NRNP 6665 2026 EXAM STUDY GUIDE
COMPLETE QUESTIONS WITH ANSWERS
◉Atomoxetine (Strattera). Answer: - BBW
> Risk of suicidal ideation; monitor for suicidal thinking or behavior,
worsening, or unusual behavior
- Contraindications
> Glaucoma, pheochromocytoma, MAO I use within past 14 days
- Warning
> Rare, but severe hepatotoxicity (most within 120 days of start of
treatment)
SE
> Headache, insomnia, *somnolence*, dry mouth, nausea, abdominal
pain, decrease in appetite, nausea, etc.
> Priapism
NOTE
> * do not open capsule * - irritant
> CYPD 2D6 substrate
> watch out for *LIVER PROBLEMS *
◉Clonidine. Answer: alpha 2 agonist
,-treatment for hypertension and opioid withdrawal
-side effects of bradycardia and hypotension
◉Dexmethylphenidate. Answer: ADHD stimulant
◉Guanfacine Hydrochloride. Answer:
*Antihypertensive/Antipsychotic
*Tenex, Intuniv
◉Lisdexamfetamine. Answer: Vyvanse
ADHD
C-II
◉Methylphenidate. Answer: Concerta, Ritalin, Metadate, Methylin
CNS Agent for ADHD
◉Methylphenidate ER. Answer: Concerta, Metadate CD, Ritalin LA,
Quillichew (chewable tablets), Quillivant (suspension), Cotempla
(ODT)
◉Question 6:
When considering a diagnosis of developmental coordination
disorder, the PMHNP knows that the diagnosis may be associated
,with:. Answer: A. Above-average scores on performance subtests of
standardized intelligence testing
B. Below-average scores on verbal subtests of standardized
intelligence testing
C. Soft neurologic signs on physical examination such as slight reflex
abnormalities
D. Physical findings consistent with neuromuscular disease such as
muscular dystrophy
◉Question 8:
Children with gender dysphoria typically have higher rates of all the
following except:. Answer: A. Depression
B. Impulse control disorders
C. Anxiety disorders
D. Eating disorder
◉Question 9:
Eileen is a 23-month-old girl who is being evaluated for autism
spectrum disorder because her pediatrician is concerned about the
presence of developmental red flags. She has just a few words of
speech and has not put together any meaningful two-word phrases.
While taking a history from Eileen's mother the PMHNP learns that
for approximately the last 2 months Eileen has been seen eating
paint chips that are peeling off the baseboard and window sills in
the family home; when she sees one she puts it in her mouth. This is
, a concern because they live in an old farmhouse and there may be
lead-based paint in some of the paint layers. The PMHNP considers
that which of the following is not consistent with a diagnosis of
pica?. Answer: A. A diagnosis of autism spectrum disorder
B. Symptoms < 6 months duration
C. The pattern of eating
D. Lack of potential consequences
◉Question 12
Which of the following symptom clusters is most likely in a 16-year-
old male with major depressive disorder?. Answer: A. Disturbance of
mood, loss of interest, and mood-congruent hallucinations
B. Irritability, persistent abdominal complaints, and insomnia
C. Decreased concentration, social withdrawal, and substance abuse
D. Pervasive anhedonia, hopelessness, and severe psychomotor
retardation
◉Question 10:
The current scholarly consensus is that the etiology of bulimia
nervosa is multifactorial to include biological, sociocultural, family,
cognitive-behavioral, and psychodynamic factors. When considering
the etiology of bulimia nervosa, the PMHNP understands that:.
Answer: A. Family factors contributing to bulimia nervosa include
emotional restraint, tight parental control of behavior, and
avoidance of conflict.
COMPLETE QUESTIONS WITH ANSWERS
◉Atomoxetine (Strattera). Answer: - BBW
> Risk of suicidal ideation; monitor for suicidal thinking or behavior,
worsening, or unusual behavior
- Contraindications
> Glaucoma, pheochromocytoma, MAO I use within past 14 days
- Warning
> Rare, but severe hepatotoxicity (most within 120 days of start of
treatment)
SE
> Headache, insomnia, *somnolence*, dry mouth, nausea, abdominal
pain, decrease in appetite, nausea, etc.
> Priapism
NOTE
> * do not open capsule * - irritant
> CYPD 2D6 substrate
> watch out for *LIVER PROBLEMS *
◉Clonidine. Answer: alpha 2 agonist
,-treatment for hypertension and opioid withdrawal
-side effects of bradycardia and hypotension
◉Dexmethylphenidate. Answer: ADHD stimulant
◉Guanfacine Hydrochloride. Answer:
*Antihypertensive/Antipsychotic
*Tenex, Intuniv
◉Lisdexamfetamine. Answer: Vyvanse
ADHD
C-II
◉Methylphenidate. Answer: Concerta, Ritalin, Metadate, Methylin
CNS Agent for ADHD
◉Methylphenidate ER. Answer: Concerta, Metadate CD, Ritalin LA,
Quillichew (chewable tablets), Quillivant (suspension), Cotempla
(ODT)
◉Question 6:
When considering a diagnosis of developmental coordination
disorder, the PMHNP knows that the diagnosis may be associated
,with:. Answer: A. Above-average scores on performance subtests of
standardized intelligence testing
B. Below-average scores on verbal subtests of standardized
intelligence testing
C. Soft neurologic signs on physical examination such as slight reflex
abnormalities
D. Physical findings consistent with neuromuscular disease such as
muscular dystrophy
◉Question 8:
Children with gender dysphoria typically have higher rates of all the
following except:. Answer: A. Depression
B. Impulse control disorders
C. Anxiety disorders
D. Eating disorder
◉Question 9:
Eileen is a 23-month-old girl who is being evaluated for autism
spectrum disorder because her pediatrician is concerned about the
presence of developmental red flags. She has just a few words of
speech and has not put together any meaningful two-word phrases.
While taking a history from Eileen's mother the PMHNP learns that
for approximately the last 2 months Eileen has been seen eating
paint chips that are peeling off the baseboard and window sills in
the family home; when she sees one she puts it in her mouth. This is
, a concern because they live in an old farmhouse and there may be
lead-based paint in some of the paint layers. The PMHNP considers
that which of the following is not consistent with a diagnosis of
pica?. Answer: A. A diagnosis of autism spectrum disorder
B. Symptoms < 6 months duration
C. The pattern of eating
D. Lack of potential consequences
◉Question 12
Which of the following symptom clusters is most likely in a 16-year-
old male with major depressive disorder?. Answer: A. Disturbance of
mood, loss of interest, and mood-congruent hallucinations
B. Irritability, persistent abdominal complaints, and insomnia
C. Decreased concentration, social withdrawal, and substance abuse
D. Pervasive anhedonia, hopelessness, and severe psychomotor
retardation
◉Question 10:
The current scholarly consensus is that the etiology of bulimia
nervosa is multifactorial to include biological, sociocultural, family,
cognitive-behavioral, and psychodynamic factors. When considering
the etiology of bulimia nervosa, the PMHNP understands that:.
Answer: A. Family factors contributing to bulimia nervosa include
emotional restraint, tight parental control of behavior, and
avoidance of conflict.
