ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 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 2 of 5
A 7-year-old child with a history of stealing candy from the teachers purse probably has which type of disorder?
Correct Answer: B
Rationale: Kleptomania (B) is characterized by impulsive stealing without need, fitting the scenario. Pyromania (A) involves fire-setting, dissociative identity (C) is rare and unrelated, and PTSD (D) doesn’t typically cause stealing.
Question 3 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 4 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 5 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.