NRNP 6675 Final Exam Questions and Answers 2025

NRNP 6675 Final Exam Questions and Answers 2025

Question 1           1 pts

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?

Group of answer choices

 

Korsakoff’s syndrome

 

Snyder’s syndrome

 

Munchausen syndrome

 

Munchausen syndrome by proxy

 

Question 2                 1 pts

The only approved therapy in the United States for moderate to severe Alzheimer’s disease is which of the following?

Group of answer choices

 

Donepezil

 

Memantine

 

Rivastigmine

 

Galantamine

 

Question 3           1 pts

An ARNP takes a position agreeing to be paid the amount the NP bills minus accounts receivable and minus the NPs portion of practice expenses (which includes the expense of physician consultation). This type of pay structure is known as which of the following?

Group of answer choices

 

Straight salary

 

Average percentage of net receipts

 

Base salary plus percentage

 

Hourly rate

 

Question 4                    1 pts

At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply.

Group of answer choices

 

Is the patient psychotic?

 

Is the patient suicidal or homicidal?

 

Is the problem organic, functional, or a combination?

 

Is it safe for the patient to be in the emergency room?

 

Question 5             1 pts

In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification?

Group of answer choices

 

300 supervised clinical hours

 

500 supervised clinical hours

 

600 supervised clinical hours

 

800 supervised clinical hours

 

Question 6           1 pts

The conditions in which people are born, grow, work, live, and age are known as which of the following?

Group of answer choices

 

Health literacy

 

Health disparities

 

Health vulnerabilities

 

Social determinants of health

 

Question 7            1 pts

Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder?

Group of answer choices

 

1. Dependent personality is more common in men than in women.

 

1. Dependent personality disorder is more common in young children than in older ones.

 

1. Persons with chronic physical illness in childhood may be most susceptible to this disorder.

 

1. B and C only

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Question 8                1 pts

Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia?

Group of answer choices

 

1. Chronic feelings of emptiness

 

1. Prolonged psychotic episodes

 

1. Demand extraordinary relationships

 

1. A and C only

 

Question 9            1 pts

The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders?

Group of answer choices

 

Schizotypal personality disorder

 

Borderline personality disorder

 

Narcissistic personality disorder

 

Histrionic personality disorder

 

Question 10              1 pts

A patient prescribed clozapine presents to the ED with high fever, pharyngitis, and perianal ulceration. You suspect which of the following?

Group of answer choices

 

Influenza

 

Agranulocytosis

 

Neuroleptic malignant syndrome

 

Acquired immune deficiency syndrome

 

Question 11          1 pts

According to Sullivan, which of the following are consistent with a mentor/mentee relationship?

Group of answer choices

 

1. Mentors are assigned

 

1. Mentor relationships are shorter term

 

1. Goals for the mentoring relationship are set mutually.

 

1. A and B only

 

Question 12         1 pts

Which of the following professionals would be able to precept a nurse practitioner student?

Group of answer choices

 

1. An advanced registered nurse practitioner

 

1. A physician

 

1. A unlicensed social worker

 

1. A and B

 

Question 13         1 pts

As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene?

Group of answer choices

 

Avoid alcohol and caffeine.

 

Set a cool room temperature.

 

Set TV to turn off within 1 hour of falling asleep.

 

Go to bed at the same time each night.

 

Question 14                 1 pts

Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following?

Group of answer choices

 

Suicide intent

 

Suicidal ideations

 

Parasuicidal behavior

 

Aborted suicide attempt

 

Question 15             1 pts

A late-appearing adverse effect of neuroleptic drugs is known as which of the following?

Group of answer choices

 

Akathisia

 

Parkinsonism

 

Neuroleptic malignant syndrome

 

Neuroleptic-induced tardive dyskinesia

 

Question 17       1 pts

A somatopsychic illness triggered by changing levels of sex steroids that accompany an ovulatory menstrual cycle about one week before the onset of menses characterized by irritability, emotional lability, HA, anxiety, and depression is known as which of the following?

Group of answer choices

 

Premenstrual syndrome

 

Premenstrual depression

 

Premenstrual dysphoric disorder

 

Premenstrual psychosomatic disorder

 

Question 18      1 pts

The term “suicide survivor” refers to which of the following?

Group of answer choices

 

Those who have lost a loved one to suicide.

 

Someone who has attempted suicide but failed.

 

Only those who have had a serious suicide attempt with a near death experience.

 

This is an ambiguous term that should not be used.

 

Question 19           1 pts

Standard of care addresses which of the following questions?

Group of answer choices

 

1. Did the clinician do the right thing at the right time?

 

1. Was effective care provided to the patient?

 

1. Was care provided safely regardless of time frame?

 

1. A and B only

 

Question 20         1 pts

Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known as which of the following?

