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NRNP 6675 Final Exam 2 Versions Actual Exam
2026/2027 | 200 Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Psychiatric Assessment and Differential Diagnosis | Q1 – Q34
Section 2 | Psychopharmacology for Psychiatric Disorders | Q35 – Q68
Section 3 | Mood, Anxiety, and Trauma-Related Disorders | Q69 – Q102
Section 4 | Psychotic Disorders and Cognitive Impairment | Q103 – Q136
Section 5 | Child, Adolescent, and Geriatric Psychiatry | Q137 – Q168
Section 6 | Professional Role, Ethics, and Integrated Care | Q169 – Q200
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: PSYCHIATRIC ASSESSMENT AND DIFFERENTIAL DIAGNOSIS Q1 – Q34
══════════════════════════════════════
Question 1 of 200
A 28-year-old female presents to the clinic reporting episodes of intense fear, heart palpitations,
and shortness of breath that occur suddenly and peak within 10 minutes. She reports worrying
constantly about when the next attack will happen. During the interview, she appears restless but
is alert and oriented. Based on this presentation, which assessment tool is most specific for
diagnosing her condition?
A. Patient Health Questionnaire-9 (PHQ-9)
B. Generalized Anxiety Disorder-7 (GAD-7)
,2
C. Panic Disorder Severity Scale (PDSS)
D. Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
Correct Answer: C
Rationale: The PDSS is specifically designed to measure the severity of panic disorder
symptoms and is the most appropriate tool for this specific presentation. The GAD-7 measures
generalized anxiety, and the PHQ-9 is for depression, neither of which captures the acute
episodic nature of her condition.
Question 2 of 200
Mr. Henderson, a 55-year-old male with a history of alcohol use disorder, is brought to the
emergency department by his wife. He is confused, disoriented to time and place, and has visible
tremors. He is hallucinating insects crawling on his skin. Which mental status exam (MSE)
finding is the most critical indicator of his immediate medical need?
A. Altered sensorium and confusion
B. Visual hallucinations of insects
C. Autonomic hyperactivity such as tachycardia
D. The presence of a fine hand tremor
Correct Answer: A
Rationale: Altered sensorium indicates Delirium Tremens, a medical emergency requiring
immediate intervention to prevent death. While hallucinations and tremors are part of the
syndrome, a change in the level of consciousness (confusion/disorientation) signifies the highest
severity.
Question 3 of 200
A psychiatric NP is conducting an initial interview with a new patient who speaks limited
English. The patient’s teenage son is present and offers to translate. What is the most appropriate
action regarding the assessment?
,3
A. Proceed with the son translating to build rapport with the family.
B. Use the son but ask him to translate exactly what is said word-for-word.
C. Use a professional medical interpreter instead of the family member.
D. Conduct the interview in English and rely on non-verbal cues.
Correct Answer: C
Rationale: Using a professional interpreter ensures accuracy and confidentiality, as family
members may edit or censor information to protect the patient or themselves. Family members
lack the training to translate complex psychiatric terminology without bias.
Question 4 of 200
During a mental status exam, a patient is asked to remember three words: apple, table, and
penny. After 5 minutes of distraction, the patient recalls only the word "apple." This deficit in
recall is most indicative of impairment in which cognitive domain?
A. Immediate memory
B. Recent memory
C. Remote memory
D. Procedural memory
Correct Answer: B
Rationale: Recall after a delay assesses recent (short-term) memory, which is often impaired in
conditions like dementia or delirium. Immediate memory would be tested by asking them to
repeat the words immediately, and remote memory involves events from the distant past.
Question 5 of 200
Sarah, a 34-year-old accountant, reports feeling "sad all the time" for the past month. She has lost
interest in her hobbies, has trouble sleeping, and has lost 10 pounds unintentionally. She denies
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any history of manic episodes. To confirm the diagnosis of Major Depressive Disorder, which
DSM-5 criterion must be present?
A. The symptoms must be present for at least two weeks.
B. The symptoms must cause clinically significant distress or impairment.
C. There must be a history of at least one previous manic episode.
D. The symptoms must be better accounted for by substance use.
Correct Answer: B
Rationale: While the two-week duration is a requirement, the core element that defines a
"disorder" versus normal sadness is that the symptoms cause significant distress or impairment in
social or occupational functioning. Duration alone does not confirm pathology without functional
impact.
Question 6 of 200
A 22-year-old college student is brought to the clinic by his roommate. The roommate reports
that for the last week, the student has been speaking rapidly, spending thousands of dollars on
unnecessary items, and believes he is on a special mission from God. The student is laughing
inappropriately and difficult to interrupt. This presentation is most characteristic of which phase
of Bipolar Disorder?
A. Hypomanic episode
B. Manic episode
C. Major depressive episode
D. Schizoaffective disorder
Correct Answer: B
Rationale: The presence of grandiose delusions ("mission from God"), excessive spending, and
significant functional impairment requiring hospitalization or intervention indicates a Manic
Episode. Hypomania would not cause such severe impairment or psychotic features.
