NRNP 6665 Final Exam Questions And
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
Download
1. A patient reports depressed mood, loss of interest, fatigue,
and insomnia for 1 month. Most likely diagnosis?
A. Panic disorder
B. Major depressive disorder
C. Delirium
D. Bipolar mania
Rationale: Symptoms lasting at least 2 weeks with functional
impact support MDD.
2. Which symptom requires immediate suicide risk
assessment?
A. Mild boredom only
B. “I don’t want to live anymore.”
C. Seasonal allergies only
D. Dry skin only
Rationale: Statements of wanting to die require urgent safety
evaluation.
, 3. Which factor increases suicide risk most?
A. Good sleep hygiene
B. Prior suicide attempt
C. Daily walking
D. Strong support system
Rationale: Previous attempts are among the strongest
predictors of future risk.
4. Which medication class is commonly first-line for
depression?
A. Antipsychotics only
B. SSRIs
C. Stimulants
D. Antacids
Rationale: SSRIs are commonly used first-line due to efficacy
and tolerability.
5. Which teaching is correct when starting an SSRI?
A. Works in one hour
B. May take several weeks for full effect
C. Stop immediately if mild nausea
D. Double dose after missed pill
Rationale: Therapeutic benefit often takes weeks.
, 6. Which symptom may occur early with SSRIs?
A. Cataracts
B. GI upset or headache
C. Bone fracture
D. Kidney stones
Rationale: GI upset and headache are common early side
effects.
7. Which symptom cluster best suggests generalized anxiety
disorder?
A. Hallucinations only
B. Excessive worry with restlessness and poor
concentration
C. Mania only
D. Memory loss only
Rationale: Persistent uncontrolled worry with somatic
symptoms suggests GAD.
8. Which psychotherapy is evidence-based for anxiety
disorders?
A. Isolation therapy
B. Cognitive behavioral therapy
C. Sleep deprivation
D. No therapy needed
, Rationale: CBT is highly effective for anxiety disorders.
9. Which symptom suggests panic attack?
A. Gradual cough only
B. Sudden fear with palpitations and shortness of breath
C. Toenail pain only
D. Dry lips only
Rationale: Panic attacks are abrupt episodes of intense fear
with autonomic symptoms.
10. Which medical condition may mimic anxiety?
A. Dry scalp only
B. Hyperthyroidism
C. Freckles only
D. Hair color change
Rationale: Thyroid excess may cause tremor, palpitations, and
anxiety.
11. Which symptom defines mania?
A. Mild sadness only
B. Elevated mood with decreased need for sleep and
impairment
C. Brief stress reaction
D. Seasonal allergies only
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
Download
1. A patient reports depressed mood, loss of interest, fatigue,
and insomnia for 1 month. Most likely diagnosis?
A. Panic disorder
B. Major depressive disorder
C. Delirium
D. Bipolar mania
Rationale: Symptoms lasting at least 2 weeks with functional
impact support MDD.
2. Which symptom requires immediate suicide risk
assessment?
A. Mild boredom only
B. “I don’t want to live anymore.”
C. Seasonal allergies only
D. Dry skin only
Rationale: Statements of wanting to die require urgent safety
evaluation.
, 3. Which factor increases suicide risk most?
A. Good sleep hygiene
B. Prior suicide attempt
C. Daily walking
D. Strong support system
Rationale: Previous attempts are among the strongest
predictors of future risk.
4. Which medication class is commonly first-line for
depression?
A. Antipsychotics only
B. SSRIs
C. Stimulants
D. Antacids
Rationale: SSRIs are commonly used first-line due to efficacy
and tolerability.
5. Which teaching is correct when starting an SSRI?
A. Works in one hour
B. May take several weeks for full effect
C. Stop immediately if mild nausea
D. Double dose after missed pill
Rationale: Therapeutic benefit often takes weeks.
, 6. Which symptom may occur early with SSRIs?
A. Cataracts
B. GI upset or headache
C. Bone fracture
D. Kidney stones
Rationale: GI upset and headache are common early side
effects.
7. Which symptom cluster best suggests generalized anxiety
disorder?
A. Hallucinations only
B. Excessive worry with restlessness and poor
concentration
C. Mania only
D. Memory loss only
Rationale: Persistent uncontrolled worry with somatic
symptoms suggests GAD.
8. Which psychotherapy is evidence-based for anxiety
disorders?
A. Isolation therapy
B. Cognitive behavioral therapy
C. Sleep deprivation
D. No therapy needed
, Rationale: CBT is highly effective for anxiety disorders.
9. Which symptom suggests panic attack?
A. Gradual cough only
B. Sudden fear with palpitations and shortness of breath
C. Toenail pain only
D. Dry lips only
Rationale: Panic attacks are abrupt episodes of intense fear
with autonomic symptoms.
10. Which medical condition may mimic anxiety?
A. Dry scalp only
B. Hyperthyroidism
C. Freckles only
D. Hair color change
Rationale: Thyroid excess may cause tremor, palpitations, and
anxiety.
11. Which symptom defines mania?
A. Mild sadness only
B. Elevated mood with decreased need for sleep and
impairment
C. Brief stress reaction
D. Seasonal allergies only