Group of answer choices

 

Justice

 

Fidelity

 

Non-maleficence

 

Respect for autonomy

 

Question 21               1 pts

Which of the following is not consistent with Leininger’s theory on diversity and universality?

Group of answer choices

 

For a caregiver’s work to be meaningful and relevant, transcultural knowledge and competence is imperative to guiding decisions and actions for successive outcomes.

 

Is suitable for application to the care of diverse populations

 

States that provision of care needs to be harmonious with an individual’s or group’s cultural beliefs, practices, and ideals.

 

States that provision of care needs to be harmonious with the provider’s cultural beliefs, practices, and ideals.

 

Question 221 pts

The ARNP recognizes which of the following as long-term effects of sex trafficking on victims?

Group of answer choices

 

Severe depression

 

Spiritual questions

 

Trauma bonding

 

All of the above

 

Question 23               1 pts

Which of the following medications is associated with Ebstein’s anomaly when given during pregnancy?

nrnp 6675 final exam questions and answers Group of answer choices

 

Haldol

 

Lithium

 

Valproic acid

 

Chlorpromazine

 

Question 241 pts

Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT:

Group of answer choices

 

Study in a distraction free environment.

 

Six to eight hours of sleep is recommended.

 

Drink lot of caffeine and eat high-concentrated sugars.

 

Plan to study for short periods of time over a longer time period.

 

Question 25             1 pts

Which of the following is not advised to prevent a lawsuit?

Group of answer choices

 

Follow-up

 

When in doubt, do nothing

 

Know the standard of care and practice within it.

 

When in doubt, take a conservative approach.

 

Question 261 pts

Which of the following are important measures by which to evaluate a benefits package while negotiating employment benefits?

Group of answer choices

 

What benefits does the ARNP need?

 

What is reasonable?

 

What are other NPs getting?

 

All of the above

 

Question 271 pts

ARNPs caring for vulnerable populations are responsible for which of the following?

Group of answer choices

 

Providing a quick assessment

 

Providing housing

 

Recognizing and responding to the needs of the population in a time-sensitive manner

 

All of the above

 

Question 281 pts

Which of the following is consistent with recommendations regarding assessing for suicidal ideations?

Group of answer choices

 

The clinician should always ask about suicidal ideations as part of every mental status examination.

 

Assessing for suicidal ideations is only required if patient is depressed.

 

Asking a psychotic patient if they are having suicidal ideations is not advised as this could introduce the idea to the patient.

 

If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to assume the suicidal ideations have subsided.

 

Question 291 pts

A clause in an employment agreement that restricts and employee from practicing within a set number of miles from an employer’s business for a set period of time after the employee leaves the employer’s business is known as which of the following?

Group of answer choices

 

Restrictive covenant

 

An employment clause

 

A termination clause

 

A termination covenant

 

Question 301 pts

Obsessive-compulsive, dependent, and avoidant personality traits are associated with which of the following personality clusters?

Group of answer choices

 

Cluster A

 

Cluster B

 

Cluster C

 

Cluster D

 

Question 311 pts

The NP can impact health policy and healthcare by doing which of the following?

Group of answer choices

 

Become an active member of local, state, and/or national NP organizations.

 

Become familiar with the resources available on NP organization websites.

 

Volunteer to serve on legislative committees within professional NP organizations.

 

All the above

 

Question 321 pts

A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specified number of days is known as which of the following?

Group of answer choices

 

a, A restrictive covenant

 

1. An employment clause

 

1. A termination clause

 

1. A and C

 

Question 341 pts

Cultural Dimensions Theory is a framework for cross-cultural communication that describes the effects of a society’s culture on the values of its members. It was developed by which of the following theorists?

Group of answer choices

 

Hofstede

 

Leininger

 

Purcell

 

Campinha-Bacote

 

Question 351 pts

Being knowledgeable about one’s own thoughts, feelings, and sensations as well as the ability to reflect on how these can affect one’s interactions with others is known as which of the following?

Group of answer choices

 

Cultural Awareness

 

Cultural Competence

 

Cultural Humility

 

Cultural Sensitivity

 

Question 361 pts

“Assumes complex and advanced leadership roles to initiate and guide change” is a NP core competency for which NP competency area?

Group of answer choices

 

Policy competencies

 

Quality competencies

 

Leadership competencies

 

Practice inquiry competencies

 

Question 371 pts

According to the AANP Process of Care Standards, performing or ordering preventative and diagnostic procedures based on the patient’s age and history is part of which of the following components?

Group of answer choices

 

Assessment of health status

 

Development of a treatment plan

 

Implementation of the treatment plan

 

Care priorities

 

Question 381 pts

Which of the following medications is associated with neural tube defects when given during pregnancy?

