NR606 FINAL EXAMPREP STUDY GUIDE 2026
TESTED QUESTIONS WITH ACCURATE
ANSWERS
◉ What are some s/s of selective attention (refers to the ability to
focus on specific information or stimuli while actively filtering out
irrelevant distractions, essentially choosing what to pay attention to)
within children with ADHD? Answer: lack of attention to detail,
carelesnessness, not listening, losing things, diverting attention,
forgetfulness.
◉ What are some s/s of impulsivity? Answer: Not waiting your turn,
blurting things out, interrupting, excessive talking
◉ What are some s/s of hyperactivity? Answer: trouble playing
quietly, leaving ones set, running/climbing, fidgeting
◉ What are some s/s of lack of sustained attention? Answer: poor
problem solving, difficulty completing tasks, disorganization,
difficulty sustaining mental effort
◉ When is ADHD usually diagnosed and what gender does it mainly
affect? Answer: It is diagnosed within early childhood to
adolescents.
,ADHD has a 2:1 male to female ratio.
◉ What is the importance of early ADHD diagnosis and treatment?
Answer: ADHD symptoms may be mild or so severe and persistent
that they interfere with virtually all aspects of a person's life.
Without early identification and proper treatment, ADHD can cause
disruptions in academic performance, family stress, difficulties in
social relationships, and accidental injuries.
◉ What are the lasting consequences of non-treatment of ADHD in
children? Answer: Children with ADHD may experience delays in
speech, motor, and social development. They often demonstrate
reduced behavioral inhibition, emotional dys-regulation or
impulsivity, and negative emotionality. Some children with ADHD
have challenges with working memory.
◉ ADHD typically presents with_________ IN EARLY CHILDHOOD.
Answer: HYPERACTIVITY
◉ What is the difficult about diagnosing ADHD in children under the
age of 4? Answer: It can be hard to distinguish actually ADHD
symptoms from normal neurotypical children.
,◉ _______ FEATURES become more prominent in PRESCHOOL and
ELEMENTARY school, which is when ADHD is most often diagnosed.
Answer: Inattentive.
Young children can experience developmental delays and may
engage in behaviors that are less mature than their peers.
◉ In adolescence, signs of hyperactivity become less common, but
some adolescents experience a worsening of the condition with
development of _______ behaviors. Answer: Anti-social
Teens with ADHD are at risk for poor academic performance,
problems with driving, difficulties with social situations, risky sexual
behavior, and substance abuse.- Particularly untreated
◉ As clients reach adolescence, hyperactive symptoms may decline
and become less apparent to others, but adolescents and adults with
ADHD may still struggle with executive function, attention, and
working memory, which can create problems with day-to-day
functioning, performance at work, and relationships. Answer:
◉ How would you as a PMHNP screen or diagnose ADHD? Answer:
To make an informed diagnosis, it is essential to gather data from
multiple sources, including the client, parents, and teachers of
children and adolescents. Several instruments are available, either
free or for a fee, to assist in diagnosis, as well as to monitor changes
in symptoms during treatment.
, You can use the Vanderbilt scale- FREE
Connor Scale- not free
◉ What are some co-morbidities of ADHD? Answer: Substance use
disorder, depression, anxiety, OCD, Bipolar
Common co-occurring conditions include learning disabilities,
conduct disorders, tics, anxiety, depression, and language disorders;
adolescents are at increased risk of substance use disorders.
Consideration must be given to whether the presenting symptoms
are attributed to ADHD, another disorder, or to both disorders to
make an accurate diagnosis and treatment plan.
◉ How is treatment typically handled when a child has ADHD AND a
co-existing mental health ailment? Answer: Children with co-
occurring conditions are often treated first for ADHD and then for
comorbidities, as treating ADHD symptoms first may help reduce
overall stress levels and provide a clearer picture of the comorbid
symptoms
◉ What is the first-line treatment for ADHD? Answer: A stimulant
medication.
