NRNP 6665 MIDTERM EXAM QUESTIONS AND
ANSWERS WITH EXPLANATION (LATEST 2026 /
2027): MOST COMPREHENSIVE TO PASS THE
EXAM, 100% VERIFIED
Original NRNP 6665 Practice Midterm Exam (2026–2027 Style)
Part 1: Questions 1–25
Table of Contents
1. Child & Adolescent Psychiatric Assessment
2. Developmental Milestones
3. Neurodevelopmental Disorders
4. ADHD
5. Autism Spectrum Disorder
6. Anxiety Disorders
7. Depressive Disorders
Section 1: Child & Adolescent Psychiatric Assessment
Question 1
A 10-year-old child presents with declining school performance and increasing irritability. Which
assessment should the PMHNP complete first?
A. Begin stimulant medication
B. Perform a comprehensive psychiatric assessment including developmental, medical, family,
and social history
C. Order a brain MRI
D. Refer immediately for special education services
Correct Answer: B
,Rationale:
A comprehensive psychiatric assessment is always the first step before making a diagnosis or
initiating treatment. It should include developmental history, family psychiatric history, medical
conditions, school performance, trauma history, substance use (when appropriate), and mental
status examination. Medication or referrals should follow a complete evaluation.
Question 2
Which family history finding places a child at greatest risk for developing bipolar disorder?
A. Seasonal allergies
B. Bipolar disorder in a biological parent
C. Asthma
D. Learning disability
Correct Answer: B
Rationale:
Bipolar disorder has one of the strongest genetic associations among psychiatric illnesses.
Having a first-degree relative with bipolar disorder significantly increases the child's lifetime
risk.
Question 3
Which component is unique to the mental status examination of children compared with adults?
A. Cardiac examination
B. Observation of play behavior
C. Liver function testing
D. Hearing examination
Correct Answer: B
Rationale:
Young children often communicate emotions and cognitive functioning through play rather than
conversation. Observing play provides valuable information about mood, social interaction,
imagination, developmental level, and thought processes.
,Question 4
When interviewing adolescents, confidentiality should be:
A. Never discussed.
B. Promised without limits.
C. Explained along with exceptions involving safety concerns.
D. Avoided if parents are present.
Correct Answer: C
Rationale:
Confidentiality encourages honest communication. Adolescents should understand that
information remains private except when there is risk of harm to themselves or others, or when
abuse or neglect must be reported.
Question 5
The most important first step when a suicidal adolescent presents to the clinic is to:
A. Prescribe an antidepressant.
B. Obtain school records.
C. Assess suicide risk, including intent, plan, means, and protective factors.
D. Schedule follow-up in one month.
Correct Answer: C
Rationale:
Safety is always the priority. A comprehensive suicide risk assessment helps determine the level
of intervention needed, including whether emergency psychiatric evaluation or hospitalization is
indicated.
Section 2: Developmental Milestones
Question 6
A 4-year-old child is expected to demonstrate which developmental milestone?
A. Abstract reasoning
B. Cooperative imaginative play
, C. Algebraic thinking
D. Independent financial management
Correct Answer: B
Rationale:
Preschool-aged children commonly engage in cooperative pretend play, which reflects social,
emotional, and cognitive development.
Question 7
Failure to meet developmental milestones should prompt:
A. Immediate psychiatric hospitalization.
B. Further developmental evaluation.
C. Automatic diagnosis of autism.
D. ADHD medication.
Correct Answer: B
Rationale:
Developmental delays require comprehensive evaluation because they may result from multiple
medical, developmental, neurological, or psychiatric conditions.
Question 8
The Denver Developmental Screening Test primarily evaluates:
A. Cardiac function
B. Developmental progress
C. Depression severity
D. Intelligence quotient
Correct Answer: B
Rationale:
The Denver Developmental Screening Test is used to identify developmental delays in young
children across several domains, including language, motor, social, and adaptive skills.
ANSWERS WITH EXPLANATION (LATEST 2026 /
2027): MOST COMPREHENSIVE TO PASS THE
EXAM, 100% VERIFIED
Original NRNP 6665 Practice Midterm Exam (2026–2027 Style)
Part 1: Questions 1–25
Table of Contents
1. Child & Adolescent Psychiatric Assessment
2. Developmental Milestones
3. Neurodevelopmental Disorders
4. ADHD
5. Autism Spectrum Disorder
6. Anxiety Disorders
7. Depressive Disorders
Section 1: Child & Adolescent Psychiatric Assessment
Question 1
A 10-year-old child presents with declining school performance and increasing irritability. Which
assessment should the PMHNP complete first?
A. Begin stimulant medication
B. Perform a comprehensive psychiatric assessment including developmental, medical, family,
and social history
C. Order a brain MRI
D. Refer immediately for special education services
Correct Answer: B
,Rationale:
A comprehensive psychiatric assessment is always the first step before making a diagnosis or
initiating treatment. It should include developmental history, family psychiatric history, medical
conditions, school performance, trauma history, substance use (when appropriate), and mental
status examination. Medication or referrals should follow a complete evaluation.
Question 2
Which family history finding places a child at greatest risk for developing bipolar disorder?
A. Seasonal allergies
B. Bipolar disorder in a biological parent
C. Asthma
D. Learning disability
Correct Answer: B
Rationale:
Bipolar disorder has one of the strongest genetic associations among psychiatric illnesses.
Having a first-degree relative with bipolar disorder significantly increases the child's lifetime
risk.
Question 3
Which component is unique to the mental status examination of children compared with adults?
A. Cardiac examination
B. Observation of play behavior
C. Liver function testing
D. Hearing examination
Correct Answer: B
Rationale:
Young children often communicate emotions and cognitive functioning through play rather than
conversation. Observing play provides valuable information about mood, social interaction,
imagination, developmental level, and thought processes.
,Question 4
When interviewing adolescents, confidentiality should be:
A. Never discussed.
B. Promised without limits.
C. Explained along with exceptions involving safety concerns.
D. Avoided if parents are present.
Correct Answer: C
Rationale:
Confidentiality encourages honest communication. Adolescents should understand that
information remains private except when there is risk of harm to themselves or others, or when
abuse or neglect must be reported.
Question 5
The most important first step when a suicidal adolescent presents to the clinic is to:
A. Prescribe an antidepressant.
B. Obtain school records.
C. Assess suicide risk, including intent, plan, means, and protective factors.
D. Schedule follow-up in one month.
Correct Answer: C
Rationale:
Safety is always the priority. A comprehensive suicide risk assessment helps determine the level
of intervention needed, including whether emergency psychiatric evaluation or hospitalization is
indicated.
Section 2: Developmental Milestones
Question 6
A 4-year-old child is expected to demonstrate which developmental milestone?
A. Abstract reasoning
B. Cooperative imaginative play
, C. Algebraic thinking
D. Independent financial management
Correct Answer: B
Rationale:
Preschool-aged children commonly engage in cooperative pretend play, which reflects social,
emotional, and cognitive development.
Question 7
Failure to meet developmental milestones should prompt:
A. Immediate psychiatric hospitalization.
B. Further developmental evaluation.
C. Automatic diagnosis of autism.
D. ADHD medication.
Correct Answer: B
Rationale:
Developmental delays require comprehensive evaluation because they may result from multiple
medical, developmental, neurological, or psychiatric conditions.
Question 8
The Denver Developmental Screening Test primarily evaluates:
A. Cardiac function
B. Developmental progress
C. Depression severity
D. Intelligence quotient
Correct Answer: B
Rationale:
The Denver Developmental Screening Test is used to identify developmental delays in young
children across several domains, including language, motor, social, and adaptive skills.