NRNP 6675 Final Exam 2 Versions Actual Exam
2026/2027 | 200 Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Psychiatric Assessment and Differential Diagnosis | Q1 – Q34
Section 2 | Psychopharmacology for Psychiatric Disorders | Q35 – Q68
Section 3 | Mood, Anxiety, and Trauma-Related Disorders | Q69 – Q102
Section 4 | Psychotic Disorders and Cognitive Impairment | Q103 – Q136
Section 5 | Child, Adolescent, and Geriatric Psychiatry | Q137 – Q168
Section 6 | Professional Role, Ethics, and Integrated Care | Q169 – Q200
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: PSYCHIATRIC ASSESSMENT AND DIFFERENTIAL DIAGNOSIS Q1 – Q34
══════════════════════════════════════
Question 1 of 200
A 28-year-old female presents to the clinic reporting episodes of intense fear, heart palpitations,
and shortness of breath that occur suddenly and peak within 10 minutes. She reports worrying
constantly about when the next attack will happen. During the interview, she appears restless but
is alert and oriented. Based on this presentation, which assessment tool is most specific for
diagnosing her condition?
A. Patient Health Questionnaire-9 (PHQ-9)
B. Generalized Anxiety Disorder-7 (GAD-7)
,2
C. Panic Disorder Severity Scale (PDSS)
D. Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
Correct Answer: C
Rationale: The PDSS is specifically designed to measure the severity of panic disorder
symptoms and is the most appropriate tool for this specific presentation. The GAD-7 measures
generalized anxiety, and the PHQ-9 is for depression, neither of which captures the acute
episodic nature of her condition.
Question 2 of 200
Mr. Henderson, a 55-year-old male with a history of alcohol use disorder, is brought to the
emergency department by his wife. He is confused, disoriented to time and place, and has visible
tremors. He is hallucinating insects crawling on his skin. Which mental status exam (MSE)
finding is the most critical indicator of his immediate medical need?
A. Altered sensorium and confusion
B. Visual hallucinations of insects
C. Autonomic hyperactivity such as tachycardia
D. The presence of a fine hand tremor
Correct Answer: A
Rationale: Altered sensorium indicates Delirium Tremens, a medical emergency requiring
immediate intervention to prevent death. While hallucinations and tremors are part of the
syndrome, a change in the level of consciousness (confusion/disorientation) signifies the highest
severity.
Question 3 of 200
A psychiatric NP is conducting an initial interview with a new patient who speaks limited
English. The patient’s teenage son is present and offers to translate. What is the most appropriate
action regarding the assessment?
,3
A. Proceed with the son translating to build rapport with the family.
B. Use the son but ask him to translate exactly what is said word-for-word.
C. Use a professional medical interpreter instead of the family member.
D. Conduct the interview in English and rely on non-verbal cues.
Correct Answer: C
Rationale: Using a professional interpreter ensures accuracy and confidentiality, as family
members may edit or censor information to protect the patient or themselves. Family members
lack the training to translate complex psychiatric terminology without bias.
Question 4 of 200
During a mental status exam, a patient is asked to remember three words: apple, table, and
penny. After 5 minutes of distraction, the patient recalls only the word "apple." This deficit in
recall is most indicative of impairment in which cognitive domain?
A. Immediate memory
B. Recent memory
C. Remote memory
D. Procedural memory
Correct Answer: B
Rationale: Recall after a delay assesses recent (short-term) memory, which is often impaired in
conditions like dementia or delirium. Immediate memory would be tested by asking them to
repeat the words immediately, and remote memory involves events from the distant past.
Question 5 of 200
Sarah, a 34-year-old accountant, reports feeling "sad all the time" for the past month. She has lost
interest in her hobbies, has trouble sleeping, and has lost 10 pounds unintentionally. She denies
, 4
any history of manic episodes. To confirm the diagnosis of Major Depressive Disorder, which
DSM-5 criterion must be present?
A. The symptoms must be present for at least two weeks.
B. The symptoms must cause clinically significant distress or impairment.
C. There must be a history of at least one previous manic episode.
D. The symptoms must be better accounted for by substance use.
Correct Answer: B
Rationale: While the two-week duration is a requirement, the core element that defines a
"disorder" versus normal sadness is that the symptoms cause significant distress or impairment in
social or occupational functioning. Duration alone does not confirm pathology without functional
impact.
Question 6 of 200
A 22-year-old college student is brought to the clinic by his roommate. The roommate reports
that for the last week, the student has been speaking rapidly, spending thousands of dollars on
unnecessary items, and believes he is on a special mission from God. The student is laughing
inappropriately and difficult to interrupt. This presentation is most characteristic of which phase
of Bipolar Disorder?
A. Hypomanic episode
B. Manic episode
C. Major depressive episode
D. Schizoaffective disorder
Correct Answer: B
Rationale: The presence of grandiose delusions ("mission from God"), excessive spending, and
significant functional impairment requiring hospitalization or intervention indicates a Manic
Episode. Hypomania would not cause such severe impairment or psychotic features.
