NR 606 FINAL EXAM 2026-2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+ SUMMER-FALL
CHAMBERLAIN
ADHD is a deficiency of neurotransmitters, mainly &
dopamine and norepinephrine
ADHD diagnostic criteria
-A pattern of at least six symptoms of inattention and/or hyperactivity-impulsivity
that interfere with functioning or development.
-Symptoms persist for six months or longer.
-Symptoms interfere with social, academic, or occupational functioning.
-Symptoms are present in two or more settings
• for instance, home & school
Kelsey is a 7-year-old first-grader who is the youngest of four children. During
parent-teacher conferences, her teacher reported that she is polite, respectful, and
gets along well with her peers. She has a hard time keeping her desk neat and she
frequently misplaces her supplies and loses library books. She must often be told
more than once to complete instructions. Her work is appropriate for her grade
level, but she often makes careless mistakes on her assignments. She struggles with
math and avoids doing arithmetic assignments. Her parents endorse that Kelsey's
,room is "sloppy" but do not notice any of the other concerns in the home
environment.
What is the most likely diagnosis for Kelsey?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive
ADHD combined presentation
unlikely ADHD diagnosis
ADHD predominantly inattentive presentation
Rationale: Kelsey meets diagnostic criteria for ADHD with a predominantly
inattentive presentation. Inattentive symptoms include lack of attention to detail,
making careless mistakes, difficulty listening and following instructions, frequent
disorganization and misplacing items, distractibility, avoiding tasks that require
sustained mental effort, and forgetfulness. Although Kelsey's parents identify only
one symptom in the home setting, she exhibits multiple symptoms in the school
setting.
Logan is a 6-year-old kindergartener who has a newborn sister. His parents are
concerned that Logan seems to be unable to occupy himself quietly when his sister
is napping. Logan interrupts both his parents and other adults in the home who
come to visit his sister. He gets impatient when his questions are ignored by adults.
His parents endorse that the behaviors began about the same time as his mom's
pregnancy was announced. Logan's teacher does not endorse the same behaviors at
school; his teacher states he is quiet, reserved, and plays well with others.
What is the most likely diagnosis for Logan?
,ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined presentation
unlikely ADHD diagnosis
unlikely ADHD diagnosis
Rationale: Although Logan has some symptoms that are consistent with a
diagnosis of ADHD, the symptom onset coincides with his mother's pregnancy.
There are no concerns of symptoms at school; more information is needed to
assign a diagnosis of ADHD.
Xander is an 8-year-old second-grader who is the youngest of two children. His
mother notes that he acts as if he has "non-stop energy." He pesters and interrupts
his older sister to play when she is reading or doing homework, and he has little
patience for completing his homework. Xander's mom endorses that his behavior
has been consistent for the past few years. Xander's teacher notes that he fidgets
during seat time, speaks out of turn in class, and runs or skips in the halls.
What is the most likely diagnosis for Xander?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined presentation
unlikely ADHD diagnosis
, ADHD predominantly hyperactive-impulsive presentation
Rationale: Xander meets diagnostic criteria for ADHD with a hyperactive-
impulsive presentation, including fidgeting, "non-stop" energy, difficulty in
engaging in quiet activities, speaking out of turn, excessive running, and
interrupting others. The behaviors occur in school and at home and have been
present consistently for several years.
Belle is a 10-year-old fourth-grader who is the oldest of two children. During
parent-teacher conferences, her teachers expressed concerns that she has difficulty
listening and paying attention in class. She plays with her pencil and eraser
constantly during lessons and, when she does pay attention, she blurts out answers
to questions without waiting to be called upon. She talks to her peers during class
and often interrupts the teacher to share with the class. Belle often forgets to bring
her backpack or lunch to school and often leaves school without her jacket. Belle's
mother notes that her daughter has always been talkative and energetic; she has
difficulty keeping her things organized and must be reminded of daily chores, such
as feeding her hamster.
