NR 606 Final Exam: (Latest 2026/2027 Update) ADHD, ODD, Conduct
Disorder, FAS, Eating Disorders, PTSD, Substance Use, ACEs | Q&A | Grade A |
100% Correct (Verified Answers) – Nursing Program
Subject: NR 606 Final Exam – ADHD (attention types, impulsivity, hyperactivity), Oppositional Defiant
Disorder (ODD), Conduct Disorder, Fetal Alcohol Syndrome (FAS), Eating Disorders (Anorexia, Bulimia,
Pica, ARFID), PTSD, Adjustment Disorder, Substance Use Disorders, ACEs/Trauma-Informed Care
Source: NR 606 Course Materials / Latest 2026/2027 NCLEX/HESI Psychiatry Blueprint
Format: Q&A Guide with Rationale
1: What ADHD symptoms are characterized by lack of attention to detail, careless mistakes, not
listening, losing things, diverting attention, and forgetfulness?
Correct Answer: Selective attention deficits (inattention symptoms).
1. Selective attention is the ability to focus on relevant stimuli while ignoring distractions; deficits
cause careless mistakes and forgetfulness.
2. These symptoms are core inattention criteria for ADHD diagnosis per DSM-5.
3. Common error: confusing inattention with oppositional behavior; assess if symptoms occur
across multiple settings.
2: What ADHD symptoms include poor problem solving, trouble completing tasks, disorganization,
and trouble sustaining mental effort?
Correct Answer: Lack of sustained attention.
1. Sustained attention is the ability to maintain focus over time; deficits cause task incompletion
and disorganization.
2. These symptoms particularly affect academic performance and occupational functioning.
3. Executive function deficits associated with ADHD include working memory, organization, and
planning difficulties.
3: What ADHD symptoms are excessive talking, blurting things out, not waiting one's turn, and
interrupting?
Correct Answer: Impulsivity.
1. Impulsivity reflects poor response inhibition and difficulty delaying gratification.
2. These symptoms increase risk for accidents, social rejection, and risky behaviors in
adolescents.
3. Impulsivity is often the most disruptive symptom in classroom settings.
,4: What ADHD symptoms include fidgeting, leaving one's seat, running, climbing, and trouble
playing quietly?
Correct Answer: Hyperactivity.
1. Hyperactivity is excessive motor activity that is often age-inappropriate and interferes with
daily activities.
2. Hyperactivity tends to decrease with age, while inattention and impulsivity often persist.
3. In girls, hyperactivity may present as talkativeness rather than physical restlessness.
5: What ADHD symptom is most common in childhood?
Correct Answer: Hyperactivity.
1. Hyperactivity is the most noticeable symptom in young children and often prompts initial
evaluation.
2. Hyperactivity typically declines with age, whereas inattention and impulsivity may persist into
adulthood.
3. By adolescence, hyperactive symptoms often manifest as subjective restlessness rather than
overt motor activity.
6: What are the effects of maturation on ADHD in young children?
Correct Answer: Young children may experience developmental delays and behavior less mature than
peers.
1. Young children with ADHD may lag behind peers in social, emotional, and cognitive
development.
2. Immature behavior includes emotional dysregulation, difficulty sharing, and poor frustration
tolerance.
3. Early intervention improves developmental trajectories and reduces long-term impairment.
7: What are the effects of maturation on ADHD in teens?
Correct Answer: Poor academic performance, trouble driving, trouble in social situations, risky sexual
behavior, and substance use disorders (SUD).
1. Executive function deficits impair planning, organization, and impulse control critical for
academic success.
2. ADHD triples the risk of motor vehicle accidents; driving requires sustained attention and
impulse control.
3. Untreated ADHD increases risk of teen pregnancy, STIs, and early substance use initiation.
8: What are the effects of maturation on ADHD in adults?
Correct Answer: Issues with executive function (EF), attention, and working memory that cause issues
with day-to-day functioning and performance at work and in relationships.
1. Adult ADHD symptoms include poor time management, procrastination, emotional
dysregulation, and relationship conflict.
