NRNP 6665: PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER -
COMPREHENSIVE EXAM REVIEW
QUESTIONS AND ANSWERS
1. According to the DSM-5, what is the age cutoff for the onset of symptoms to diagnose
Attention-Deficit/Hyperactivity Disorder (ADHD)?
A. Before age 7
B. Before age 12
C. Before age 10
D. Before age 15
Answer: B
Conceptual Explanation: The DSM-5 changed the onset age requirement for ADHD
symptoms from age 7 to before age 12.
,2. A 10-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring at least three times a week. Which diagnosis is most
appropriate?
A. Disruptive Mood Dysregulation Disorder (DMDD)
B. Oppositional Defiant Disorder
C. Bipolar I Disorder
D. Conduct Disorder
Answer: A
Conceptual Explanation: DMDD is characterized by chronic, severe persistent irritability
and frequent temper outbursts in children, typically diagnosed between ages 6 and 18.
3. Which of the following medications is FDA-approved for the treatment of irritability
associated with Autism Spectrum Disorder in children aged 5 to 16?
A. Fluoxetine
B. Methylphenidate
C. Risperidone
D. Lithium
Answer: C
, Conceptual Explanation: Risperidone and Aripiprazole are the only two FDA-approved
medications for treating irritability associated with Autism Spectrum Disorder in pediatric
populations.
4. In the treatment of pediatric depression, which medication is the only SSRI FDA-approved
for use in children aged 8 and older?
A. Sertraline
B. Escitalopram
C. Paroxetine
D. Fluoxetine
Answer: D
Conceptual Explanation: Fluoxetine is FDA-approved for depression in children age 8+,
while Escitalopram is approved for ages 12+.
5. A 15-year-old male exhibits a repetitive pattern of behavior that violates the basic rights of
others, including physical aggression toward animals and theft. What is the most likely
diagnosis?
A. Oppositional Defiant Disorder
B. Conduct Disorder
C. Antisocial Personality Disorder
D. Intermittent Explosive Disorder
HEALTH NURSE PRACTITIONER -
COMPREHENSIVE EXAM REVIEW
QUESTIONS AND ANSWERS
1. According to the DSM-5, what is the age cutoff for the onset of symptoms to diagnose
Attention-Deficit/Hyperactivity Disorder (ADHD)?
A. Before age 7
B. Before age 12
C. Before age 10
D. Before age 15
Answer: B
Conceptual Explanation: The DSM-5 changed the onset age requirement for ADHD
symptoms from age 7 to before age 12.
,2. A 10-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring at least three times a week. Which diagnosis is most
appropriate?
A. Disruptive Mood Dysregulation Disorder (DMDD)
B. Oppositional Defiant Disorder
C. Bipolar I Disorder
D. Conduct Disorder
Answer: A
Conceptual Explanation: DMDD is characterized by chronic, severe persistent irritability
and frequent temper outbursts in children, typically diagnosed between ages 6 and 18.
3. Which of the following medications is FDA-approved for the treatment of irritability
associated with Autism Spectrum Disorder in children aged 5 to 16?
A. Fluoxetine
B. Methylphenidate
C. Risperidone
D. Lithium
Answer: C
, Conceptual Explanation: Risperidone and Aripiprazole are the only two FDA-approved
medications for treating irritability associated with Autism Spectrum Disorder in pediatric
populations.
4. In the treatment of pediatric depression, which medication is the only SSRI FDA-approved
for use in children aged 8 and older?
A. Sertraline
B. Escitalopram
C. Paroxetine
D. Fluoxetine
Answer: D
Conceptual Explanation: Fluoxetine is FDA-approved for depression in children age 8+,
while Escitalopram is approved for ages 12+.
5. A 15-year-old male exhibits a repetitive pattern of behavior that violates the basic rights of
others, including physical aggression toward animals and theft. What is the most likely
diagnosis?
A. Oppositional Defiant Disorder
B. Conduct Disorder
C. Antisocial Personality Disorder
D. Intermittent Explosive Disorder
