ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?
Correct Answer: C
Rationale: Adderall aims to reduce ADHD symptoms, improving focus and impulse control, leading to (C) cooperative play as a key social outcome. (A), (B), and (D) are less directly tied to the medication’s primary effects.
Question 2 of 5
The client is taking a monoamine oxidase inhibitor (MAOI). What should be the priority action of the nurse be if the client says, 'Nurse, I’ve got a terrible headache and am seeing spots before my eyes'?
Correct Answer: D
Rationale: Headache and visual spots with an MAOI suggest a hypertensive crisis, a life-threatening side effect from tyramine interaction. Measuring blood pressure (D) is the priority to confirm and guide emergency action.
Question 3 of 5
The client diagnosed with bipolar I disorder is in an inpatient locked unit. The client begins to yell loudly at another client who is also sitting in the dayroom. In order to provide a safe environment for both clients, the nurse should first take which action?
Correct Answer: C
Rationale: Redirecting calmly and firmly (C) de-escalates the situation safely and therapeutically, prioritizing verbal intervention. Distraction (A) is less direct, medication (B) or restraints (D) are escalations not yet warranted.
Question 4 of 5
A client will be discharged with a prescription for PRN lorazepam (Ativan) for breakthrough anxiety. To which client statement should the nurse respond with more teaching?
Correct Answer: A
Rationale: Alcohol with lorazepam (A) increases CNS depression, requiring more teaching on safety. Consulting a doctor (B), non-pharmacologic attempts (C), and Paxil (D) are appropriate.
Question 5 of 5
An adult client with a tentative diagnosis of Antisocial PD refuses to participate in unit activities. When he is on the unit, he makes fun of the other clients. Considering the client’s diagnosis and behavior, which one of the following nursing plans would be most effective for the nursing staff to follow?
Correct Answer: A
Rationale: Informing of rules (A) sets clear expectations for antisocial PD, countering manipulation. Isolation (B) avoids accountability, conferring (C) delays action, and forcing participation (D) may escalate resistance.