. Antipsychotic medication provides D2 blockage in the meso-cortical pathway
f f f f f f f f
causing which of the following effects?
f f f f f f
B) Increases EPS
f f
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
f f f f f f f f
4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by
f f f f f f f f f
blocking which of the following receptors?
f f f f f f
D) NMDA type receptors
f f f
Incorrect: GABA, serotonin, dopamine "receptors"
f f f f
5. The diagnosis used to describe a syndrome characterized by specific s/s resulting
f f f f f f f f f f f
from recent ingestion or exposure to a substance is known as which of the
f f f f f f f f f f f f f f
folllowing?
f
C) Substance use disorder
f f f
Incorrect: substance intox, substance withdrawal, all of the above
f f f f f f f f
6. Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
f f f f f f f f f f
tongue jaw is known as which of the following?
f f f f f f f f f
C) Tardive dyskinesia
f f
Incorrect: akathisia, dystonia, EPS f f f
,2|Page
7. A deeply held belief despite evidence to the contrary, lasting at least 1 month,
f f f f f f f f f f f f f
without prominent hallucinations, with functional impairment that relates to the
f f f f f f f f f f
delusional system disorder called?
f f f f
Delusional disorder f
8. Which of the following is true about preoccupation with castration?
f f f f f f f f f
A) This can be serious and life threatening if castration is carried out without
f f f f f f f f f f f f
medical supervision f f
Incorrect: consistent with transvestiatic disorder, other specified f f f f f f
paraphillic disorder, or sexual machochism disorder
f f f f f f
9. Which of the following is a system that provides a uniform language for describing
f f f f f f f f f f f f f
medical and surgical procedures and diagnostics services rendered by clinicians?
f f f f f f f f f f
CPT
Incorrect: HIPPA, DSM5-, DRG f f f
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
f f f f f f f f f f f f
fcommonly have milky urine. The APRN realizes this is which of the following?
f f f f f f f f f f f f
A) This is likely a harmless response to the Chlorpromazine f f f f f f f f
"Thorazine"
11. A condition which results from absence of second female sex chromosome (XO)
f f f f f f f f f f f
fand is associated with web neck, dwarfism, cubitus valgus and infertility is known
f f f f f f f f f f f f
fas which of the following?
f f f f
B) Turners Syndrome
f f
Treatment involves hormone therapy; fertility treatments for women when they
f f f f f f f f f
decide to have a baby
f f f f f
12. Which of the following would be characterized as a negative s/s of schizophrenia?
f f f f f f f f f f f f
B & C only
f f f
B) impaired social and occupational functioning
f f f f f
C) isolation and impaired self-care
f f f f
13. Which of the following are keys to distinguishing OCD from psychosis?
f f f f f f f f f f
Patients with OCD can almost always acknowledge the unreasonable nature of
f f f f f f f f f f
ftheir symptoms f
,3|Page
14. A federal program administered nationally and locally which covers enrolled
f f f f f f f f f
findividuals 65+ who pays premiums and disabled individuals f f f f f f f
Both A& B (Medicare and Medicaid)
f f f f f
15. Having an adequate legal description of nurse practitioner (NP) scope of practice
f f f f f f f f f f f
faccording to state law is important for which of the following reasons?
f f f f f f f f f f f
All of the above (to avoid any charges of practicing medicine without a license, to
f f f f f f f f f f f f f f
fplace accountability for both benefits and harm to patients squarely on the NP, to
f f f f f f f f f f f f f
fget reimbursed for physician services when provided by a NP
f f f f f f f f f
16. Which of the following is the most widely consumed psychoactive substance?
f f f f f f f f f f
B) Caffeine
f
Incorrect: alcohol, heroin, cannabis f f f
17. Which of the following is used to treatment TD?
f f f f f f f f
None of the above f f f
(cogentin, artane, catapress) f f
18. The APRN consensus model did which of the following?
f f f f f f f f
B&Cf f
B) adult and gerontology were merged and identified as PCP or acute care
f f f f f f f f f f f f
C) psychiatric mental health foci were stipulated as across the lifespan
f f f f f f f f f f
19. Which of the following behaviors are associated with an alcohol blood level of
f f f f f f f f f f f f
f0.05%?
B) Thought judgement and restraints are impaired
f f f f f f
20. According to HIPPA, which of the following must the NP share their NPI with?
f f f f f f f f f f f f f
fCheck all the above f f f
A) Health Plans f
B) Other providers f f
C) Any entity that may need it for a billing purpose
f f f f f f f f f f
21. A patient presents with delusions, disorganized thoughts, and speech with poor
f f f f f f f f f f
fself care all of which has persisted for the past 7 months. The APRN knowns this
f f f f f f f f f f f f f f f
fpresentation means what diagnosis? f f f
Schizophrenia
, 4|Page
22. Major neurotransmitters possibly involved in developing substance abuse and
f f f f f f f f
fsubstance dependence are which of the following? f f f f f f
A) Dopamine
Incorrect: GABA, serotonin, A& B only f f f f f
23. The dopamine hypothesis of schizophrenia, which of the following?
f f f f f f f f
A) Schizophrenia results from too much dopaminergic activity f f f f f f
incorrect: results from a deprivation of dopamine f f f f f f
24. A patient reports a panic attack several years ago in an elevator and since then has
f f f f f f f f f f f f f f f
favoided elevators. The patient meets the criteria for:
f f f f f f f
B) Specific phobia
f f
25. A patient with a substance use disorder who does not meet clinical criteria for
f f f f f f f f f f f f f
fhospitalization but lacks sufficient social and vocational skills and lack substance- f f f f f f f f f f
free social supports is to
f f f f
D) All of the above
f f f f
(Residential treatment, partial hospitalization, outpatient treatment) f f f f f
26. Obscene phone calling to an unsuspecting partner for sexual arousal is known as?
f f f f f f f f f f f f
C) Telephone Scatologia
f f
(not telephillia, partialism, normal adolescent prank)
f f f f f
27. The main psychological difference between fear and anxiety is best described by
f f f f f f f f f f f
fwhich of these statements? f f f
B) Anxiety is insidious, fear is sudden
f f f f f f
28. A diffuse, unpleasant, vague sense of apprehension often accompanied by
f f f f f f f f f
fautonomic symptoms varies upon persons is commonly known as which of the
f f f f f f f f f f f
ffollowing?
C) Normal anxiety
f f
incorrect- fear, stress, pathological anxiety f f f f
29. If a pregnancy begins while the woman is taking high doses of methadone and
f f f f f f f f f f f f f
fwithdrawal is desired during which trimester is the least hazardous?f f f f f f f f f
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