PNP Developmental & Behavioral Disorders
Review Test Bank – 150 Questions (100%
Verified)
2025/2026
1. A 4-year-old child presents with difficulty maintaining eye contact,
repetitive hand flapping, and delayed language skills. Which
disorder is most consistent with these findings?
Autism Spectrum Disorder
Rationale: These are core features of autism spectrum disorder,
including social communication deficits and repetitive behaviors.
2. A 3-year-old fails to speak in any social situation but talks
normally at home. What is the most likely diagnosis?
Selective Mutism
Rationale: Selective mutism is characterized by consistent failure
to speak in specific social situations despite normal speech
elsewhere.
3. A child demonstrates hyperactivity, impulsivity, and difficulty
sustaining attention in multiple settings. Which disorder is most
consistent?
Attention-Deficit/Hyperactivity Disorder (ADHD)
Rationale: ADHD presents with symptoms of inattention,
hyperactivity, and impulsivity across settings.
4. Which assessment tool is most commonly used to screen for
autism spectrum disorder in toddlers?
Modified Checklist for Autism in Toddlers (M-CHAT)
, Rationale: M-CHAT is a validated screening tool for early detection
of ASD in children 16–30 months old.
5. A 6-year-old has difficulty reading and recognizing words despite
normal intelligence. Which disorder is likely?
Dyslexia
Rationale: Dyslexia is a learning disorder affecting reading and
word recognition despite normal cognitive ability.
6. A child presents with repetitive motor movements and insistence
on sameness. Which intervention is evidence-based?
Behavioral therapy (Applied Behavior Analysis)
Rationale: ABA is an evidence-based therapy for reducing
repetitive behaviors and improving social functioning in ASD.
7. A 7-year-old has trouble writing letters, frequent letter reversals,
and slow handwriting. What is the likely diagnosis?
Dysgraphia
Rationale: Dysgraphia is a learning disorder that affects writing
skills, including fine motor coordination and letter formation.
8. Which of the following is a hallmark feature of Rett syndrome?
Loss of purposeful hand skills after a period of normal
development
Rationale: Rett syndrome typically presents in girls with regression
in motor and communication skills after initial normal
development.
9. A 5-year-old demonstrates extreme fear of social situations and
refuses to attend preschool. Most likely diagnosis?
Social Anxiety Disorder
Rationale: Social anxiety disorder is characterized by persistent
fear of social interactions or performance situations.
, 10. Which genetic condition is commonly associated with
intellectual disability and characteristic facial features?
Down Syndrome
Rationale: Down syndrome is caused by trisomy 21 and is
associated with intellectual disability, hypotonia, and facial
dysmorphisms.
11. A child demonstrates limited eye contact, poor social
reciprocity, and delayed language but normal cognitive skills.
Which disorder is most consistent?
Autism Spectrum Disorder
Rationale: ASD presents with social communication deficits and
restricted behaviors; normal cognition does not exclude diagnosis.
12. Which intervention is most appropriate for a 4-year-old with
speech delay but normal cognitive development?
Speech therapy
Rationale: Early speech therapy improves language outcomes in
children with developmental speech delays.
13. A 6-year-old exhibits inattention, fails to follow instructions,
and loses schoolwork frequently. Which type of ADHD is most
likely?
Predominantly Inattentive Type
Rationale: Predominantly inattentive ADHD presents primarily
with attention deficits without significant hyperactive-impulsive
behaviors.
14. Which tool is most appropriate for evaluating intellectual
disability in children?
Wechsler Intelligence Scale for Children (WISC)
Rationale: WISC assesses verbal and nonverbal cognitive abilities
to diagnose intellectual disability.
Review Test Bank – 150 Questions (100%
Verified)
2025/2026
1. A 4-year-old child presents with difficulty maintaining eye contact,
repetitive hand flapping, and delayed language skills. Which
disorder is most consistent with these findings?
Autism Spectrum Disorder
Rationale: These are core features of autism spectrum disorder,
including social communication deficits and repetitive behaviors.
2. A 3-year-old fails to speak in any social situation but talks
normally at home. What is the most likely diagnosis?
Selective Mutism
Rationale: Selective mutism is characterized by consistent failure
to speak in specific social situations despite normal speech
elsewhere.
3. A child demonstrates hyperactivity, impulsivity, and difficulty
sustaining attention in multiple settings. Which disorder is most
consistent?
Attention-Deficit/Hyperactivity Disorder (ADHD)
Rationale: ADHD presents with symptoms of inattention,
hyperactivity, and impulsivity across settings.
4. Which assessment tool is most commonly used to screen for
autism spectrum disorder in toddlers?
Modified Checklist for Autism in Toddlers (M-CHAT)
, Rationale: M-CHAT is a validated screening tool for early detection
of ASD in children 16–30 months old.
5. A 6-year-old has difficulty reading and recognizing words despite
normal intelligence. Which disorder is likely?
Dyslexia
Rationale: Dyslexia is a learning disorder affecting reading and
word recognition despite normal cognitive ability.
6. A child presents with repetitive motor movements and insistence
on sameness. Which intervention is evidence-based?
Behavioral therapy (Applied Behavior Analysis)
Rationale: ABA is an evidence-based therapy for reducing
repetitive behaviors and improving social functioning in ASD.
7. A 7-year-old has trouble writing letters, frequent letter reversals,
and slow handwriting. What is the likely diagnosis?
Dysgraphia
Rationale: Dysgraphia is a learning disorder that affects writing
skills, including fine motor coordination and letter formation.
8. Which of the following is a hallmark feature of Rett syndrome?
Loss of purposeful hand skills after a period of normal
development
Rationale: Rett syndrome typically presents in girls with regression
in motor and communication skills after initial normal
development.
9. A 5-year-old demonstrates extreme fear of social situations and
refuses to attend preschool. Most likely diagnosis?
Social Anxiety Disorder
Rationale: Social anxiety disorder is characterized by persistent
fear of social interactions or performance situations.
, 10. Which genetic condition is commonly associated with
intellectual disability and characteristic facial features?
Down Syndrome
Rationale: Down syndrome is caused by trisomy 21 and is
associated with intellectual disability, hypotonia, and facial
dysmorphisms.
11. A child demonstrates limited eye contact, poor social
reciprocity, and delayed language but normal cognitive skills.
Which disorder is most consistent?
Autism Spectrum Disorder
Rationale: ASD presents with social communication deficits and
restricted behaviors; normal cognition does not exclude diagnosis.
12. Which intervention is most appropriate for a 4-year-old with
speech delay but normal cognitive development?
Speech therapy
Rationale: Early speech therapy improves language outcomes in
children with developmental speech delays.
13. A 6-year-old exhibits inattention, fails to follow instructions,
and loses schoolwork frequently. Which type of ADHD is most
likely?
Predominantly Inattentive Type
Rationale: Predominantly inattentive ADHD presents primarily
with attention deficits without significant hyperactive-impulsive
behaviors.
14. Which tool is most appropriate for evaluating intellectual
disability in children?
Wechsler Intelligence Scale for Children (WISC)
Rationale: WISC assesses verbal and nonverbal cognitive abilities
to diagnose intellectual disability.
