NRNP 6665 FINAL EXAM TEST QUESTIONS EXAM
(2026) UPDATE VERIFIED QUESTIONS AND ANSWERS
| LATEST ALREADY GRADED A+ UPDATE |2026
Table of Contents
• Section 1: Neurodevelopmental, Pediatric, & Adolescent Disorders (Questions 1–15)
• Section 2: Somatic Symptom, Dissociative, & Impulse-Control Disorders (Questions 16–
30)
• Section 3: Neurocognitive Disorders, Delirium, & Psychosomatic Medicine (Questions
31–45)
• Section 4: Mood, Anxiety, Psychotic, & Trauma-Related Disorders (Questions 46–60)
• Section 5: Psychopharmacology, Legal/Ethical Issues, & Lifespan Care (Questions 61–
75)
Section 1: Neurodevelopmental, Pediatric, & Adolescent Disorders
Question 1
Question: Which of the following developmental milestones is consistent with normal range
gross motor development for a typical 4-year-old child?
• A. Hopping on one foot and riding a two-wheel bicycle without training wheels
• B. Walking downstairs placing one foot on each tread and standing on one foot for 5 to 8
seconds
• C. Running without falling and climbing stairs with two feet on each step
• D. Skipping smoothly on alternate feet and walking backward heel-to-toe
Correct Answer: B. Walking downstairs placing one foot on each tread and standing on one foot
for 5 to 8 seconds
Rationale: By age 4, gross motor development typically includes walking downstairs placing
one foot per tread, balancing/standing on one foot for 5 to 8 seconds, and catching a bounced
ball. Skipping on alternate feet usually occurs around age 5, whereas riding a two-wheel bicycle
without training wheels occurs around ages 5 to 6.
Question 2
,Question: Identifying developmental milestones is an essential clinical skill for Psychiatric
Mental Health Nurse Practitioners (PMHNPs) because:
• A. Developmental variations go unrecognized until adulthood if not screened early.
• B. Recognizing significant variations improves diagnostic accuracy and facilitates early
intervention, leading to better long-term outcomes.
• C. Developmental screening replaces formal psychiatric diagnostic criteria in pediatric
populations.
• D. Developmental delays are only treated pharmacologically in children under 6 years
old.
Correct Answer: B. Recognizing significant variations improves diagnostic accuracy and
facilitates early intervention, leading to better long-term outcomes.
Rationale: Early identification of developmental delays and impairments allows for prompt
referral to early intervention programs (e.g., speech therapy, occupational therapy, behavioral
therapy), which significantly improves neurodevelopmental and psychosocial trajectories.
Question 3
Question: Which of the following developmental red flags in a 2-year-old child warrants
immediate further developmental and psychiatric assessment?
• A. Inability to jump with both feet off the ground
• B. Inability to form a meaningful two-word phrase independently and lack of
empathy/social response
• C. Speech that is 50% intelligible to unfamiliar listeners
• D. Hesitancy to share toys with peers during play
Correct Answer: B. Inability to form a meaningful two-word phrase independently and lack of
empathy/social response
Rationale: By 24 months, a child should produce two-word spontaneous meaningful phrases
(not just echoing) and demonstrate basic social engagement/reciprocal social communication.
Lack of two-word phrases or absence of joint attention/social responsiveness is a major red flag
for Autism Spectrum Disorder (ASD) or expressive language delay.
Question 4
Question: Demographics and epidemiological data regarding Autism Spectrum Disorder (ASD)
indicate that ASD is diagnosed approximately:
• A. Equal in males and females
, • B. Four times more common in males than in females
• C. Twice as common in females than in males
• D. Predominantly in higher socioeconomic urban populations
Correct Answer: B. Four times more common in males than in females
Rationale: According to current epidemiological data from the CDC and DSM-5-TR, ASD is
diagnosed approximately four times more frequently in males than in females. Females with
ASD are often underdiagnosed or diagnosed later due to social camouflage/masking behaviors.
Question 5
Question: Which of the following social interactions indicates normal developmental
progression for a 5-year-old child?
• A. Engaging in cooperative and imaginative/role-play games with peers
• B. Playing side-by-side without interaction (parallel play)
• C. Solitary play with strict avoidance of group activities
• D. Demonstrating abstract logical reasoning during rule-based sports
Correct Answer: A. Engaging in cooperative and imaginative/role-play games with peers
Rationale: By age 5, children progress beyond parallel play (typical for 2-year-olds) to
interactive, cooperative, and imaginative play involving shared roles, rules, and fantasy themes.
Question 6
Question: What is the first-line FDA-approved psychopharmacological class of medication for
Attention-Deficit/Hyperactivity Disorder (ADHD) in school-aged children?
• A. Selective Serotonin Reuptake Inhibitors (SSRIs)
• B. Central Nervous System (CNS) Stimulants (e.g., Methylphenidate, Amphetamines)
• C. Alpha-2 Adrenergic Agonists (e.g., Clonidine)
• D. Atypical Antipsychotics (e.g., Risperidone)
Correct Answer: B. Central Nervous System (CNS) Stimulants (e.g., Methylphenidate,
Amphetamines)
Rationale: CNS stimulants (methylphenidate and amphetamine formulations) are the first-line,
most effective pharmacological treatments for ADHD in children aged 6 and older, with response
rates ranging between 70% and 80%.
