CORRECT ANSWERS 2023

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NRNP 6675 Midterm Exam QUESTION AND DETAILED

CORRECT ANSWERS 2023

• Which of the following are risk factors for neuroleptic malignant syndrome?

Select all that apply

• Age
• Rapid Dose Escalation
• Parental Route of Administration

D. Higher Potency Typical Antipsychotics: A. Age

• Rapid Dose Escalation
• Parental Route of Administration
• Higher Potency Typical Antipsychotics
• Antipsychotic medication provides D2 blockage in the meso-coritcal path-

way causing which of the following effects?

• reduces negative symptoms
• Increases EPS
• causes prolactinemia

D. reduces positive symptoms: A. reduces negative symptoms

• Increases EPS
• causes prolactinemia
• reduces positive symptoms
• Phencyclidine (PCP) and ketamine exert their unique behavioral effects by

blocking which of the following receptors?

A. GABA

• serotonin
• dopamine receptors

D. NMDA type receptors: A. GABA

• serotonin
• dopamine receptors
• NMDA type receptors
• 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 following?

• substance intoxication
• substance withdrawal 1 / 4

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• substance use disorder

D. all of the above: A. substance intoxication

• substance withdrawal 2 / 4

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• substance use disorder
• all of the above
• Abnormal involuntary movements in a rhythmic pattern affecting the face,

mouth, tongue, and jaw is known as which of the following?

• akathisia
• dystonia
• tardive dyskinesia

D. EPS: A. akathisia

• dystonia
• tardive dyskinesia

D. EPS

• A deeply held belief despite evidence to the contrary, lasting at least 1

month, without prominent hallucinations, with functional impairment that re- lates to the delusional system disorder called?

• schizophrenia
• delusional disorder
• brief psychotic disorder

D. schizophreniform disorder: A. schizophrenia

• delusional disorder
• brief psychotic disorder
• schizophreniform disorder
• 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

• consistent with transvestic disorder
• other specified paraphilic disorder

D. sexual masochism disorder: A. this can be serious and life-threatening if

castration is carried out without medical supervision

• consistent with transvestic disorder
• other specified paraphilic disorder
• sexual masochism disorder
• Which of the following is a system that provides a uniform language for de-

scribing medical and surgical procedures and diagnostics services rendered by clinicians?

A. HIPPA 3 / 4

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B. CPT

C. DSM-5

D. DRG: A. HIPPA

B. CPT

C. DSM-5

D. DRG

• 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?

• 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. Refer patient to PCP for

follow-up: A. 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. Refer patient to PCP for follow-up
• A condition that results from the absence of a second female sex chromo-

some (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as what?

• Hermaphroditism
• Turner's Syndrome
• Andrenogenital Syndrome

D. Androgen Insensitivity Syndrome: A. Hermaphroditism

• Turner's Syndrome
• Andrenogenital Syndrome
• Androgen Insensitivity Syndrome
• Which of the following would be characterized as a negative symptom of

schizophrenia?

• Hallucinations
• impaired social and occupational functioning
• isolation and impaired self-care

D. B & C only: A. Hallucinations

• impaired social and occupational functioning
• isolation and impaired self-care
• B & C only
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