ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the following manifestations should the nurse assess?
Correct Answer: B
Rationale: Autism spectrum disorder (ASD) features repetitive behaviors, such as (B) repetitive counting, a classic sign of restricted, repetitive patterns of behavior per DSM-5 criteria. (A) impulsivity is more typical of ADHD, (C) destructiveness aligns with conduct issues, and (D) somatic problems (e.g., physical complaints) are less specific to ASD.
Question 2 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 3 of 5
The parents of a 10-year-old take the child to the mental health clinic. The nurse establishes rapport and credibility with the child by asking the child about which of the following?
Correct Answer: D
Rationale: Hobbies and interests (D) build rapport by engaging the child in a non-threatening, positive topic, fostering trust. Symptoms (A), relationships (B), and medical history (C) are clinical and less rapport-focused initially.
Question 4 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 5 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.