NR 546 08/25/2026
NR 546 Advanced Psychopharmacology for
the PMHNP Final Exam – (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A 24-month-old girl is referred to psychiatry for an expressive language disorder. The mother reports that the
child has not spoken a clear word, inconsistently follows commands, and does not play with her older brother of
4 years. In addition, the mother reports that the child has started making repetitive motions with her hands and
seems to be clumsy with increasing difficulty walking. These clinical findings are suggestive of a pervasive
developmental disorder, most likely
A+ TEST BANK 1
, NR 546 08/25/2026
A. autism spectrum disorder
B. rett syndrome
C. cerebral palsy
D. intellectual disability –
Correct Answer :B. rett syndrome
Rett syndrome is characterized by normal prenatal and perinatal development throughout the first 6 months of
life at which time the loss of previously acquired skills may develop along with stereotypic hand movements and
impaired coordination with a loss of social interaction.
Child protective services is requested for an evlauation of a 9-month-old girl in foster care whose mother was on
a methadone maintenance program and using cocaine while pregnant. The child is HIV negative and during the
assessment you learn of a 3-year-old brother who is HIV positive. You are asked to recommend placement for
both these children. Which of the following is best?
A. a hospital
B. a group home
C. a nursing home
D. a foster home –
Correct Answer :D. a foster home
A foster home is the optimal place for young children, especially those with HIV, so that way they may benefit
from psychological belonging anf adequate individual emotional support rather than in a group setting.
An 8-year-old boy is referred to you for evaluation for disruptive behavior in school. The teachers report that
without warning the boy will make disruptive sounds or shout out in class. Other than these instances the boy is
described as polite and well kempt but restless. This clinical presentation is most consistent with which of the
following?
A. oppositional defiant disorer
A+ TEST BANK 2
, NR 546 08/25/2026
B. conduct disorder
C. tourettes syndrome
D. separation anxiety disorder –
Correct Answer :C. tourettes syndrome
The outbursts are consistent with vocal tics and motor tics are often incorrectly identified as restless behavior
An 8-year-old boy with leukemia is referred to child psychiatry because he is consistently displaying a flat affect,
irritability, angry acting out, and occasional physical aggression toward his 6-year-old brother. What approach
should the PMHNP take when interviewing this child?
A. ask the child direct questions about how he feels about his disease
B. provide toys and allow the child to play
C. encourage the child to talk about whatever is on his mind
D. sit quietly and allow the child to talk –
Correct Answer :B. provide toys and allow the child to play
A play interview in which the child is provided with toys and allowed to play is an effective and efficient way to
interview children
A 10-year-old girl is referred for evaluation of behavioral difficulties. Her teachers report that she is easily
distracted and fails to complete any class work, and often stares off into space or tires to chat with her neighbor.
Her mother reports that mornings are the most difficult because of her general disorganization and
forgetfulness. Otherwise she is socially engaged and enjoys many activities. Which of the following is the most
likely diagnosis?
A. conduct disorder
B. oppositional defiant disorder
C. disruptive behavior
A+ TEST BANK 3
, NR 546 08/25/2026
D. attention deficit disorder –
Correct Answer :D. attention deficit disorder
The school psychologist refers a 7-year-old girl with difficult reading, distractibility, and writing avoidance
behaviors. The child has no diagnosed conditions, takes no medications, and met all of her developmental
milestones. She loves arts and crafts and physical education. Prior to diagnosing a learning disorder, which of the
following screening tests must be performed?
A. vision and hearing
B. complete history and physical exam
C. neurological evaluation
D. family history –
Correct Answer :A. vision and hearing
Vision and hearing exam must be performed to rule out visual and auditory deficits.
An 8-year-old boy presents with nocturnal enuresis which persists despite behavioral interventions including
eliminating fluid intake in the evening, scheduled awakening at night to use the bathroom and a urine alarm.
Which of the following medications is most appropriate?
A. trazodone
B. imipramine
C. fluoxetine
D. methylphenidate - Correct Answer :B. imipramine
Imipramine, a TCA is the standard agent used in the treatment of nocturnal enuresis (anticholinergic effects)
The PMHNP is evaluating a 22-month-old girl whose mother is concerned about aggressive behavior toward her
4-month-old brother. The mother states that her daughter is often angry and irritable with directed hostility
toward the baby. Which of the following responses is best?
