NURS 390 EXAM 4 | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS AND
ANSWERS 2026/2027
Describe symptoms of Autism Spectrum Disorder (ASD) in children. - correct answer ✔✔-
Social/communication skill problems
- Like strict routines
- Sensory processing issues
- High restricted, fixated interests that are abnormal in intensity or focus
- Repetitive speech/behaviors
List interventions for ASD in children. - correct answer ✔✔- Psychosocial interventions
o Early intervention programs
o Behavioral management
- Pharmacological interventions
o Used to improve relatedness and decrease anxiety, compulsive behaviors, or agitation
Describe client education for the child and caregiver related to management of autism at home.
- correct answer ✔✔- Parents should provide rewards for good behavior
- Maintain structure, rewards, consistency in rules, and expectations at home to shape and
modify behavior and foster development of socially appropriate skills
- Physical, occupational, and speech therapy may be included in the plan of care
Describe client education for the child and caregiver related to management of ADHD at home -
correct answer ✔✔- Children with ADHD often have comorbidities such as oppositional defiant
disorder, conduct disorder, disruptive mood dysregulation disorder, and specific learning
disorder
- Consistent, structured, and nurturing environments that promote achievement will facilitate
the most development
- Help child define triggers that cause disruptive behaviors
, - If child becomes overstimulated, create quiet environment free from overwhelming stimuli
Describe symptoms of Tourette Disorder in children. - correct answer ✔✔- Multiple motor tics
and at least one vocal tic for more than 1 year
List interventions for Tic Disorders. - correct answer ✔✔- Behavioral techniques
o Comprehensive Behavior Intervention for Tics (CBITS)
§ Helps patients become aware of the building up of a tic urge then using muscular responses to
combat the tic
- Medications
o Antipsychotics
o Clonidine
- Deep brain stimulation (DBS)
o Pacemaker for the brain
Describe symptoms of ADHD in children. - correct answer ✔✔- Difficulty sustaining attention
- Hyperactivity
- Low frustration tolerance
- Temper outbursts
- Poor school performance
- Interrupting people (Hyperactivity/Impulsivity)
- Loses things that are necessary for tasks or activities
- Easily distracted by external stimuli
- These symptoms must be present in at least two settings (home, school, work, etc.) and must
have existed before the age of 12
ANSWERS 2026/2027
Describe symptoms of Autism Spectrum Disorder (ASD) in children. - correct answer ✔✔-
Social/communication skill problems
- Like strict routines
- Sensory processing issues
- High restricted, fixated interests that are abnormal in intensity or focus
- Repetitive speech/behaviors
List interventions for ASD in children. - correct answer ✔✔- Psychosocial interventions
o Early intervention programs
o Behavioral management
- Pharmacological interventions
o Used to improve relatedness and decrease anxiety, compulsive behaviors, or agitation
Describe client education for the child and caregiver related to management of autism at home.
- correct answer ✔✔- Parents should provide rewards for good behavior
- Maintain structure, rewards, consistency in rules, and expectations at home to shape and
modify behavior and foster development of socially appropriate skills
- Physical, occupational, and speech therapy may be included in the plan of care
Describe client education for the child and caregiver related to management of ADHD at home -
correct answer ✔✔- Children with ADHD often have comorbidities such as oppositional defiant
disorder, conduct disorder, disruptive mood dysregulation disorder, and specific learning
disorder
- Consistent, structured, and nurturing environments that promote achievement will facilitate
the most development
- Help child define triggers that cause disruptive behaviors
, - If child becomes overstimulated, create quiet environment free from overwhelming stimuli
Describe symptoms of Tourette Disorder in children. - correct answer ✔✔- Multiple motor tics
and at least one vocal tic for more than 1 year
List interventions for Tic Disorders. - correct answer ✔✔- Behavioral techniques
o Comprehensive Behavior Intervention for Tics (CBITS)
§ Helps patients become aware of the building up of a tic urge then using muscular responses to
combat the tic
- Medications
o Antipsychotics
o Clonidine
- Deep brain stimulation (DBS)
o Pacemaker for the brain
Describe symptoms of ADHD in children. - correct answer ✔✔- Difficulty sustaining attention
- Hyperactivity
- Low frustration tolerance
- Temper outbursts
- Poor school performance
- Interrupting people (Hyperactivity/Impulsivity)
- Loses things that are necessary for tasks or activities
- Easily distracted by external stimuli
- These symptoms must be present in at least two settings (home, school, work, etc.) and must
have existed before the age of 12