2. Occupational impairment includes job hopping, underemployment, and disciplinary actions.
3. Hyperactivity often internalizes as restlessness, racing thoughts, or difficulty relaxing.
, 9: What are the diagnostic criteria for ADHD regarding number of symptoms, duration, and
settings?
Correct Answer: Pattern of 6 or more symptoms (5 for adults) that interfere with
functioning/development, present for 6 months or longer, and present in 2 or more settings.
1. DSM-5 requires 6 symptoms for children/adolescents, 5 symptoms for adults age 17+.
2. Symptoms must be present before age 12 and cause clear functional impairment.
3. Symptoms in multiple settings (home, school, work) rule out situational behavioral issues.
10: How can anorexia (appetite suppression) be managed when using stimulant medications for
ADHD?
Correct Answer: Take medication with breakfast to decrease anorexia or associated weight loss.
1. Taking stimulants with food decreases peak serum concentration and reduces appetite
suppression.
2. Consider non-stimulant options (atomoxetine, guanfacine) if significant weight loss occurs.
3. Monitor height and weight every 3-6 months; growth curves may show temporary slowing.
11: When patients with ADHD have comorbid mental health issues, which condition should be
treated first?
Correct Answer: ADHD (stimulants first line). Treating ADHD symptoms first will give a clearer
picture of the comorbidities.
1. Treating ADHD often reduces secondary anxiety and depression symptoms without additional
medication.
2. Stimulants have rapid onset (30-60 minutes) and allow quick assessment of response.
3. Residual symptoms after optimal ADHD treatment guide specific treatment for comorbidities.
12: What workup is recommended before starting a stimulant medication?
Correct Answer: ECG if personal or first-degree relative family history of cardiac conditions; check
blood pressure, weight, and height.
1. Routine ECG screening is not required for all patients but is indicated if cardiac history or
symptoms present.
2. Stimulants increase heart rate and BP; baseline values guide monitoring for
hypertension/tachycardia.
3. Baseline height/weight monitors growth suppression; consider growth charts for children.
Disorder, FAS, Eating Disorders, PTSD, Substance Use, ACEs | Q&A | Grade A |
100% Correct (Verified Answers) – Nursing Program
Subject: NR 606 Final Exam – ADHD (attention types, impulsivity, hyperactivity), Oppositional Defiant
Disorder (ODD), Conduct Disorder, Fetal Alcohol Syndrome (FAS), Eating Disorders (Anorexia, Bulimia,
Pica, ARFID), PTSD, Adjustment Disorder, Substance Use Disorders, ACEs/Trauma-Informed Care
Source: NR 606 Course Materials / Latest 2026/2027 NCLEX/HESI Psychiatry Blueprint
Format: Q&A Guide with Rationale
1: What ADHD symptoms are characterized by lack of attention to detail, careless mistakes, not
listening, losing things, diverting attention, and forgetfulness?
Correct Answer: Selective attention deficits (inattention symptoms).
1. Selective attention is the ability to focus on relevant stimuli while ignoring distractions; deficits
cause careless mistakes and forgetfulness.
2. These symptoms are core inattention criteria for ADHD diagnosis per DSM-5.
3. Common error: confusing inattention with oppositional behavior; assess if symptoms occur
across multiple settings.
2: What ADHD symptoms include poor problem solving, trouble completing tasks, disorganization,
and trouble sustaining mental effort?
Correct Answer: Lack of sustained attention.
1. Sustained attention is the ability to maintain focus over time; deficits cause task incompletion
and disorganization.
2. These symptoms particularly affect academic performance and occupational functioning.
3. Executive function deficits associated with ADHD include working memory, organization, and
planning difficulties.
3: What ADHD symptoms are excessive talking, blurting things out, not waiting one's turn, and
interrupting?
Correct Answer: Impulsivity.
1. Impulsivity reflects poor response inhibition and difficulty delaying gratification.
2. These symptoms increase risk for accidents, social rejection, and risky behaviors in
adolescents.
