ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
Identify the non-stimulant ADHD medication.
Correct Answer: C
Rationale: Intuniv (guanfacine) is a non-stimulant ADHD medication (C), acting on alpha-2 receptors, unlike the stimulants Ritalin, Vyvanse, and Adderall (A, B, D), which increase dopamine/norepinephrine.
Question 2 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 3 of 5
Which of the following statements is true about autism?
Correct Answer: D
Rationale: All statements (D) are true: maternal age and breech birth are risk factors (A), early deficits are observable by 18 months (B), and diagnosis often occurs before age 3 (C).
Question 4 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 5 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.