NR 668 FINAL CERTIFICATION EVALUATION
EXAM 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which of the following highlights the core feature of Histrionic
Personality disorder?
a. A pervasive pattern of grandiosity, lack of empathy, and need for
constant admiration
b. A pervasive pattern consisting of attention seeking and excessive
emotionality
c. A pattern of clinging behavior related to excessive need to be
taken care of
d. A pervasive fear of abandonment either real or imagined. Answer:
b. A pervasive pattern consisting of attention seeking and excessive
emotionality
◉ Shirley is a 20-year-old female on oral contraceptives. Which of
the following is most likely to interact with her oral contraceptive?
a. Grapefruit juice
b. St. John's wort
c. Phenytoin
,d. All of these could interact with the contraceptive. Answer: d. All of
these could interact with the contraceptive
◉ Regardless of any accompanying symptoms, how many
obstructive apneas or hypoapneas found on polysomnography per
hour, would qualify one for a diagnosis of Obstructive Sleep Apnea
Hypopnea?
a. 15
b. 4
c. 5
d. 6-8. Answer: a. 15
*a diagnosis of obstructive sleep apnea hypopnea can be made when
polysomnography shows 15 or more obstructive apneas or
hypoapneas in an hour regardless of accompanying symptoms
◉ A 32-year-old man presents on referral from his primary care
provider. He reports a 6-month history of recurrent bouts of anxiety
associated with chest pain, tachycardia, tremors, nausea,
diaphoresis, and an impending sense of doom. The episodes last
approximately 20 minutes and he is unable to identify a
precipitating event. The patient has become increasingly isolated for
fear of not wanting to have this sort of episode in public. The
primary care provider started him on a selective serotonin reuptake
inhibitor (SSRI) 6 months ago but he continues to have the
symptoms. Which adjunctive psychotherapy would be most
appropriate for this patient?
,a. Supportive psychotherapy
b. Cognitive behavioral therapy
c. Eye movement desensitization and reprocessing (EMDR) therapy
d. Interpersonal therapy. Answer: b. Cognitive behavioral therapy
◉ Karen is a 68-year-old former legal secretary who enjoys an active
social life with her husband. She feels she has something wrong with
her medically and has seen many specialists over the year who have
found nothing wrong with her. Her husband reports that she
continually repeats the same five stories over and over again as if
she is telling them for the first time. On two occasions in the last
year she has gotten lost coming home from the supermarket and
was found by the police a half-mile from her former place of
employment. What is the most likely diagnosis?
a. Mixed delirium
b. Huntington's disease
c. Vascular dementia
d. Creutzfeldt-Jakob disease. Answer: c. Vascular dementia
◉ The experience of depersonalization is ego_________ and reality
testing is ___________?
a. Ego-dystonic and reality testing is intact
b. Ego-syntonic and reality testing remains intact
c. Ego-syntonic and reality testing is NOT intact
, d. Ego-dystonic and reality testing is NOT intact. Answer: a. Ego-
dystonic and reality testing is intact
◉ A 70-year-old man with a history of hypertension is being
evaluated for late effects of a cerebrovascular accident. Which of the
following conditions is most associated with microvascular
ischemia?
a. Anxiety
b. Posttraumatic stress disorder (PTSD)
c. Obsessive compulsive disorder
d. Depression. Answer: d. Depression
◉ A 61-year-old female is referred to the psychiatric emergency
department with complaints of abdominal pain, nausea, and bloody
stools. Despite an extensive evaluation, no underlying cause for her
symptoms can be identified and her hemoglobin is normal. The
patient insists there is something physically wrong with her. Which
of the following best describes her condition?
a. Persecutory delusion
b. Grandiose delusion
c. Somatic delusion
d. Jealous delusion. Answer: c. Somatic delusion
EXAM 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which of the following highlights the core feature of Histrionic
Personality disorder?
a. A pervasive pattern of grandiosity, lack of empathy, and need for
constant admiration
b. A pervasive pattern consisting of attention seeking and excessive
emotionality
c. A pattern of clinging behavior related to excessive need to be
taken care of
d. A pervasive fear of abandonment either real or imagined. Answer:
b. A pervasive pattern consisting of attention seeking and excessive
emotionality
◉ Shirley is a 20-year-old female on oral contraceptives. Which of
the following is most likely to interact with her oral contraceptive?
a. Grapefruit juice
b. St. John's wort
c. Phenytoin
,d. All of these could interact with the contraceptive. Answer: d. All of
these could interact with the contraceptive
◉ Regardless of any accompanying symptoms, how many
obstructive apneas or hypoapneas found on polysomnography per
hour, would qualify one for a diagnosis of Obstructive Sleep Apnea
Hypopnea?
a. 15
b. 4
c. 5
d. 6-8. Answer: a. 15
*a diagnosis of obstructive sleep apnea hypopnea can be made when
polysomnography shows 15 or more obstructive apneas or
hypoapneas in an hour regardless of accompanying symptoms
◉ A 32-year-old man presents on referral from his primary care
provider. He reports a 6-month history of recurrent bouts of anxiety
associated with chest pain, tachycardia, tremors, nausea,
diaphoresis, and an impending sense of doom. The episodes last
approximately 20 minutes and he is unable to identify a
precipitating event. The patient has become increasingly isolated for
fear of not wanting to have this sort of episode in public. The
primary care provider started him on a selective serotonin reuptake
inhibitor (SSRI) 6 months ago but he continues to have the
symptoms. Which adjunctive psychotherapy would be most
appropriate for this patient?
,a. Supportive psychotherapy
b. Cognitive behavioral therapy
c. Eye movement desensitization and reprocessing (EMDR) therapy
d. Interpersonal therapy. Answer: b. Cognitive behavioral therapy
◉ Karen is a 68-year-old former legal secretary who enjoys an active
social life with her husband. She feels she has something wrong with
her medically and has seen many specialists over the year who have
found nothing wrong with her. Her husband reports that she
continually repeats the same five stories over and over again as if
she is telling them for the first time. On two occasions in the last
year she has gotten lost coming home from the supermarket and
was found by the police a half-mile from her former place of
employment. What is the most likely diagnosis?
a. Mixed delirium
b. Huntington's disease
c. Vascular dementia
d. Creutzfeldt-Jakob disease. Answer: c. Vascular dementia
◉ The experience of depersonalization is ego_________ and reality
testing is ___________?
a. Ego-dystonic and reality testing is intact
b. Ego-syntonic and reality testing remains intact
c. Ego-syntonic and reality testing is NOT intact
, d. Ego-dystonic and reality testing is NOT intact. Answer: a. Ego-
dystonic and reality testing is intact
◉ A 70-year-old man with a history of hypertension is being
evaluated for late effects of a cerebrovascular accident. Which of the
following conditions is most associated with microvascular
ischemia?
a. Anxiety
b. Posttraumatic stress disorder (PTSD)
c. Obsessive compulsive disorder
d. Depression. Answer: d. Depression
◉ A 61-year-old female is referred to the psychiatric emergency
department with complaints of abdominal pain, nausea, and bloody
stools. Despite an extensive evaluation, no underlying cause for her
symptoms can be identified and her hemoglobin is normal. The
patient insists there is something physically wrong with her. Which
of the following best describes her condition?
a. Persecutory delusion
b. Grandiose delusion
c. Somatic delusion
d. Jealous delusion. Answer: c. Somatic delusion
