NRNP 6635 CERTIFICATION PAPER 2026
FULL SOLUTION GRADED A+
● In normal language development, at what age would you see the
beginning of grammar formation?
A. 12-18 months
B. 12-24 months
C. 24-36 months
D. 36-54 months. Answer: C. 24-36 months (2-3 years)
● At what age do the emotional skills of shame, pride, envy, and
embarrassment appear in healthy emotional development?
A. 5-10 years
B. 3-5 years
C. 1-2 years
D. 6 months. Answer: B. 3-5 years
● Characteristics of OSA include:
A. Excessive sleepiness & restless sleep
,B. Waking with choking/gasping for breath
C. Snoring and obesity
D. All of the above. Answer: D. All of the above
● What section of the brain regulates human emotional drive?
A. Brain stem
B. Frontal cortex
C. Amygdala
D. Hippocampus. Answer: C. Amygdala
Brain stem = Basic life functions (breathing, heart rate, arousal)
Frontal cortex = Decision making, planning, social behavior
Amygdala = Regulates emotions (fear, anger, pleasure)
Hippocampus = Memory formation, spatial navigation
● Select the 2 complications in diagnosing patients with anorexia
nervosa:
A. Determining occurrence of substance abuse
B. Denial of symptoms
C. Insisting weight loss has a medical cause
,D. Secrecy regarding eating ritual. Answer: B. Denial of symptoms & D.
Secrecy regarding eating ritual
● Select the age in which rumination disorder (food swallowed but not
digested, is regurgiated) occurs most frequently.
A. Male infants 3 - 12 months
B. Female infants 6 - 18 months
C. Children 2 - 5 years
D. Adolescents 13 - 15 years. Answer: A. Male infants 3 - 12 months
Rumination disorder = Not limited by gender
6 - 18 months, this can still occur, but more common in 3 - 12 months
● Select the type of amnesia in which patients are aware of their
memory loss with repeated questioning.
A. Substance related
B. Posttraumatic
C. Transient global
D. Dissociative. Answer: C. Transient global
, Substance related = Confused/unaware during intoxication
Posttraumatic = Followed by head injury. Pt may be
confused/unconscious and often doesn't realize they've lost memory until
after recovery.
Transient global = Awareness of memory loss and repeated questioning.
Can't form new memories. Lasts for less than 24 hours, and memory
returns fully after.
Dissociative = Retrograde amnesia due to stress/trauma. Patients may
not be aware of the memory loss, and there is often emotional
detachment.
● Select the 2 characteristics of impulses that are usually absent from
compulsions.
A. Pleasure seeking
B. Psychological impairment
C. Commiting actions
D. Repetitive performance. Answer: A. Pleasure seeking & B.
Psychological impairment
Pleasure Seeking
FULL SOLUTION GRADED A+
● In normal language development, at what age would you see the
beginning of grammar formation?
A. 12-18 months
B. 12-24 months
C. 24-36 months
D. 36-54 months. Answer: C. 24-36 months (2-3 years)
● At what age do the emotional skills of shame, pride, envy, and
embarrassment appear in healthy emotional development?
A. 5-10 years
B. 3-5 years
C. 1-2 years
D. 6 months. Answer: B. 3-5 years
● Characteristics of OSA include:
A. Excessive sleepiness & restless sleep
,B. Waking with choking/gasping for breath
C. Snoring and obesity
D. All of the above. Answer: D. All of the above
● What section of the brain regulates human emotional drive?
A. Brain stem
B. Frontal cortex
C. Amygdala
D. Hippocampus. Answer: C. Amygdala
Brain stem = Basic life functions (breathing, heart rate, arousal)
Frontal cortex = Decision making, planning, social behavior
Amygdala = Regulates emotions (fear, anger, pleasure)
Hippocampus = Memory formation, spatial navigation
● Select the 2 complications in diagnosing patients with anorexia
nervosa:
A. Determining occurrence of substance abuse
B. Denial of symptoms
C. Insisting weight loss has a medical cause
,D. Secrecy regarding eating ritual. Answer: B. Denial of symptoms & D.
Secrecy regarding eating ritual
● Select the age in which rumination disorder (food swallowed but not
digested, is regurgiated) occurs most frequently.
A. Male infants 3 - 12 months
B. Female infants 6 - 18 months
C. Children 2 - 5 years
D. Adolescents 13 - 15 years. Answer: A. Male infants 3 - 12 months
Rumination disorder = Not limited by gender
6 - 18 months, this can still occur, but more common in 3 - 12 months
● Select the type of amnesia in which patients are aware of their
memory loss with repeated questioning.
A. Substance related
B. Posttraumatic
C. Transient global
D. Dissociative. Answer: C. Transient global
, Substance related = Confused/unaware during intoxication
Posttraumatic = Followed by head injury. Pt may be
confused/unconscious and often doesn't realize they've lost memory until
after recovery.
Transient global = Awareness of memory loss and repeated questioning.
Can't form new memories. Lasts for less than 24 hours, and memory
returns fully after.
Dissociative = Retrograde amnesia due to stress/trauma. Patients may
not be aware of the memory loss, and there is often emotional
detachment.
● Select the 2 characteristics of impulses that are usually absent from
compulsions.
A. Pleasure seeking
B. Psychological impairment
C. Commiting actions
D. Repetitive performance. Answer: A. Pleasure seeking & B.
Psychological impairment
Pleasure Seeking
