NRNP 6540 FINAL EXAM /NRNP FINAL EXAM 2025-
2026 ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Overview
Developed to reflect the depth, structure, and academic rigor of the NRNP 6540 Final Exam,
this comprehensive study resource reinforces essential advanced practice psychiatric–mental
health concepts, including diagnostic reasoning, psychopharmacology, psychotherapy
modalities, neurobiology, and evidence-based management of psychiatric disorders across the
lifespan.
Aligned with the 2025–2026 PMHNP graduate curriculum, this guide equips students with the
knowledge, clinical reasoning skills, and confidence needed to excel on the final exam and
demonstrate mastery of advanced psychiatric–mental health nurse practitioner competencies.
─────────────────────────────
Key Features
✅ 150 Expert-Validated Questions with Correct Answers
✅ Updated for the 2025–2026 NRNP 6540 Curriculum Standards
✅ Real Exam-Style Format for Accurate, High-Fidelity Preparation
✅ Covers Core Topics: Diagnostic Assessment, Psychopharmacology, Neurodevelopment,
Mood Disorders, Psychotic Disorders, Anxiety/Trauma Disorders, Substance Use, Ethical/Legal
Practice, and Psychotherapy
✅ Graduate-Level Content Reviewed for Accuracy, Depth, and Clinical Relevance
─────────────────────────────
Purpose
• To provide an advanced, comprehensive review for the NRNP 6540 Final Exam
• To strengthen diagnostic reasoning and clinical decision-making skills
• To reinforce PMHNP principles, treatment algorithms, and evidence-based guidelines
• To enhance student clinical proficiency and exam performance
─────────────────────────────
Recommended For
,• PMHNP graduate students preparing for the NRNP 6540 Final Exam
• Learners seeking to deepen their psychiatric–mental health knowledge base
• Educators, tutors, and preceptors creating high-quality academic support materials
─────────────────────────────
Your Complete NRNP 6540 Study Resource
With 150 expertly constructed questions and correct answers, the NRNP 6540 Final Exam
Study Guide (2025–2026) is your most current, reliable, and effective tool for mastering
advanced psychiatric–mental health concepts and achieving top academic performance.
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about
receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B. "Research has not shown this vaccine to be effective against preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant." - ANSWER-D. "You should not
receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and they have a
5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor. At birth, Jake had an
open neural tube defect and now has spina bifida with a loss of function of his lower extremities. Jack
and Jill want another child and ask if there is anything they can do to prevent the recurrence of a neural
tube defect in future pregnancies. What is your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception." - ANSWER-D. "Jill should take 4
mg/day of folic acid, beginning before conception."
3. You are invited to speak to a group of public school administrators about recent outbreaks of head
lice. As an advocate for children and families you share
A. "no nit" policies that exclude children until all nits are removed are essential to eradicate this problem
,B. the American Academy of Pediatrics and the National Association of School Nurses discourage "no
nit" policies that exclude children from school
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice are
showing promising results in randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics as a treatment choice - ANSWER-B.
the American Academy of Pediatrics and the National Association of School Nurses discourage "no
nit" policies that exclude children from school
4. What is the simplest and safest method of suppressing lactation after it has started?
A. administering oral and long-acting injections of hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey" - ANSWER-C. gradually weaning the baby to a bottle or cup over a 3-week
period
5. When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks - ANSWER-C. 18 to 20 weeks
6. The reaspn most often cited to explain why women who have had a usual length of stay and normal
delivery discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness - ANSWER-B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already responding to
and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day before they can be
prescribed an equivalent dose of OxyContin. In order to be prescribed OxyContin, pediatric patient must
be
, A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years - ANSWER-B. 11 to 16 years
8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening - ANSWER-B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note that she
hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily.
Her lab work reveals a normal blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia - ANSWER-A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever - ANSWER-A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with
her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the
occurrence of
A. abruptio placentae
2026 ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Overview
Developed to reflect the depth, structure, and academic rigor of the NRNP 6540 Final Exam,
this comprehensive study resource reinforces essential advanced practice psychiatric–mental
health concepts, including diagnostic reasoning, psychopharmacology, psychotherapy
modalities, neurobiology, and evidence-based management of psychiatric disorders across the
lifespan.
