NR 668 CEA FINAL EXAM 2026 COMPREHENSIVE REVIEW
TEST BANK WITH 480 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES COVERING THE
MOST TESTED QUESTIONS PERFECT FOR A+ GRADE
Jerry, a 37 year old male presents to you after agreeing with his partner's request to obtain help. He
notes that he collects comic books and feels strongly that this growing collection is an investment in the
future. He offers that he never sells the comic books and "cannot part with them". He admits that the
condominium is running out of walkable hallway space to store all of the comics. Despite this, he
continues to purchase more comic books each week. His partner is concerned about both the cost of the
comic books and the remaining space left in their home to store these items. What is the best diagnosis?
a. Nonpathological behavior
b. Hoarding disorder, excessive acquistion type
c. Obsessive compulsive disorder
d. Delusional disorder - correct answer -b. Hoarding disorder, excessive acquistion type
Children with this disorder "annoy others". This disorder is associated with defiance, blaming others and
arguing with adults or authority figures.
a. Major depressive disorder
b. Conduct disorder
c. Oppositional defiant disorder
d. Bipolar disorder - correct answer -c. Oppositional defiant disorder
*children with ODD tend to upset others around them; they can be vindictive and negative, but not
usually physically harmful; they often blame others for their mistakes and argue with authority
Early onset Schizophrenia is considered what?
a. Treated with second generation antipsychotics
b. All of the statements listed are true
c. More prevalent amongst 1st degree relatives
d. Rare - correct answer -b. All of the statements listed are true
*early onset schizophrenia is rare; it is 8x more prevalent amongst 1st degree relatives
,In terms of the management of Bipolar disorder in pregnancy, one should avoid Lithium, Valproic acid
and Carbamazepine, especially in which trimester?
a. First
b. Second
c. Postnatal
d. Third - correct answer -a. First
*lithium, valproic acid, and carbamazepine have been associated with fetal harm, with the greatest risk
occurring in the first trimester
Child protective services is requested for an evaluation 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 nursing home
b. A group home
c. A hospital
d. A foster home - correct answer -d. A foster home
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 disorders?
a. Separation anxiety disorder
b. Tourette's syndrome
c. Conduct disorder
d. Oppositional defiant disorder - correct answer -b. Tourette's syndrome
Eleanor is 16 months old. She has been eating dirt and other nonfood substances. As a PMHNP, you
recognize this as which of the following?
a. Encopresis
b. Vitamin A deficiency
c. Normal behavior
,d. PICA - correct answer -c. Normal behavior
*at 16 months old, eating nonfood substances is considered normal behavior; to be diagnosed with
PICA, Eleanor must be at least 2 years old
A mother 4 months postpartum is referred to infant psychiatry as the baby has failed to gain weight over
the last 2 months. He has dropped from the 75th percentile to the 50th percentile. The mother states
that up until 8 weeks of age he was gaining weight and growing just fine. The baby is generally happy
and continues to meet his developmental milestones. Of note, the mother has returned to work after
her postpartum leave 2 months ago and the baby is in daycare 5 days a week. The mother notes that he
has been increasingly spitting up for the last month soon after receiving breast milk via the bottle. She
has also started to supplement with formula out of concern for his poor weight gain. This clinical
description is most consistent with which type of disorder?
a. Anorexia
b. Rumination disorder
c. PICA
d. Bulimia nervosa - correct answer -b. Rumination disorder
Which of the following developmental milestones should a 2-year-old child be able to accomplish?
a. Copy a square
b. Identify age and gender
c. Ride a tricycle
d. Copy a circle - correct answer -d. Copy a circle
A woman in her 20th week of pregnancy has been resumed on lithium for bipolar disorder. The PMHNP
knows that the patient may become subtherapeutic despite taking the medication as prescribed due to:
a. Increased blood volume
b. Reduced blood volume
c. Increased fetal metabolism
d. Reduced muscle mass - correct answer -a. Increased blood volume
An 8-year-old boy diagnosed 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. Encourage the child to talk about whatever is on his mind
b. Sit quietly and allow the child to talk
c. Ask the child direct questions about how he feels about his disease
d. Provide toys and allow the child to play - correct answer -d. Provide toys and allow the child to play
The PMHNP is providing psychoeducation and anticipatory guidance to the concerned parent regarding
night terrors. At which stage of sleep is this most likely to occur?
a. Any stage of sleep
b. Stage 3 to 4
c. Stage 1
d. Stage 2 - correct answer -b. Stage 3 to 4
When evaluating a 7-year-old girl diagnosed with expressive language disorder, which of the following
assessments would be most helpful in confirming the diagnosis?
a. Children's assessment scale
b. Diagnostic interview scheduled for children
c. IQ test
d. Diagnostic interview for children and adolescents - correct answer -c. IQ test
A father brings his 6-year-old son to you because he is worried about him. He states that the son sits up
in bed shortly after falling asleep and screams. He says he is inconsolable and unable to be awakened
during these episodes but eventually he falls back asleep. The father states he is not able to fall back
asleep after those episodes and is exhausted and falling asleep at work during the day. The child is
energetic and playful during the day and has no memory of the episodes. What is the most appropriate
response?
a. "I can see this is upsetting for you"
b. "Tell me why you can't fall back asleep after your son does?"
c. "Are you worried you are doing something wrong?"