Group of answer choices

 

Iron

 

Haloperidol

 

Valproic acid

 

Chlorpromazine

 

Question 391 pts

The failure of a professional to exercise that degree of skill and learning commonly applied by the average prudent, reputable member of the profession is known as which of the following?

Group of answer choices

 

Negligence

 

Malpractice

 

Causation of injury

 

Duty liability

 

Question 401 pts

Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply.

nrnp 6675 final exam questions and answers Group of answer choices

 

Testosterone

 

17-estradiol

 

Estrone

 

A and C only

 

Question 411 pts

Which of the following is the therapeutic blood level range for lithium?

Group of answer choices

 

0.2–1.0 mEq/L

 

0.3–0.8 mEq/L

 

0.3–1.2 mEq/L

 

0.5–1.5 mEq/L

 

Question 421 pts

Risk factors for school violence include which of the following? Select all that apply.

Group of answer choices

 

Bullying

 

Being bullied

 

Isolation

 

Involvement in school organizations

 

 

 

Question 571 pts

Acknowledging a person’s right to make choices, to hold views, and to take actions based on personal value is known as which of the following?

Group of answer choices

 

Justice

 

Fidelity

 

Beneficence

 

Respect for autonomy

 

Question 581 pts

Standards of care are now being set, modified, monitored, and publicized by certain self-appointed consumer-oriented agencies, as well as government agencies, including which of the following?

Group of answer choices

 

Medicare

 

The Joint Commission

 

The Agency for Healthcare Research and Quality

 

All of the above

 

Question 591 pts

A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends, unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders?

Group of answer choices

 

Schizoid personality disorder

 

Paranoid personality disorder

 

Borderline personality disorder

 

Antisocial personality disorder

Question 601 pts

Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults?

Group of answer choices

 

When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker.

 

The patient should still be seen alone even in cases of clear evidence of impairment to preserve the privacy of the doctor/patient relationship.

 

If the patient is cognitively impaired, the patient should never be seen alone.

 

Even in patients with cognitive impairment, it is important to elicit any suicidal thoughts or paranoid ideations privately.

 

Question 611 pts

A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following?

Group of answer choices

 

Cisgender

 

Gender fluid

 

Pangender

 

Gender dysphoria

 

Question 621 pts

The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults?

Group of answer choices

 

The study revealed a causal relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed a causal relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed no relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed an indirect relationship between child traumatic events and high-risk adult behaviors.

 

Question 641 pts

Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply.

Group of answer choices

 

Comparison of patient data sets with evidence-based standards to improve care

 

Science from other disciplines relevant to health care

 

High reliability organization principles.

 

Compliance issues related to patient privacy with use of technology.

 

Question 661 pts

A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be repeated is known as which of the following?

Group of answer choices

 

Exposure therapy

 

Contingency management

 

Motivational interviewing

 

Cognitive behavioral therapy

 

Question 671 pts

The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following?

Group of answer choices

 

Fidelity

 

Beneficence

 

Non-maleficence

 

Respect for autonomy

 

Question 681 pts

All the following is consistent with ANCC rules regarding recertification EXCEPT:

nrnp 6675 final exam questions and answers Group of answer choices

 

You are required to have a maximum of 25 credit hours during each certification period.

 

You can start the recertification process 1 year before your expiration date, but no later than 3 months before.

 

You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years.

 

You must have at least 25 contact hours in pharmacotherapy.

 

Question 691 pts

Which of the following is consistent with what is known about terrorist-bomber suicides?

Group of answer choices

 

1. The goal is death or escape.

 

1. The motivation is vengeance and mass murder.

 

1. Psychological/psychiatric disorder is present in most cases.

 

1. A and B only

 

Question 701 pts

All of the following are risk factors for sexual assault EXCEPT

Group of answer choices

 

Religion

 

Serious mental illness

 

Substance use disorder

 

Family history of sexual abuse

 

Question 711 pts

In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician responsibilities for disclosure. Which of the following is not listed as a responsibility?

Group of answer choices

 

Adopt a standard of full disclosure with patients.

 

Alert the patient to symptoms of bodily abnormality.

 

Inform the patient when the ailment does not respond to the physician’s ministrations.

 

Inform the patient about precautionary therapy that he or she should seek in the future.

 

Question 731 pts

According to the AANP Process of Care Standards, determining the effectiveness of the treatment plan with documentation of patient care outcomes is part of which of the following components?

Group of answer choices

 

Care priorities

 

Development of a treatment plan

 

Implementation of the treatment plan

 

Follow-up and evaluation of the patient status

 

Question 751 pts

A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply.

