NRNP 6675 Week 6 Midterm Exam 2022
(100% Correct Answers)
- Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
Age
Rapid dose escalation
Parental route of administration
Higher potency typical antipsychotics - Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the
following effects?
Reduces negative symptoms
Increases extra pyramidal symptoms (EPS)
Causes prolactinemia
Reduces positive symptoms - Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the
following receptors?
GABA type receptors
Serotonin receptors
Dopamine receptors
NMDA type receptors - The diagnosis used to describe a syndrome characterized by specific signs and symptoms
resulting from recent ingestion or exposure to a substance is known as which of the following?
Substance intoxication
Substance withdrawal
Substance use disorder
Any of the above - Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is
known as which of the following?
Akathisia
Dystonia
Tardive dyskinesia
Extrapyramidal side effects - A deeply held belief despite evidence to the contrary, lasting at least one month, without
prominent hallucinations, with functional impairment that relates to the delusional syste…..
Schizophrenia
Delusional disorder
Brief psychotic disorder
Schizophreniform disorder
7.Which of the following is true about preoccupation with castration?
This can be serious and life-threatening if castration is carried out without medical supervision.
This is consistent with Transvestic Disorder
This is consistent with other specified paraphilic disorder
This is consistent with sexual masochism disorder
8.Which of the following is a system that provides a uniform language for describing medical and
surgical procedures and diagnostic services rendered by clinicians?
HIPPA
DSM-5
CPT
DRG
9.A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky
urine. The ARNP realizes which of the following?
This is likely a harmless response to the Chlorpromazine
This is abnormal and needs to be evaluated by a specialist
It is critical to stop the Chlorpromazine immediately
This has nothing to do with the Chlorpromazine the patient be referred to his PCP for follow-up
10.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?
Hermaphroditism
Turner’s syndrome
Adrenogenital syndrome
Androgen insensitivity syndrome
NRNP 6675 Week 11 Final Exam 2022
(100% Correct Answers)
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- Concerns when treating geriatric patients with psychotherapeutic
drugs include all of the following
EXCEPT:
✔A. Elderly persons may be more susceptible to adverse effects of
psychotherapeutic drugs.
✔B. Elderly persons may metabolize psychotherapeutic drugs more slowly.
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly.
✔D. Elderly persons may excrete psychotherapeutic drugs more
slowly. Question 2
The treatment of others equitably and distribution of benefits/burdens fairly is
known as which of the
following?
A. Fidelity
✔B. Justice
C. Beneficence
D. Nonmaleficen
ce
Question 3
Persons who subordinate their own needs to those of others, get other
to assume responsibility for major
areas of the lives, lack self-confidence, and may experience intense discomfort
when alone for more than
a brief period of time are demonstrating characteristics consistent with which
of the following personality
disorders?
A. Avoidant personality disorder
B. Passive personality disorder
✔C. Dependent
personality disorder
D. Antisocial personality disorder
Question 4
According to Sullivan, which of the following are consistent with a mentor/mentee
relationship?
A. Mentors are assigned
B. Mentor relationships are shorter term
✔C. Goals for the mentoring relationship are set
mutually.
D. A and B only
Question 5
A form of child abuse in which a parent or caretaker repeatedly fabricates or
actually inflicts injury or
illness in a child for whom medical intervention is then sought, often in an
emergency setting, is known as
which of the following?
A. Korsakoff’s syndrome
B. Snyder’s syndrome
C. Munchausen syndrome
✔D. Munchausen syndrome
by proxy
Question 6
The need for nurse practitioners to practice to the full extent of their education
and training is necessary
for which of the following reasons? Select all that apply.
A. The growth in number and proportion of older Americans
✔B. The projected primary care physician shortage by 2025
✔C. Increased number of individuals who have access
to healthcare
✔D. The economic push for cost-effective healthcare
Question 7
The ARNP assessing lifestyle as a social determinant of health would ask about
which of the following?
✔A. Diet
B. Education
C. Health literacy
D. Inherite
d
diseases
Question 8
In educating the patient beginning to take Lithium, the ARNP explains which of
the following related to
diet and fluid intake?
A. Caffeine and alcohol act as hydration agents and can raise
your lithium concentrations.
B. Drink at least a gallon or more of water per day and limit your salt intake.
C. If you go on a diet, your doctor may need to increase frequency of blood tests.
✔D. All of the
above Question 9
The goal of psychotropic treatment is to eliminate all manifestations of a
disorder to below the syndromal
threshold, which is defined as which of the following?
A. Response
✔B. Remission
C. Resistance
D.
Sensitization
Question 10
The NP can impact health policy and healthcare by doing which of the following?
