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Exam (elaborations)

APEA Pediatric Psychiatry – 90 Exam Questions with Answers | ADHD, Depression, Anxiety, OCD

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This document contains 90 professionally validated multiple-choice questions and answers in pediatric psychiatry, aligned with the APEA (Advanced Practice Education Associates) curriculum for the 2025/2026 academic year. It is crafted to support students preparing for APEA certification exams, board licensure (PNCB, ANCC), and clinical assessments in pediatric mental health care. The questions cover a wide spectrum of pediatric psychiatric and behavioral conditions, including ADHD, anxiety disorders (GAD, separation anxiety), depression, bipolar disorder, PTSD, OCD, eating disorders (anorexia nervosa, binge eating), autism spectrum disorders, child neglect, and substance use behaviors. Also addressed are developmental psychology concepts (e.g., Piaget stages), psychotropic medication safety, pharmacologic and non-pharmacologic treatments, and trauma-informed care practices. Clinical case-based questions reflect real-life patient presentations, enhancing critical thinking and diagnostic reasoning. This document is highly relevant for: • Pediatric Nurse Practitioner (PNP) and Family Nurse Practitioner (FNP) students • Physician assistant (PA) and medical students focusing on child and adolescent psychiatry • Healthcare professionals preparing for board exams or APEA psychiatric modules • Clinical instructors and educators seeking reliable, ready-to-use exam content for training purposes Each question includes the correct answer and often clinical rationale, making it a high-yield tool for reviewing DSM-based diagnostic criteria, treatment decisions, and psychiatric interview techniques. It is suitable for both didactic and clinical coursework review. Keywords: pediatric psychiatry, APEA, ADHD, anxiety disorders, depression, bipolar disorder, PTSD, OCD, autism, child neglect, eating disorders, generalized anxiety, PNP, FNP, NP board prep, pediatric mental health, SSRIs, psychotropic medication, cognitive behavioral therapy, Piaget stages, behavioral health, DSM criteria

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Uploaded on
December 3, 2025
Number of pages
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Written in
2025/2026
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APEA Peds Psych 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



A 17-year-old girl comes to the clinic for a well visit. On exam, the NP

notices that the adolescent has several shallow cuts on her abdomen.

Some appear recent and some are almost healed. When the NP asks

about the cuts, the patient states, "Oh, it's nothing" and pulls her shirt down

to cover her abdomen. What diagnosis should be included in the

differential?

Child abuse

Self-injury behavior

Domestic violence

,Normal adolescent behavior - 🧠 ANSWER ✔✔Self-injury behavior


A 13-year-old boy just completed a Patient Health Questionnaire-2 (PHQ-

2), in which he marked "nearly every day" to the question asking if he has

"little interest or pleasure in doing things." During the visit, the boy is

smiling and engaging with the provider. He reports that he plays basketball

with his friends nearly every day after school and has a good support

group. What is the appropriate initial response to the findings?

Document that this screening is normal

Have the patient complete the PHQ-9

Refer the patient to a counselor


Ask him what that statement meant to him - 🧠 ANSWER ✔✔Ask him what

that statement meant to him




clarify answers in case patient is unfamiliar with the questions in the PHQ

When caring for a patient with autism spectrum disorder, which class of

medications is least likely to help manage their symptoms?

Tricyclic antidepressants

, Antiadrenergics

Atypical antipsychotics


Selective serotonin reuptake inhibitors - 🧠 ANSWER ✔✔Tricyclic

antidepressants

A 15-year-old boy comes into the clinic for hemorrhoids. During the visit, he

states that the hemorrhoids started after his uncle's adult friend talked him

into having sex with him. He states that he is "not gay," but doesn't want his

uncle's friend to get into trouble. What is the best action by the nurse

practitioner at this time?

Let the patient know that it is okay to have sexual role confusion at this age

Notify the local child protection agency

Notify the local child protection agency and refer him to counseling.

Let the parent know what happened and refer him to a counselor - 🧠

ANSWER ✔✔Notify the local child protection agency and refer him to

counseling.

Which patient would best meet the criteria for separation anxiety disorder?

An 8-month-old boy who cries every time his mother puts him down.



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