ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A nurse in the pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: ADHD increases risk for injury (D) due to impulsivity and inattention, a key safety concern for guardians. (A) is inaccurate as symptoms typically emerge before age 12, not specifically 3; (B) is incomplete and vague; and (C) is false, as ADHD doesn’t inherently involve below-average intellect, though academic challenges may occur.
Question 2 of 5
Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others’ conversations. How should the nurse document these behaviors?
Correct Answer: C
Rationale: Impulsivity (C) describes acting without forethought, fitting the symptoms of blurting and interrupting, common in ADHD. (A) implies intent, (B) is physical overactivity, and (D) doesn’t match.
Question 3 of 5
The child with conduct disorder is prone to physical acting out behaviors. Which nursing intervention is most likely to prevent an episode of acting out?
Correct Answer: A
Rationale: Prompt intervention at early signs of aggression (A) de-escalates conduct disorder behaviors, preventing escalation. Reinforcing all behaviors (B) confuses boundaries, success activities (C) are preventive but less immediate, and unconditional regard (D) lacks structure needed for CD.
Question 4 of 5
The client's medication has recently been changed from lithium carbonate (Eskalith) to valproic acid (Depakote). When the client asks the nurse to explain the reasons for the change in medication, the nurse should make which statement?
Correct Answer: A
Rationale: Lithium and Depakote both stabilize mood in bipolar disorder but differ in mechanism and side effects (A). They’re not chemically related (B), Depakote treats mania too (C), and side effects differ (D).
Question 5 of 5
Which of the following statements by the client to the nurse will indicate that the client understands important information about taking clozapine (Clozaril)?
Correct Answer: D
Rationale: Clozapine requires weekly blood tests (D) to monitor for agranulocytosis, a life-threatening side effect, making this the most critical understanding. Tyramine (A) is for MAOIs, and rashes (C) or sun (B) are less specific.