ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 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 2 of 5
A client will be discharged with a prescription for PRN lorazepam (Ativan) for breakthrough anxiety. To which client statement should the nurse respond with more teaching?
Correct Answer: A
Rationale: Alcohol with lorazepam (A) increases CNS depression, requiring more teaching on safety. Consulting a doctor (B), non-pharmacologic attempts (C), and Paxil (D) are appropriate.
Question 3 of 5
An adult client with a tentative diagnosis of Antisocial PD refuses to participate in unit activities. When he is on the unit, he makes fun of the other clients. Considering the client’s diagnosis and behavior, which one of the following nursing plans would be most effective for the nursing staff to follow?
Correct Answer: A
Rationale: Informing of rules (A) sets clear expectations for antisocial PD, countering manipulation. Isolation (B) avoids accountability, conferring (C) delays action, and forcing participation (D) may escalate resistance.
Question 4 of 5
A client with Borderline PD gives written notice of intention to leave the hospital after a voluntary admission. The client tells the nurse, 'I will rescind my notice if you expand my smoking privileges.' Which of the following responses is most appropriate?
Correct Answer: A
Rationale: Consistent rules (A) manage borderline PD’s manipulation and splitting, maintaining fairness. Referral (B) avoids responsibility, expanding for all (C) undermines policy, and individualizing (D) reinforces manipulation.
Question 5 of 5
A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse?
Correct Answer: D
Rationale: Schizotypal PD features magical thinking and perceptual distortions (D), distinguishing it from schizoid PD, which involves detachment (A), disinterest in relationships (B), and indifference to praise (C).