Group of answer choices

 

The existence of a client-professional relationship – duty to care.

 

Behavior below the appropriate standard of care for professionals dealing in like circumstances.

 

A causal link between the practitioner’s failure to conform to treatment standards and harm to the patient.

 

Actual injury to the patient.

 

Question 761 pts

Cluster A personality traits consist of which of the following?

Group of answer choices

 

Schizotypal, schizoid, and paranoid subtypes

 

Narcissistic, borderline, antisocial, and histrionic subtypes

 

Obsessive-compulsive, dependent, and avoidant subtypes

 

Depressive, anxious, hypomanic subtypes

 

 

Question 841 pts

Low health literacy has been linked with which of the following?

Group of answer choices

 

Poor health outcomes

 

lower rates of hospitalization

 

Less frequent use of preventive services

 

All of the above

 

Question 851 pts

Which of the following is consistent with what is known about postpartum depression?

Group of answer choices

 

Feelings of guilt and inadequacy are often present and excessive.

 

Thoughts of harming the baby are often present.

 

Typical onset is within 3–6 months after delivery.

 

All of the above

Question 861 pts

An enduring pattern of behavior and inner experiences that deviates significantly from the individual’s cultural standards and produces functional impairment or subjective distress is consistent with which of the following?

Group of answer choices

 

Dysphoric disorder

 

General personality disorder

 

Dysfunctional personality traits

 

Developmental personality disorder

 

Question 871 pts

Which of the following demographic characteristics is consistent with high suicide risk?

Group of answer choices

 

Female

 

Married

 

Employed

 

Over 45 years of age

 

Question 881 pts

Patients with this personality disorder are described as excitable and emotional, and behave in a colorful, dramatic, extroverted, attention-seeking fashion, often with an inability to maintain deep long-lasting attachments.

Group of answer choices

 

Borderline personality disorder

 

Histrionic personality disorder

 

Schizotypal personality disorder

 

Narcissistic personality disorder

 

Question 891 pts

A patient with an inability to conform to the social norms that ordinarily govern many aspects of a person’s behavior is consistent with which of the following personality disorders?

Group of answer choices

 

Avoidant personality disorder

 

Antisocial personality disorder

 

Borderline personality disorder

 

Narcissistic personality disorder

 

Question 901 pts

Risk factors for physical abuse include all of the following EXCEPT:

Group of answer choices

 

Literacy

 

Pregnancy

 

Serious mental illness

 

History of victimization during developmental years.

 

Question 911 pts

The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following?

Group of answer choices

 

Compassion fatigue

 

Primary traumatization

 

Transference

 

Countertransference

 

Question 921 pts

Which of the following is consistent with what is known about personality disorders?

Group of answer choices

 

1. Typical onset in early childhood

 

1. Is stable over time

 

1. Involves impairment in at least one of four areas of cognition, affectivity, interpersonal function or impulse control

 

1. B and C only

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Question 93                  1 pts

Non-pharmacological treatment for abuse includes all of the following EXCEPT:

Group of answer choices

 

Cognitive behavioral therapy

 

Build a community of support

 

Assist patient to devise safe escape plan

 

Involve the abuser in the treatment planning

 

Question 941 pts

Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels?

nrnp 6675 final exam questions and answers Group of answer choices

 

0.8–1.5 mEq/L

 

1.5–2.0 mEq/L

 

2.0–2.5 mEq/L

 

> 2.5 mEq/L

 

Question 95                   1 pts

The ARNP is treating a 27-year-old female with bipolar disorder who is obese and has renal dysfunction. Which of the following is true?

Group of answer choices

 

Lithium is the gold standard and should be used.

 

Lithium should be avoided in patients with renal disease.

 

An atypical antipsychotic such as olanzapine or risperidone should be used.

 

Depakote is the best option for this patient.

 

Question 96                       1 pts

Which of the following would constitute negligence? Select all that apply.

Group of answer choices

 

Failure to give necessary care.

 

Failure to refer when necessary.

 

Failure to follow-up with a patient.

 

Failure to disclose necessary information to a patient.

 

Question 97                  1 pts

According to Freud, passive and dependent personality traits are associated with which stage of development?

Group of answer choices

 

Oral stage

 

Anal stage

 

Phallic stage

 

Latency stage

 

Question 100             1 pts

According to the National Organization for Nurse Practitioner Faculties (NONPF), the policy competency area for the NP graduate includes all the following EXCEPT:

Group of answer choices

 

The NP graduate demonstrates an understanding of the interdependence of policy and practice.

 

The NP graduate advocates for ethical policies that promote access, equity, quality, and cost.

 

The NP graduate advocates for the nursing profession.

 

The NP graduate contributes to the development of health policy.