d. "I can see you're upset, but really you are overreacting" - correct answer -a. "I can see this is upsetting
for you"
TEST BANK WITH 480 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES COVERING THE
MOST TESTED QUESTIONS PERFECT FOR A+ GRADE
Jerry, a 37 year old male presents to you after agreeing with his partner's request to obtain help. He
notes that he collects comic books and feels strongly that this growing collection is an investment in the
future. He offers that he never sells the comic books and "cannot part with them". He admits that the
condominium is running out of walkable hallway space to store all of the comics. Despite this, he
continues to purchase more comic books each week. His partner is concerned about both the cost of the
comic books and the remaining space left in their home to store these items. What is the best diagnosis?
a. Nonpathological behavior
b. Hoarding disorder, excessive acquistion type
c. Obsessive compulsive disorder
d. Delusional disorder - correct answer -b. Hoarding disorder, excessive acquistion type
Children with this disorder "annoy others". This disorder is associated with defiance, blaming others and
arguing with adults or authority figures.
a. Major depressive disorder
b. Conduct disorder
c. Oppositional defiant disorder
d. Bipolar disorder - correct answer -c. Oppositional defiant disorder
*children with ODD tend to upset others around them; they can be vindictive and negative, but not
usually physically harmful; they often blame others for their mistakes and argue with authority
Early onset Schizophrenia is considered what?
a. Treated with second generation antipsychotics
b. All of the statements listed are true
c. More prevalent amongst 1st degree relatives
d. Rare - correct answer -b. All of the statements listed are true
*early onset schizophrenia is rare; it is 8x more prevalent amongst 1st degree relatives
,In terms of the management of Bipolar disorder in pregnancy, one should avoid Lithium, Valproic acid
and Carbamazepine, especially in which trimester?
a. First
b. Second
c. Postnatal
d. Third - correct answer -a. First
*lithium, valproic acid, and carbamazepine have been associated with fetal harm, with the greatest risk
occurring in the first trimester
Child protective services is requested for an evaluation 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 nursing home
b. A group home
c. A hospital
d. A foster home - correct answer -d. A foster home
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 disorders?
a. Separation anxiety disorder
b. Tourette's syndrome
c. Conduct disorder
d. Oppositional defiant disorder - correct answer -b. Tourette's syndrome
Eleanor is 16 months old. She has been eating dirt and other nonfood substances. As a PMHNP, you
recognize this as which of the following?
a. Encopresis
b. Vitamin A deficiency
c. Normal behavior
,d. PICA - correct answer -c. Normal behavior
*at 16 months old, eating nonfood substances is considered normal behavior; to be diagnosed with
PICA, Eleanor must be at least 2 years old
A mother 4 months postpartum is referred to infant psychiatry as the baby has failed to gain weight over
the last 2 months. He has dropped from the 75th percentile to the 50th percentile. The mother states
that up until 8 weeks of age he was gaining weight and growing just fine. The baby is generally happy
and continues to meet his developmental milestones. Of note, the mother has returned to work after
her postpartum leave 2 months ago and the baby is in daycare 5 days a week. The mother notes that he
has been increasingly spitting up for the last month soon after receiving breast milk via the bottle. She
has also started to supplement with formula out of concern for his poor weight gain. This clinical
description is most consistent with which type of disorder?
a. Anorexia
b. Rumination disorder
c. PICA
d. Bulimia nervosa - correct answer -b. Rumination disorder
Which of the following developmental milestones should a 2-year-old child be able to accomplish?
a. Copy a square
b. Identify age and gender
c. Ride a tricycle
d. Copy a circle - correct answer -d. Copy a circle
A woman in her 20th week of pregnancy has been resumed on lithium for bipolar disorder. The PMHNP
knows that the patient may become subtherapeutic despite taking the medication as prescribed due to:
a. Increased blood volume
b. Reduced blood volume
c. Increased fetal metabolism
d. Reduced muscle mass - correct answer -a. Increased blood volume
An 8-year-old boy diagnosed 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. Encourage the child to talk about whatever is on his mind
b. Sit quietly and allow the child to talk
c. Ask the child direct questions about how he feels about his disease
d. Provide toys and allow the child to play - correct answer -d. Provide toys and allow the child to play
The PMHNP is providing psychoeducation and anticipatory guidance to the concerned parent regarding
night terrors. At which stage of sleep is this most likely to occur?
a. Any stage of sleep
b. Stage 3 to 4
c. Stage 1
d. Stage 2 - correct answer -b. Stage 3 to 4
When evaluating a 7-year-old girl diagnosed with expressive language disorder, which of the following
assessments would be most helpful in confirming the diagnosis?
a. Children's assessment scale
b. Diagnostic interview scheduled for children
c. IQ test
d. Diagnostic interview for children and adolescents - correct answer -c. IQ test
A father brings his 6-year-old son to you because he is worried about him. He states that the son sits up
in bed shortly after falling asleep and screams. He says he is inconsolable and unable to be awakened
during these episodes but eventually he falls back asleep. The father states he is not able to fall back
asleep after those episodes and is exhausted and falling asleep at work during the day. The child is
energetic and playful during the day and has no memory of the episodes. What is the most appropriate
response?
a. "I can see this is upsetting for you"
b. "Tell me why you can't fall back asleep after your son does?"
c. "Are you worried you are doing something wrong?"
d. "I can see you're upset, but really you are overreacting" - correct answer -a. "I can see this is upsetting
for you"