3. Impulsivity is often the most disruptive symptom in classroom settings.
,4: What ADHD symptoms include fidgeting, leaving one's seat, running, climbing, and trouble
playing quietly?
Correct Answer: Hyperactivity.
1. Hyperactivity is excessive motor activity that is often age-inappropriate and interferes with
daily activities.
2. Hyperactivity tends to decrease with age, while inattention and impulsivity often persist.
3. In girls, hyperactivity may present as talkativeness rather than physical restlessness.
5: What ADHD symptom is most common in childhood?
Correct Answer: Hyperactivity.
1. Hyperactivity is the most noticeable symptom in young children and often prompts initial
evaluation.
2. Hyperactivity typically declines with age, whereas inattention and impulsivity may persist into
adulthood.
3. By adolescence, hyperactive symptoms often manifest as subjective restlessness rather than
overt motor activity.
6: What are the effects of maturation on ADHD in young children?
Correct Answer: Young children may experience developmental delays and behavior less mature than
peers.
1. Young children with ADHD may lag behind peers in social, emotional, and cognitive
development.
2. Immature behavior includes emotional dysregulation, difficulty sharing, and poor frustration
tolerance.
3. Early intervention improves developmental trajectories and reduces long-term impairment.
7: What are the effects of maturation on ADHD in teens?
Correct Answer: Poor academic performance, trouble driving, trouble in social situations, risky sexual
behavior, and substance use disorders (SUD).
1. Executive function deficits impair planning, organization, and impulse control critical for
academic success.
2. ADHD triples the risk of motor vehicle accidents; driving requires sustained attention and
impulse control.
3. Untreated ADHD increases risk of teen pregnancy, STIs, and early substance use initiation.
8: What are the effects of maturation on ADHD in adults?
Correct Answer: Issues with executive function (EF), attention, and working memory that cause issues
with day-to-day functioning and performance at work and in relationships.
1. Adult ADHD symptoms include poor time management, procrastination, emotional
dysregulation, and relationship conflict.
2. Occupational impairment includes job hopping, underemployment, and disciplinary actions.
3. Hyperactivity often internalizes as restlessness, racing thoughts, or difficulty relaxing.
, 9: What are the diagnostic criteria for ADHD regarding number of symptoms, duration, and
settings?
Correct Answer: Pattern of 6 or more symptoms (5 for adults) that interfere with
functioning/development, present for 6 months or longer, and present in 2 or more settings.
1. DSM-5 requires 6 symptoms for children/adolescents, 5 symptoms for adults age 17+.
2. Symptoms must be present before age 12 and cause clear functional impairment.
3. Symptoms in multiple settings (home, school, work) rule out situational behavioral issues.
10: How can anorexia (appetite suppression) be managed when using stimulant medications for
ADHD?
Correct Answer: Take medication with breakfast to decrease anorexia or associated weight loss.
1. Taking stimulants with food decreases peak serum concentration and reduces appetite
suppression.
2. Consider non-stimulant options (atomoxetine, guanfacine) if significant weight loss occurs.
3. Monitor height and weight every 3-6 months; growth curves may show temporary slowing.
11: When patients with ADHD have comorbid mental health issues, which condition should be
treated first?
Correct Answer: ADHD (stimulants first line). Treating ADHD symptoms first will give a clearer
picture of the comorbidities.
1. Treating ADHD often reduces secondary anxiety and depression symptoms without additional
medication.
2. Stimulants have rapid onset (30-60 minutes) and allow quick assessment of response.
3. Residual symptoms after optimal ADHD treatment guide specific treatment for comorbidities.
12: What workup is recommended before starting a stimulant medication?
Correct Answer: ECG if personal or first-degree relative family history of cardiac conditions; check
blood pressure, weight, and height.
1. Routine ECG screening is not required for all patients but is indicated if cardiac history or
symptoms present.
2. Stimulants increase heart rate and BP; baseline values guide monitoring for
hypertension/tachycardia.
3. Baseline height/weight monitors growth suppression; consider growth charts for children.