A+ TEST BANK 4
NR 546 Advanced Psychopharmacology for
the PMHNP Final Exam – (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
A 24-month-old girl is referred to psychiatry for an expressive language disorder. The mother reports that the
child has not spoken a clear word, inconsistently follows commands, and does not play with her older brother of
4 years. In addition, the mother reports that the child has started making repetitive motions with her hands and
seems to be clumsy with increasing difficulty walking. These clinical findings are suggestive of a pervasive
developmental disorder, most likely
A+ TEST BANK 1
, NR 546 08/25/2026
A. autism spectrum disorder
B. rett syndrome
C. cerebral palsy
D. intellectual disability –
Correct Answer :B. rett syndrome
Rett syndrome is characterized by normal prenatal and perinatal development throughout the first 6 months of
life at which time the loss of previously acquired skills may develop along with stereotypic hand movements and
impaired coordination with a loss of social interaction.
Child protective services is requested for an evlauation of a 9-month-old girl in foster care whose mother was on
a methadone maintenance program and using cocaine while pregnant. The child is HIV negative and during the
assessment you learn of a 3-year-old brother who is HIV positive. You are asked to recommend placement for
both these children. Which of the following is best?
A. a hospital
B. a group home
C. a nursing home
D. a foster home –
Correct Answer :D. a foster home
A foster home is the optimal place for young children, especially those with HIV, so that way they may benefit
from psychological belonging anf adequate individual emotional support rather than in a group setting.
An 8-year-old boy is referred to you for evaluation for disruptive behavior in school. The teachers report that
without warning the boy will make disruptive sounds or shout out in class. Other than these instances the boy is
described as polite and well kempt but restless. This clinical presentation is most consistent with which of the
following?
A. oppositional defiant disorer
A+ TEST BANK 2
, NR 546 08/25/2026
B. conduct disorder
C. tourettes syndrome
D. separation anxiety disorder –
Correct Answer :C. tourettes syndrome
The outbursts are consistent with vocal tics and motor tics are often incorrectly identified as restless behavior
An 8-year-old boy with leukemia is referred to child psychiatry because he is consistently displaying a flat affect,
irritability, angry acting out, and occasional physical aggression toward his 6-year-old brother. What approach
should the PMHNP take when interviewing this child?
A. ask the child direct questions about how he feels about his disease
B. provide toys and allow the child to play
C. encourage the child to talk about whatever is on his mind
D. sit quietly and allow the child to talk –
Correct Answer :B. provide toys and allow the child to play
A play interview in which the child is provided with toys and allowed to play is an effective and efficient way to
interview children
A 10-year-old girl is referred for evaluation of behavioral difficulties. Her teachers report that she is easily
distracted and fails to complete any class work, and often stares off into space or tires to chat with her neighbor.
Her mother reports that mornings are the most difficult because of her general disorganization and
forgetfulness. Otherwise she is socially engaged and enjoys many activities. Which of the following is the most
likely diagnosis?
A. conduct disorder
B. oppositional defiant disorder
C. disruptive behavior
A+ TEST BANK 3
, NR 546 08/25/2026
D. attention deficit disorder –
Correct Answer :D. attention deficit disorder
The school psychologist refers a 7-year-old girl with difficult reading, distractibility, and writing avoidance
behaviors. The child has no diagnosed conditions, takes no medications, and met all of her developmental
milestones. She loves arts and crafts and physical education. Prior to diagnosing a learning disorder, which of the
following screening tests must be performed?
A. vision and hearing
B. complete history and physical exam
C. neurological evaluation
D. family history –
Correct Answer :A. vision and hearing
Vision and hearing exam must be performed to rule out visual and auditory deficits.
An 8-year-old boy presents with nocturnal enuresis which persists despite behavioral interventions including
eliminating fluid intake in the evening, scheduled awakening at night to use the bathroom and a urine alarm.
Which of the following medications is most appropriate?
A. trazodone
B. imipramine
C. fluoxetine
D. methylphenidate - Correct Answer :B. imipramine
Imipramine, a TCA is the standard agent used in the treatment of nocturnal enuresis (anticholinergic effects)
The PMHNP is evaluating a 22-month-old girl whose mother is concerned about aggressive behavior toward her
4-month-old brother. The mother states that her daughter is often angry and irritable with directed hostility
toward the baby. Which of the following responses is best?
A+ TEST BANK 4
