ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 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.
Question 2 of 5
An adolescent with schizophrenia has been refusing to take his medications on a daily schedule. The visiting nurse knows that it is important for medications to be taken to maintain a normal, balanced life. The visiting nurse discusses treatment options with the doctor. The best solution for this patient would be:
Correct Answer: C
Rationale: Risperdal Consta (C), a long-acting injectable antipsychotic, ensures compliance for schizophrenia patients refusing oral meds, unlike inpatient care (A), visits (B), or another oral drug (D).
Question 3 of 5
A 13-year-old boy who has been on antipsychotic medications for a month has begun experiencing extrapyramidal effects, reporting muscle paralysis in his lower extremities. This is referred to as:
Correct Answer: A
Rationale: Akinesia (A) is muscle rigidity or paralysis, an extrapyramidal effect of antipsychotics, unlike restlessness (B), spasms (C), or late-onset movements (D).
Question 4 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 5 of 5
A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others. Which finding indicates the plan of care was effective? The child:
Correct Answer: D
Rationale: The diagnosis focuses on impaired social interaction due to aggression. (D) cooperative play directly indicates improved social skills and reduced aggression, aligning with the care plan’s goal. (A) addresses anxiety, (B) communication, and (C) authority, which are secondary to the social focus.