NRNP 6635 COMPREHENSIVE EXAM -
WEEKS 6 & 11 QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A 9-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring at least three times a week. The symptoms have been
present for 12 months in multiple settings. Which diagnosis is most appropriate?
A. Disruptive Mood Dysregulation Disorder
B. Oppositional Defiant Disorder
C. Bipolar I Disorder
D. Conduct Disorder
Answer: A
Conceptual Explanation: Disruptive Mood Dysregulation Disorder (DMDD) is
characterized by severe recurrent temper outbursts and a persistent irritable or angry
mood between outbursts, specifically in children where Bipolar Disorder might be
overdiagnosed.
,2. When diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD) in an adolescent aged
17, how many symptoms of inattention or hyperactivity-impulsivity must be present
according to DSM-5?
A. At least 4
B. At least 6
C. At least 5
D. At least 7
Answer: C
Conceptual Explanation: For individuals aged 17 and older, the DSM-5 requires at least 5
symptoms, whereas for younger children, at least 6 symptoms are required.
3. A child displays a consistent pattern of inhibited, emotionally withdrawn behavior toward
adult caregivers and rarely seeks or responds to comfort when distressed. This behavior is
most characteristic of:
A. Disinhibited Social Engagement Disorder
B. Autism Spectrum Disorder
C. Reactive Attachment Disorder
D. Separation Anxiety Disorder
Answer: C
, Conceptual Explanation: Reactive Attachment Disorder involves a pattern of inhibited,
emotionally withdrawn behavior toward caregivers, often resulting from early childhood
neglect or maltreatment.
4. Which of the following is a key differentiator between Oppositional Defiant Disorder (ODD)
and Conduct Disorder (CD)?
A. CD involves the violation of the basic rights of others or major age-appropriate societal
norms.
B. ODD includes physical aggression toward people or animals.
C. ODD requires symptoms to be present for at least 12 months.
D. CD does not include symptoms of irritability.
Answer: A
Conceptual Explanation: Conduct Disorder is distinguished by a repetitive pattern of
behavior in which the basic rights of others or major societal rules are violated, whereas
ODD focuses more on defiance and irritability.
5. In the treatment of pediatric ADHD, which side effect of stimulant medication requires
immediate cessation and evaluation?
A. Decreased appetite
B. New-onset hallucinations or mania
C. Insomnia
WEEKS 6 & 11 QUESTIONS AND
ANSWERS 100% VERIFIED BY
EXPERTS. 2026/2027
1. A 9-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring at least three times a week. The symptoms have been
present for 12 months in multiple settings. Which diagnosis is most appropriate?
A. Disruptive Mood Dysregulation Disorder
B. Oppositional Defiant Disorder
C. Bipolar I Disorder
D. Conduct Disorder
Answer: A
Conceptual Explanation: Disruptive Mood Dysregulation Disorder (DMDD) is
characterized by severe recurrent temper outbursts and a persistent irritable or angry
mood between outbursts, specifically in children where Bipolar Disorder might be
overdiagnosed.
,2. When diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD) in an adolescent aged
17, how many symptoms of inattention or hyperactivity-impulsivity must be present
according to DSM-5?
A. At least 4
B. At least 6
C. At least 5
D. At least 7
Answer: C
Conceptual Explanation: For individuals aged 17 and older, the DSM-5 requires at least 5
symptoms, whereas for younger children, at least 6 symptoms are required.
3. A child displays a consistent pattern of inhibited, emotionally withdrawn behavior toward
adult caregivers and rarely seeks or responds to comfort when distressed. This behavior is
most characteristic of:
A. Disinhibited Social Engagement Disorder
B. Autism Spectrum Disorder
C. Reactive Attachment Disorder
D. Separation Anxiety Disorder
Answer: C
, Conceptual Explanation: Reactive Attachment Disorder involves a pattern of inhibited,
emotionally withdrawn behavior toward caregivers, often resulting from early childhood
neglect or maltreatment.
4. Which of the following is a key differentiator between Oppositional Defiant Disorder (ODD)
and Conduct Disorder (CD)?
A. CD involves the violation of the basic rights of others or major age-appropriate societal
norms.
B. ODD includes physical aggression toward people or animals.
C. ODD requires symptoms to be present for at least 12 months.
D. CD does not include symptoms of irritability.
Answer: A
Conceptual Explanation: Conduct Disorder is distinguished by a repetitive pattern of
behavior in which the basic rights of others or major societal rules are violated, whereas
ODD focuses more on defiance and irritability.
5. In the treatment of pediatric ADHD, which side effect of stimulant medication requires
immediate cessation and evaluation?
A. Decreased appetite
B. New-onset hallucinations or mania
C. Insomnia