TESTED QUESTIONS WITH ACCURATE
ANSWERS
◉ What are some s/s of selective attention (refers to the ability to
focus on specific information or stimuli while actively filtering out
irrelevant distractions, essentially choosing what to pay attention to)
within children with ADHD? Answer: lack of attention to detail,
carelesnessness, not listening, losing things, diverting attention,
forgetfulness.
◉ What are some s/s of impulsivity? Answer: Not waiting your turn,
blurting things out, interrupting, excessive talking
◉ What are some s/s of hyperactivity? Answer: trouble playing
quietly, leaving ones set, running/climbing, fidgeting
◉ What are some s/s of lack of sustained attention? Answer: poor
problem solving, difficulty completing tasks, disorganization,
difficulty sustaining mental effort
◉ When is ADHD usually diagnosed and what gender does it mainly
affect? Answer: It is diagnosed within early childhood to
adolescents.
,ADHD has a 2:1 male to female ratio.
◉ What is the importance of early ADHD diagnosis and treatment?
Answer: ADHD symptoms may be mild or so severe and persistent
that they interfere with virtually all aspects of a person's life.
Without early identification and proper treatment, ADHD can cause
disruptions in academic performance, family stress, difficulties in
social relationships, and accidental injuries.
◉ What are the lasting consequences of non-treatment of ADHD in
children? Answer: Children with ADHD may experience delays in
speech, motor, and social development. They often demonstrate
reduced behavioral inhibition, emotional dys-regulation or
impulsivity, and negative emotionality. Some children with ADHD
have challenges with working memory.
◉ ADHD typically presents with_________ IN EARLY CHILDHOOD.
Answer: HYPERACTIVITY
◉ What is the difficult about diagnosing ADHD in children under the
age of 4? Answer: It can be hard to distinguish actually ADHD
symptoms from normal neurotypical children.
,◉ _______ FEATURES become more prominent in PRESCHOOL and
ELEMENTARY school, which is when ADHD is most often diagnosed.
Answer: Inattentive.
Young children can experience developmental delays and may
engage in behaviors that are less mature than their peers.
◉ In adolescence, signs of hyperactivity become less common, but
some adolescents experience a worsening of the condition with
development of _______ behaviors. Answer: Anti-social
Teens with ADHD are at risk for poor academic performance,
problems with driving, difficulties with social situations, risky sexual
behavior, and substance abuse.- Particularly untreated
◉ As clients reach adolescence, hyperactive symptoms may decline
and become less apparent to others, but adolescents and adults with
ADHD may still struggle with executive function, attention, and
working memory, which can create problems with day-to-day
functioning, performance at work, and relationships. Answer:
◉ How would you as a PMHNP screen or diagnose ADHD? Answer:
To make an informed diagnosis, it is essential to gather data from
multiple sources, including the client, parents, and teachers of
children and adolescents. Several instruments are available, either
free or for a fee, to assist in diagnosis, as well as to monitor changes
in symptoms during treatment.
, You can use the Vanderbilt scale- FREE
Connor Scale- not free
◉ What are some co-morbidities of ADHD? Answer: Substance use
disorder, depression, anxiety, OCD, Bipolar
Common co-occurring conditions include learning disabilities,
conduct disorders, tics, anxiety, depression, and language disorders;
adolescents are at increased risk of substance use disorders.
Consideration must be given to whether the presenting symptoms
are attributed to ADHD, another disorder, or to both disorders to
make an accurate diagnosis and treatment plan.
◉ How is treatment typically handled when a child has ADHD AND a
co-existing mental health ailment? Answer: Children with co-
occurring conditions are often treated first for ADHD and then for
comorbidities, as treating ADHD symptoms first may help reduce
overall stress levels and provide a clearer picture of the comorbid
symptoms
◉ What is the first-line treatment for ADHD? Answer: A stimulant
medication.
