NRNP 6675 MIDTERM EXAM. QUESTIONS WITH ANSWERS.

NRNP 6675 MIDTERM EXAM

1. Discrepancy between anatomical sex and gender is known as?
   B) Gender Discordance
2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all
   that apply
   Rapid dose escalation; parental route of administration; higher potency typical
   antipsychotics
3. Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing
   which of the following effects?
   B) Increases EPS
   Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms
4. Phencyclidine (PCP) and ketamine exert their unique behavioral effects by blocking
   which of the following receptors?
   D) NMDA type receptors
   Incorrect: GABA, serotonin, dopamine “receptors”
5. The diagnosis used to describe a syndrome characterized by specific s/s resulting
   from recent ingestion or exposure to a substance is known as which of the folllowing?
   C) Substance use disorder
   Incorrect: substance intox, substance withdrawal, all of the above
6. Abnormal involuntary movements in a rhythmic pattern affecting the face, mouth,
   tongue jaw is known as which of the following?
   C) Tardive dyskinesia

Incorrect: akathisia, dystonia, EPS

7. A deeply held belief despite evidence to the contrary, lasting at least 1 month, without
   prominent hallucinations, with functional impairment that relates to the delusional
   system disorder called?
   Delusional disorder
8. Which of the following is true about preoccupation with castration?
   A) This can be serious and life threatening if castration is carried out without medical
   supervision
   Incorrect: consistent with transvestiatic disorder, other specified paraphillic disorder, or
   sexual machochism disorder
9. Which of the following is a system that provides a uniform language for describing
   medical and surgical procedures and diagnostics services rendered by clinicians?
   CPT
   Incorrect: HIPPA, DSM5-, DRG
10. A patient on Chlorpromazine states his orgasm is dry and afterwards he will
    commonly have milky urine. The APRN realizes this is which of the following?
    A) This is likely a harmless response to the Chlorpromazine
    “Thorazine”
11. A condition which results from absence of second female sex chromosome (XO)
    and is associated with web neck, dwarfism, cubitus valgus and infertility is known as
    which of the following?
    B) Turners Syndrome
    Turners syndrome:

tx involves hormone therapy; fertility treatments for women when they decide to have a
baby

12. Which of the following would be characterized as a negative s/s of schizophrenia?
    B & C only
    B) Impaired social and occupational functioning
    C) Isolation and impaired self-care
13. Which of the following are keys to distinguishing OCD from psychosis?
    Patients with OCD can almost always acknowledge the unreasonable nature of their
    symptoms
14. A federal program administered nationally and locally which covers enrolled
    individuals 65+ who pays premiums and disabled individuals
    Both A& B (Medicare and Medicaid)
15. Having an adequate legal description of nurse practitioner (NP) scope of practice
    according to state law is important for which of the following reasons?
    To avoid any charges of practicing medicine without a license, To place accountability
    for both benefits and harm to patients squarely on the NP, To get reimbursed for
    physician services when provided by a NP
    All of the above
16. Which of the following is the most widely consumed psychoactive substance?
    B) Caffeine
    Incorrect: alcohol, heroin, cannabis