A. Become an active member of local, state, and/or national NP organizations.
B. Become familiar with the resources available on NP organization websites.
C. Volunteer to serve on legislative committees within
professional NP organizations.
✔D. All the above
Question 11
A term used to describe individuals and families who are found to live in
overcrowded homes, relocate
frequently, and struggle to pay rent and monthly expenses is which of the
following?
A. Homelessness
B. Housin
g
instability
C. Transiency
✔D. A and B
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NRNP 6675 Midterm Exam 2023
1.Discrepancy between anatomical sex and gender is known as ANS B)
Gender Discordance
2.Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply: ANS Rapid dose escalation; parental
route of admin- istration; higher potency typical antipsychotics
3.Antipsychotic medication provides D2 blockage in the meso-coritcal
path- way causing which of the following effects ANS 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 ANS D) NMDA type
receptors
Incorrect: GABA, serotonin, dopamine “receptors”
2 / 43
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 ANS 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 ANS 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 ANS Delusional
disorder
8.Which of the following is true about preoccupation with castration ANS
A) This can be serious and life threatening if castration is carried out
without medical supervision
Incorrect: consistent with transvestiatic disorder, other specified
paraphillic disor- der, or sexual machochism disorder
3 / 43
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 ANS CPT
Incorrect: HIPPA, DSM5-, DRG
4 / 43
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 ANS A) This is likely a harmless response to the
Chlorpromazine
“Thorazine”
11.A condition which results from absence of second female sex
chromo- some (XO) and is associated with web neck, dwarfism, cubitus
valgus and infertility is known as which of the following ANS 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
schiz- ophrenia ANS 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
1 / 15
NRNP 6675 FINAL EXAM LAST EXAM 2023
1.The 1/2 life of lithium is about ANS 24 hours
2.Fluoxetine is the SSRI with the WD risk ANS lowest due to long
half life
3.What antipsychotics are good for pts who miss doses of their meds ANS
An- tipsychotics with long half-lives:
1.Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks)
2.Abilify (3 days)
3.Brexipiprazole (4 days)
4.Pimozide (4-5 days)
5.Pimavanserin (2 days, active metabolites 8 days)
4.Disulfiram’s alcohol interactions persist for up to how long after the
med- ication is stopped ANS LONG Half life–2-3 days
persist up to 2 weeks following stopping
2 / 15
5.What is the only TCA with a long half life ANS Protriptyline (Vivactil)
6.Most psychotropics have a medium range 1/2 life of approx ANS 24
hours
7.what does “steady state” mean in relation to 1/2 life ANS steady state
means that you are eliminating the drug at the same overall rate that
you are ingesting it
8.Lithium reaches its ‘steady state’ when ANS 5 half lives
example:
Day 1: Start pt on Lithium 600 mg daily
Day 2: (24 hours later) the amount left in his body is 300 mg (day 2
min) because 24 hours has passed–one 1/2 life–therefore the pt has
excreted 1/2 of the initial amount.
THEN the pt takes his 2nd dose of 600 mg on DAY 2-resulting in a
max dose of 900 (300 mg left in body + 600 mg of 2nd dose).
DAY 3: starts off with 450 mg (1/2 of the 900 mg in pt’s system) and
after taking the day 3 600 mg dose, the pt now has a total of 1050
mg.
9.Due to the steady state of Lithium, when do we draw a blood level ANS 5
half lives
3 / 15
if you check any earlier, the trough level will underestimate the actual
level the pt is on after achieving steady state
10.Fluoxetine has a half life of about ANS 2 weeks
1/2 life take 2.5 months to achieve steady state
4 / 15
11.Most psychotropic medications operate in this fashion ANS “when you
double the dose, the serum dose doubles.”
*minus three SRIs and three anticonvulsants (Fluoxetine,
fluvoxamine, paxil, gabapentin, valproate and carbamazepine)
- induces it’s own metabolism, hastening excretion and
short- ening it’s half life: ANS A. Carbamazepine (Tegretol)
*this effect begins to “rev up” after 2-4 weeks–which is why a
carbamazepine level is so important on obtaining 1-2 months after
starting Tegretol.
13.Carbamazepine (Tegretol) level should be checked how soon after
start- ing to take this med ANS 1-2 months due to Tegretol inducing it’s
own metabolism, hastening excretion and shortening it’s half life. - has trouble getting a “serum” level because it binds to
proteins that render it therapeutically inactive ANS A. Valproate Acid
(Depakote)
-this is particularly true at the lower levels (eg. <50 mcg/mL), so you
can expect dose changes to make a more dramatic difference when
the pt’s depakote level is in the higher range