Aligned with the 2025–2026 PMHNP graduate curriculum, this guide equips students with the
knowledge, clinical reasoning skills, and confidence needed to excel on the final exam and
demonstrate mastery of advanced psychiatric–mental health nurse practitioner competencies.
─────────────────────────────
Key Features
✅ 150 Expert-Validated Questions with Correct Answers
✅ Updated for the 2025–2026 NRNP 6540 Curriculum Standards
✅ Real Exam-Style Format for Accurate, High-Fidelity Preparation
✅ Covers Core Topics: Diagnostic Assessment, Psychopharmacology, Neurodevelopment,
Mood Disorders, Psychotic Disorders, Anxiety/Trauma Disorders, Substance Use, Ethical/Legal
Practice, and Psychotherapy
✅ Graduate-Level Content Reviewed for Accuracy, Depth, and Clinical Relevance
─────────────────────────────
Purpose
• To provide an advanced, comprehensive review for the NRNP 6540 Final Exam
• To strengthen diagnostic reasoning and clinical decision-making skills
• To reinforce PMHNP principles, treatment algorithms, and evidence-based guidelines
• To enhance student clinical proficiency and exam performance
─────────────────────────────
Recommended For
,• PMHNP graduate students preparing for the NRNP 6540 Final Exam
• Learners seeking to deepen their psychiatric–mental health knowledge base
• Educators, tutors, and preceptors creating high-quality academic support materials
─────────────────────────────
Your Complete NRNP 6540 Study Resource
With 150 expertly constructed questions and correct answers, the NRNP 6540 Final Exam
Study Guide (2025–2026) is your most current, reliable, and effective tool for mastering
advanced psychiatric–mental health concepts and achieving top academic performance.
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about
receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and effective."
B. "Research has not shown this vaccine to be effective against preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant." - ANSWER-D. "You should not
receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and they have a
5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor. At birth, Jake had an
open neural tube defect and now has spina bifida with a loss of function of his lower extremities. Jack
and Jill want another child and ask if there is anything they can do to prevent the recurrence of a neural
tube defect in future pregnancies. What is your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception." - ANSWER-D. "Jill should take 4
mg/day of folic acid, beginning before conception."
3. You are invited to speak to a group of public school administrators about recent outbreaks of head
lice. As an advocate for children and families you share
A. "no nit" policies that exclude children until all nits are removed are essential to eradicate this problem
,B. the American Academy of Pediatrics and the National Association of School Nurses discourage "no
nit" policies that exclude children from school
C. occlusive agents, such as petroleum shampoo and herbal oils, applied to suffocate the lice are
showing promising results in randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics as a treatment choice - ANSWER-B.
the American Academy of Pediatrics and the National Association of School Nurses discourage "no
nit" policies that exclude children from school
4. What is the simplest and safest method of suppressing lactation after it has started?
A. administering oral and long-acting injections of hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey" - ANSWER-C. gradually weaning the baby to a bottle or cup over a 3-week
period
5. When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks - ANSWER-C. 18 to 20 weeks
6. The reaspn most often cited to explain why women who have had a usual length of stay and normal
delivery discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness - ANSWER-B. the perception that the infant is not receiving enough milk
7. Pediatric patients may now be prescribed OxyContin for pain. Patients must be already responding to
and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day before they can be
prescribed an equivalent dose of OxyContin. In order to be prescribed OxyContin, pediatric patient must
be
, A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years - ANSWER-B. 11 to 16 years
8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening - ANSWER-B. softness of the uterus and ballottement at the isthmus
9. Carrie, of Irish descent, is due to deliver her second baby. During your work-up, you note that she
hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily.
Her lab work reveals a normal blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia - ANSWER-A. Von Willebrand's disease
10. Koplik spots are small, white spots that occur on the inside of the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever - ANSWER-A. measles
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with
her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the
occurrence of
A. abruptio placentae
