NR 606 Final Exam Newest Exam Preparation Newest With Complete Questions
And Correct Detailed Answers| Brand New Version
` Question 1
A 9-year-old child is brought to the clinic for an evaluation. The parents report the child
frequently loses school assignments, fails to listen when spoken to directly, and makes many
careless mistakes on homework despite knowing the material. Which specific symptom cluster of
ADHD is this child primarily exhibiting?
A) Impulsivity
B) Hyperactivity
C) Selective attention
D) Lack of sustained attention
E) Executive dysfunction
Correct Answer: C) Selective attention
Rationale: Selective attention in ADHD is characterized by a failure to give close attention
to details, making careless mistakes, appearing not to listen, failing to follow through on
instructions, and losing items necessary for tasks. While related to sustained attention, the
inability to "filter" and focus on specific details defines this category.
Question 2
A teacher reports that a student has significant trouble completing multi-step projects, appears
disorganized, and avoids tasks that require a long period of mental effort. These symptoms are
hallmarks of which ADHD presentation?
A) Hyperactivity
B) Lack of sustained attention
C) Impulsivity
D) Physical restlessness
E) Oppositionality
Correct Answer: B) Lack of sustained attention
Rationale: Lack of sustained attention involves difficulty in staying focused on tasks or play
activities, trouble completing tasks once started, disorganization, and an avoidance of tasks
that require sustained mental effort over time.
Question 3
Which of the following behaviors is categorized under the "Impulsivity" cluster of ADHD
, 2
symptoms?
A) Fidgeting with hands or feet
B) Leaving one's seat in the classroom
C) Excessive talking and blurting out answers before questions are completed
D) Difficulty playing quietly
E) Forgetting daily activities
Correct Answer: C) Excessive talking and blurting out answers before questions are
completed
Rationale: Impulsivity in ADHD is characterized by an inability to wait one's turn,
interrupting others, and blurting out thoughts or answers. Fidgeting and leaving a seat are
considered symptoms of hyperactivity.
Question 4
A 7-year-old boy is described by his parents as "always on the go," frequently climbing on
furniture in inappropriate situations, and having great difficulty sitting still for dinner. Which
ADHD symptom cluster does this represent?
A) Selective attention
B) Sustained attention
C) Impulsivity
D) Hyperactivity
E) Dissociation
Correct Answer: D) Hyperactivity
Rationale: Hyperactivity manifests as physical restlessness, including fidgeting, leaving
one’s seat, running or climbing in inappropriate situations, and the inability to engage in
leisure activities quietly.
Question 5
Which ADHD symptom is most commonly observed and reported during the early childhood
years?
A) Inattention
B) Forgetfulness
C) Disorganization
, 3
D) Hyperactivity
E) Poor academic performance
Correct Answer: D) hyperactivity
Rationale: Hyperactivity is typically the most prominent and easily identified symptom in
young children. As children mature into adolescence and adulthood, the physical
hyperactivity often decreases, while inattention and impulsivity may persist or become
more problematic.
Question 6
When assessing a 5-year-old with ADHD, the PMHNP notes that the child seems to have a
"developmental delay" in behavior compared to his peers. This is an example of which effect of
maturation in ADHD?
A) Intellectual disability
B) Behavioral immaturity
C) Conduct disorder
D) Autism spectrum overlap
E) Cognitive decline
Correct Answer: B) bx less mature than peers
Rationale: In young children, ADHD often manifests as behaviors that would be
appropriate for a younger child. This developmental lag in behavioral regulation is a
hallmark of the disorder’s impact on early maturation.
Question 7
An adolescent with ADHD is at higher risk for which of the following maturation-related
outcomes?
A) Early onset dementia
B) Risky sexual behavior and poor academic performance
C) Decreased need for sleep
D) Superior organization in social settings
E) Improved focus on long-term goals
Correct Answer: B) poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
, 4
Rationale: Adolescents with ADHD face unique challenges, including academic failure,
difficulties navigating social hierarchies, increased risk-taking (sexual and driving-related),
and a higher susceptibility to Substance Use Disorders (SUD).
Question 8
Which of the following best describes the maturation of ADHD symptoms into adulthood?
A) Complete resolution of all symptoms
B) Replacement of impulsivity with depression
C) Issues with executive function (EF) and working memory affecting work and relationships
D) Increased physical hyperactivity compared to childhood
E) Development of catatonia
Correct Answer: C) Issues with EF, attention, working memory, that cause issues with day
to day fnx and performance at work and in relationships
Rationale: While physical hyperactivity often wanes in adults, the cognitive deficits
(Executive Functioning) remain. This results in difficulty managing time, maintaining
organized work habits, and sustaining attention in long-term relationships.
Question 9
According to the DSM-5, how many symptoms of inattention or hyperactivity/impulsivity must
be present to diagnose ADHD in a child?
A) 3
B) 4
C) 5
D) 6
E) 9
Correct Answer: D) Pattern of 6 s/s that interfere with fnx/development
Rationale: For children up to age 16, at least six symptoms in either the inattention or
hyperactivity/impulsivity category must be present. For individuals 17 and older, only five
symptoms are required.
Question 10
To meet diagnostic criteria for ADHD, symptoms must have been present for at least how long?