Question 7
(2026) UPDATE VERIFIED QUESTIONS AND ANSWERS
| LATEST ALREADY GRADED A+ UPDATE |2026
Table of Contents
• Section 1: Neurodevelopmental, Pediatric, & Adolescent Disorders (Questions 1–15)
• Section 2: Somatic Symptom, Dissociative, & Impulse-Control Disorders (Questions 16–
30)
• Section 3: Neurocognitive Disorders, Delirium, & Psychosomatic Medicine (Questions
31–45)
• Section 4: Mood, Anxiety, Psychotic, & Trauma-Related Disorders (Questions 46–60)
• Section 5: Psychopharmacology, Legal/Ethical Issues, & Lifespan Care (Questions 61–
75)
Section 1: Neurodevelopmental, Pediatric, & Adolescent Disorders
Question 1
Question: Which of the following developmental milestones is consistent with normal range
gross motor development for a typical 4-year-old child?
• A. Hopping on one foot and riding a two-wheel bicycle without training wheels
• B. Walking downstairs placing one foot on each tread and standing on one foot for 5 to 8
seconds
• C. Running without falling and climbing stairs with two feet on each step
• D. Skipping smoothly on alternate feet and walking backward heel-to-toe
Correct Answer: B. Walking downstairs placing one foot on each tread and standing on one foot
for 5 to 8 seconds
Rationale: By age 4, gross motor development typically includes walking downstairs placing
one foot per tread, balancing/standing on one foot for 5 to 8 seconds, and catching a bounced
ball. Skipping on alternate feet usually occurs around age 5, whereas riding a two-wheel bicycle
without training wheels occurs around ages 5 to 6.
Question 2
,Question: Identifying developmental milestones is an essential clinical skill for Psychiatric
Mental Health Nurse Practitioners (PMHNPs) because:
• A. Developmental variations go unrecognized until adulthood if not screened early.
• B. Recognizing significant variations improves diagnostic accuracy and facilitates early
intervention, leading to better long-term outcomes.
• C. Developmental screening replaces formal psychiatric diagnostic criteria in pediatric
populations.
• D. Developmental delays are only treated pharmacologically in children under 6 years
old.
Correct Answer: B. Recognizing significant variations improves diagnostic accuracy and
facilitates early intervention, leading to better long-term outcomes.
Rationale: Early identification of developmental delays and impairments allows for prompt
referral to early intervention programs (e.g., speech therapy, occupational therapy, behavioral
therapy), which significantly improves neurodevelopmental and psychosocial trajectories.
Question 3
Question: Which of the following developmental red flags in a 2-year-old child warrants
immediate further developmental and psychiatric assessment?
• A. Inability to jump with both feet off the ground
• B. Inability to form a meaningful two-word phrase independently and lack of
empathy/social response
• C. Speech that is 50% intelligible to unfamiliar listeners
• D. Hesitancy to share toys with peers during play
Correct Answer: B. Inability to form a meaningful two-word phrase independently and lack of
empathy/social response
Rationale: By 24 months, a child should produce two-word spontaneous meaningful phrases
(not just echoing) and demonstrate basic social engagement/reciprocal social communication.
Lack of two-word phrases or absence of joint attention/social responsiveness is a major red flag
for Autism Spectrum Disorder (ASD) or expressive language delay.
Question 4
Question: Demographics and epidemiological data regarding Autism Spectrum Disorder (ASD)
indicate that ASD is diagnosed approximately:
• A. Equal in males and females
, • B. Four times more common in males than in females
• C. Twice as common in females than in males
• D. Predominantly in higher socioeconomic urban populations
Correct Answer: B. Four times more common in males than in females
Rationale: According to current epidemiological data from the CDC and DSM-5-TR, ASD is
diagnosed approximately four times more frequently in males than in females. Females with
ASD are often underdiagnosed or diagnosed later due to social camouflage/masking behaviors.
Question 5
Question: Which of the following social interactions indicates normal developmental
progression for a 5-year-old child?
• A. Engaging in cooperative and imaginative/role-play games with peers
• B. Playing side-by-side without interaction (parallel play)
• C. Solitary play with strict avoidance of group activities
• D. Demonstrating abstract logical reasoning during rule-based sports
Correct Answer: A. Engaging in cooperative and imaginative/role-play games with peers
Rationale: By age 5, children progress beyond parallel play (typical for 2-year-olds) to
interactive, cooperative, and imaginative play involving shared roles, rules, and fantasy themes.
Question 6
Question: What is the first-line FDA-approved psychopharmacological class of medication for
Attention-Deficit/Hyperactivity Disorder (ADHD) in school-aged children?
• A. Selective Serotonin Reuptake Inhibitors (SSRIs)
• B. Central Nervous System (CNS) Stimulants (e.g., Methylphenidate, Amphetamines)
• C. Alpha-2 Adrenergic Agonists (e.g., Clonidine)
• D. Atypical Antipsychotics (e.g., Risperidone)
Correct Answer: B. Central Nervous System (CNS) Stimulants (e.g., Methylphenidate,
Amphetamines)
Rationale: CNS stimulants (methylphenidate and amphetamine formulations) are the first-line,
most effective pharmacological treatments for ADHD in children aged 6 and older, with response
rates ranging between 70% and 80%.
Question 7
