ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 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 2 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.
Question 3 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 4 of 5
The client diagnosed with bipolar I disorder is in an inpatient locked unit. The client begins to yell loudly at another client who is also sitting in the dayroom. In order to provide a safe environment for both clients, the nurse should first take which action?
Correct Answer: C
Rationale: Redirecting calmly and firmly (C) de-escalates the situation safely and therapeutically, prioritizing verbal intervention. Distraction (A) is less direct, medication (B) or restraints (D) are escalations not yet warranted.
Question 5 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.