And Correct Detailed Answers| Brand New Version
` Question 1
A 9-year-old child is brought to the clinic for an evaluation. The parents report the child
frequently loses school assignments, fails to listen when spoken to directly, and makes many
careless mistakes on homework despite knowing the material. Which specific symptom cluster of
ADHD is this child primarily exhibiting?
A) Impulsivity
B) Hyperactivity
C) Selective attention
D) Lack of sustained attention
E) Executive dysfunction
Correct Answer: C) Selective attention
Rationale: Selective attention in ADHD is characterized by a failure to give close attention
to details, making careless mistakes, appearing not to listen, failing to follow through on
instructions, and losing items necessary for tasks. While related to sustained attention, the
inability to "filter" and focus on specific details defines this category.
Question 2
A teacher reports that a student has significant trouble completing multi-step projects, appears
disorganized, and avoids tasks that require a long period of mental effort. These symptoms are
hallmarks of which ADHD presentation?
A) Hyperactivity
B) Lack of sustained attention
C) Impulsivity
D) Physical restlessness
E) Oppositionality
Correct Answer: B) Lack of sustained attention
Rationale: Lack of sustained attention involves difficulty in staying focused on tasks or play
activities, trouble completing tasks once started, disorganization, and an avoidance of tasks
that require sustained mental effort over time.
Question 3
Which of the following behaviors is categorized under the "Impulsivity" cluster of ADHD
, 2
symptoms?
A) Fidgeting with hands or feet
B) Leaving one's seat in the classroom
C) Excessive talking and blurting out answers before questions are completed
D) Difficulty playing quietly
E) Forgetting daily activities
Correct Answer: C) Excessive talking and blurting out answers before questions are
completed
Rationale: Impulsivity in ADHD is characterized by an inability to wait one's turn,
interrupting others, and blurting out thoughts or answers. Fidgeting and leaving a seat are
considered symptoms of hyperactivity.
Question 4
A 7-year-old boy is described by his parents as "always on the go," frequently climbing on
furniture in inappropriate situations, and having great difficulty sitting still for dinner. Which
ADHD symptom cluster does this represent?
A) Selective attention
B) Sustained attention
C) Impulsivity
D) Hyperactivity
E) Dissociation
Correct Answer: D) Hyperactivity
Rationale: Hyperactivity manifests as physical restlessness, including fidgeting, leaving
one’s seat, running or climbing in inappropriate situations, and the inability to engage in
leisure activities quietly.
Question 5
Which ADHD symptom is most commonly observed and reported during the early childhood
years?
A) Inattention
B) Forgetfulness
C) Disorganization
, 3
D) Hyperactivity
E) Poor academic performance
Correct Answer: D) hyperactivity
Rationale: Hyperactivity is typically the most prominent and easily identified symptom in
young children. As children mature into adolescence and adulthood, the physical
hyperactivity often decreases, while inattention and impulsivity may persist or become
more problematic.
Question 6
When assessing a 5-year-old with ADHD, the PMHNP notes that the child seems to have a
"developmental delay" in behavior compared to his peers. This is an example of which effect of
maturation in ADHD?
A) Intellectual disability
B) Behavioral immaturity
C) Conduct disorder
D) Autism spectrum overlap
E) Cognitive decline
Correct Answer: B) bx less mature than peers
Rationale: In young children, ADHD often manifests as behaviors that would be
appropriate for a younger child. This developmental lag in behavioral regulation is a
hallmark of the disorder’s impact on early maturation.
Question 7
An adolescent with ADHD is at higher risk for which of the following maturation-related
outcomes?
A) Early onset dementia
B) Risky sexual behavior and poor academic performance
C) Decreased need for sleep
D) Superior organization in social settings
E) Improved focus on long-term goals
Correct Answer: B) poor academic performance, trouble driving, trouble in social
situations, risky sexual bx, SUD
, 4
Rationale: Adolescents with ADHD face unique challenges, including academic failure,
difficulties navigating social hierarchies, increased risk-taking (sexual and driving-related),
and a higher susceptibility to Substance Use Disorders (SUD).
Question 8
Which of the following best describes the maturation of ADHD symptoms into adulthood?
A) Complete resolution of all symptoms
B) Replacement of impulsivity with depression
C) Issues with executive function (EF) and working memory affecting work and relationships
D) Increased physical hyperactivity compared to childhood
E) Development of catatonia
Correct Answer: C) Issues with EF, attention, working memory, that cause issues with day
to day fnx and performance at work and in relationships
Rationale: While physical hyperactivity often wanes in adults, the cognitive deficits
(Executive Functioning) remain. This results in difficulty managing time, maintaining
organized work habits, and sustaining attention in long-term relationships.
Question 9
According to the DSM-5, how many symptoms of inattention or hyperactivity/impulsivity must
be present to diagnose ADHD in a child?
A) 3
B) 4
C) 5
D) 6
E) 9
Correct Answer: D) Pattern of 6 s/s that interfere with fnx/development
Rationale: For children up to age 16, at least six symptoms in either the inattention or
hyperactivity/impulsivity category must be present. For individuals 17 and older, only five
symptoms are required.
Question 10
To meet diagnostic criteria for ADHD, symptoms must have been present for at least how long?