What is the most likely diagnosis for Belle?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined pres
ADHD combined presentation
Rationale: Belle meets diagnostic criteria for ADHD combined presentation. She
has several symptoms of hyperactive-impulsive presentation, including fidgeting,
CORRECT ANSWERS GRADED A+ SUMMER-FALL
CHAMBERLAIN
ADHD is a deficiency of neurotransmitters, mainly &
dopamine and norepinephrine
ADHD diagnostic criteria
-A pattern of at least six symptoms of inattention and/or hyperactivity-impulsivity
that interfere with functioning or development.
-Symptoms persist for six months or longer.
-Symptoms interfere with social, academic, or occupational functioning.
-Symptoms are present in two or more settings
• for instance, home & school
Kelsey is a 7-year-old first-grader who is the youngest of four children. During
parent-teacher conferences, her teacher reported that she is polite, respectful, and
gets along well with her peers. She has a hard time keeping her desk neat and she
frequently misplaces her supplies and loses library books. She must often be told
more than once to complete instructions. Her work is appropriate for her grade
level, but she often makes careless mistakes on her assignments. She struggles with
math and avoids doing arithmetic assignments. Her parents endorse that Kelsey's
,room is "sloppy" but do not notice any of the other concerns in the home
environment.
What is the most likely diagnosis for Kelsey?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive
ADHD combined presentation
unlikely ADHD diagnosis
ADHD predominantly inattentive presentation
Rationale: Kelsey meets diagnostic criteria for ADHD with a predominantly
inattentive presentation. Inattentive symptoms include lack of attention to detail,
making careless mistakes, difficulty listening and following instructions, frequent
disorganization and misplacing items, distractibility, avoiding tasks that require
sustained mental effort, and forgetfulness. Although Kelsey's parents identify only
one symptom in the home setting, she exhibits multiple symptoms in the school
setting.
Logan is a 6-year-old kindergartener who has a newborn sister. His parents are
concerned that Logan seems to be unable to occupy himself quietly when his sister
is napping. Logan interrupts both his parents and other adults in the home who
come to visit his sister. He gets impatient when his questions are ignored by adults.
His parents endorse that the behaviors began about the same time as his mom's
pregnancy was announced. Logan's teacher does not endorse the same behaviors at
school; his teacher states he is quiet, reserved, and plays well with others.
What is the most likely diagnosis for Logan?
,ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined presentation
unlikely ADHD diagnosis
unlikely ADHD diagnosis
Rationale: Although Logan has some symptoms that are consistent with a
diagnosis of ADHD, the symptom onset coincides with his mother's pregnancy.
There are no concerns of symptoms at school; more information is needed to
assign a diagnosis of ADHD.
Xander is an 8-year-old second-grader who is the youngest of two children. His
mother notes that he acts as if he has "non-stop energy." He pesters and interrupts
his older sister to play when she is reading or doing homework, and he has little
patience for completing his homework. Xander's mom endorses that his behavior
has been consistent for the past few years. Xander's teacher notes that he fidgets
during seat time, speaks out of turn in class, and runs or skips in the halls.
What is the most likely diagnosis for Xander?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined presentation
unlikely ADHD diagnosis
, ADHD predominantly hyperactive-impulsive presentation
Rationale: Xander meets diagnostic criteria for ADHD with a hyperactive-
impulsive presentation, including fidgeting, "non-stop" energy, difficulty in
engaging in quiet activities, speaking out of turn, excessive running, and
interrupting others. The behaviors occur in school and at home and have been
present consistently for several years.
Belle is a 10-year-old fourth-grader who is the oldest of two children. During
parent-teacher conferences, her teachers expressed concerns that she has difficulty
listening and paying attention in class. She plays with her pencil and eraser
constantly during lessons and, when she does pay attention, she blurts out answers
to questions without waiting to be called upon. She talks to her peers during class
and often interrupts the teacher to share with the class. Belle often forgets to bring
her backpack or lunch to school and often leaves school without her jacket. Belle's
mother notes that her daughter has always been talkative and energetic; she has
difficulty keeping her things organized and must be reminded of daily chores, such
as feeding her hamster.
What is the most likely diagnosis for Belle?
ADHD predominantly inattentive presentation
ADHD predominantly hyperactive-impulsive presentation
ADHD combined pres
ADHD combined presentation
Rationale: Belle meets diagnostic criteria for ADHD combined presentation. She
has several symptoms of hyperactive-impulsive presentation, including fidgeting,
