ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A child has been diagnosed with having dopamine deficiencies. The nurse would anticipate signs of during an assessment.
Correct Answer: C
Rationale: Dopamine is critical for motivation, reward, and motor function. A deficiency is commonly linked to decreased motivation, as seen in conditions like depression or Parkinson’s-like symptoms, rather than fatigue (more general), compulsions (serotonin-related), or solely depressed mood (multifactorial). Option C is the most specific and accurate.
Question 2 of 5
A child has been exhibiting the MacDonald Triad. These behaviors include:
Correct Answer: B
Rationale: The MacDonald Triad, linked to potential future violence, includes bed-wetting (enuresis), animal cruelty (e.g., swinging a cat), and fire-setting (e.g., lighting paper on fire). Option B accurately reflects these specific behaviors.
Question 3 of 5
A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to him anymore. The mental health nurse should:
Correct Answer: B
Rationale: A sudden drop in grades and social withdrawal are red flags for depression, warranting a screening (B). This is not typical teenage behavior (A), and immediate probing (C) or waiting (D) may miss a critical diagnosis.
Question 4 of 5
An adolescent boy has recently had an increase in his Lithium dosage. The parents call the clinic because their son has been ill with a fever and chest congestion that seems to be getting worse. The nurse should:
Correct Answer: C
Rationale: Fever and worsening symptoms after a lithium increase could indicate toxicity, especially if dehydration from illness concentrates lithium levels. Immediate medical evaluation (C) is critical over assuming a virus (A), adjustment (B), or home treatment (D).
Question 5 of 5
An 8-year-old girl has been brought to the emergency room after being in a motor vehicle accident, which killed her brother and mother. The doctor orders Proponotol for the child. The nurse knows that this order:
Correct Answer: C
Rationale: Assuming 'Proponotol' is a typo for propranolol, this beta-blocker can reduce PTSD risk by dampening trauma memory consolidation (C). Age (A) isn’t a contraindication, it’s not for surgery (B), and consent (D) is situational.