NR 606 EXAM FINAL QUESTIONS AND
CORRECT ANSWERS 2025/2026 WITH
RATIONALES UPDATED LATEST
Children in the pre-operational stage think _____ and use what to represent objects? -
symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and organized
about events and children can reason inductively - concrete operational (age 7-11)
, which stage is defined by the ability to reason abstractly and consider hypothetical
problems as well as moral, ethical, social, and political issues? - formal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or
neglect? - the provider can decide whether or not to treat the parent as a personal
representative
If the parent is not the child's personal representative under HIPPA, do they have
access to the health records? - depending on state laws- if the state has a law against it
then no, if the state does permit the provider to share health information then the
provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is - the
paucity of evidence regarding the true risks for the pregnant client and developing fetus
If a pregnant client is stable on their current medication regimen what should the
PMHNP keep in mind - keep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist - when the patient
is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - neonatal withdrawal
syndrome
symptoms of neonatal withdrawal syndrome - Symptoms include tremors, high-pitched
crying, and disturbed sleep
increase the risk of atrial septal defects. - paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - Symptoms
include sedation, floppy muscle tone, and potential breathing issues at birth
has also been found to increase the risk of musculoskeletal malformations in infants -
olanzapine
the most used antipsychotics during pregnancy - risperidone and quetiapine
medications that are safe for breast feeding - SSRIs, benzos, valproic acid, quetiapine
medications that are safe for bottle feeding - lithium, lamotrigine, clozapine
smoking- related pregnancy complications - ectopic pregnancy, placental abruption,
placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low birth
weight infants
CORRECT ANSWERS 2025/2026 WITH
RATIONALES UPDATED LATEST
Children in the pre-operational stage think _____ and use what to represent objects? -
symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and organized
about events and children can reason inductively - concrete operational (age 7-11)
, which stage is defined by the ability to reason abstractly and consider hypothetical
problems as well as moral, ethical, social, and political issues? - formal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or
neglect? - the provider can decide whether or not to treat the parent as a personal
representative
If the parent is not the child's personal representative under HIPPA, do they have
access to the health records? - depending on state laws- if the state has a law against it
then no, if the state does permit the provider to share health information then the
provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is - the
paucity of evidence regarding the true risks for the pregnant client and developing fetus
If a pregnant client is stable on their current medication regimen what should the
PMHNP keep in mind - keep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist - when the patient
is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs - neonatal withdrawal
syndrome
symptoms of neonatal withdrawal syndrome - Symptoms include tremors, high-pitched
crying, and disturbed sleep
increase the risk of atrial septal defects. - paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - Symptoms
include sedation, floppy muscle tone, and potential breathing issues at birth
has also been found to increase the risk of musculoskeletal malformations in infants -
olanzapine
the most used antipsychotics during pregnancy - risperidone and quetiapine
medications that are safe for breast feeding - SSRIs, benzos, valproic acid, quetiapine
medications that are safe for bottle feeding - lithium, lamotrigine, clozapine
smoking- related pregnancy complications - ectopic pregnancy, placental abruption,
placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low birth
weight infants
