ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
CBC laboratory results have been returned on a pediatric patient with a history of schizophrenia. The doctor has ordered the nurse to start the patient on Clozapine. The nurse should:
Correct Answer: B
Rationale: Clozapine requires WBC monitoring (B) due to agranulocytosis risk, a potentially fatal side effect, making this a critical step before administration.
Question 2 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 3 of 5
When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and runs over and slaps another child, what is the nurse’s best action?
Correct Answer: D
Rationale: Removing the child to another room (D) de-escalates the situation, ensures safety, and allows calming, aligning with ADHD behavior management. (A) avoids intervention, (B) may not work with impulsivity, and (C) is excessive for this scenario.
Question 4 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 5 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.