ATI RN Mental Health Online Practice 2019 B with NGN Retake Same
Questions Different Arrangements All Correct Answers are Marked Score
100
Question 1
A nurse is admitting a client who has major depressive disorder and a new prescription for
tranylcypromine. Which of the following over the counter medications that the client reports
taking should alert the nurse to a potential adverse reaction?
A. Lansoprazole
B. Naproxen
C. Magnesium hydroxide
D. Phenylephrine
Answer: D. Phenylephrine
Question 2
A nurse on a mental health unit observes a client who has acute mania hit another client.
Which of the following actions should the nurse take first?
A. Call the provider to obtain an immediate prescription for restraint
B. Prepare to administer benzodiazepine IM
C. Call for a team of staff members to help with the situation
D. Check the client who has was hit for injuries.
Answer: C. Call for a team of staff members to help with the situation
Question 3
A nurse is assessing a family’s dynamics during a counselling session. The nurse should
recognize which of the following findings as an indication of a boundary issue?
A. An adolescent family member who questions parental authority
B. A family with three generation in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
Answer: C. Older children who are responsible for their younger siblings
Question 4
A nurse is assessing a client who has major depressive disorder and has been receiving
amitriptyline for 1 week. Which of the following outcomes should the nurse expect?
A. Rapid improvement in affect within 30 to 60 min after taking the medication
B. Greater risk of attempting suicide as affect and energy improve
C. Onset of frequent, loose stools
D. Development of physiologic dependence on the medication
Answer: B. Greater risk of attempting suicide as affect and energy improve
Question 5
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have
depressive disorders. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
A. “I will use the same plan of care and interventions for each client who has depression”
B. “Each nurse will develop a separate plan of care for each client who has depression”
C. “I will update the plan of care as a client’ manifestations of depression change”
D. “An assistive personnel can use the plan of care for client teaching”
Answer: C. “I will update the plan of care as a client’ manifestations of depression change”
Question 6
A nurse in the emergency department is caring for four clients. Which of the following clients
is the nurse required to report as a potential victim of abuse?
A. A school-age child who has bruises on the knees
B. An older adult client who is bedbound and has a stage IV pressure ulcer.
C. An adolescent who has a vaginal candida infection
D. A young adult who is pregnant and has a sprained ankle.
Answer: B. An older adult client who is bedbound and has a stage IV pressure ulcer.
Question 7
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder.
The nurse should identify that which of the following treatment options can offer
interdisciplinary services for the client at home?
A. Community mental health center
B. Mental Health day program
C. Partial hospitalization program
D. Assertive community treatment
Answer: D. Assertive community treatment
Question 8
Question 9
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of
the following statements should the nurse make?
A. “It appears as though you would like to open the door”
B. “You will feel more comfortable after you’ve been here for a while”
C. “It is okay to not want to be here”
D. “You really shouldn’t be pushing on the door”
Answer: A. “It appears as though you would like to open the door”
Question 10
A nurse is caring for an older adult client who begins to cry and states, “I knew God would
punish me and I deserve this horrible sickness!” which of the following responses should the
nurse make?
A. “Why do you think you deserve this punishment?”
B. “Don’t worry about being punished by God”
C. “Let’s talk about what is upsetting you”
D. “You shouldn’t say things that will upset you so much”
Answer: C. “Let’s talk about what is upsetting you”
Question 11
A nurse is preparing to administer diazepam 7.5mg IV bolus to a client for alcohol
withdrawal. Available is diazepam injections 5 mg/mL. How many mL should the nurse
administer? (Rund the answer to the nearest tenth. Use a leading zero if applies. Do not use a
trailing zero.)
Answer: 1.5 mL
Follow these steps for the Ratio and Proportion method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer = Desired 7.5 mg
Step 3: What is the dose available? Dose available = Have 5 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 1 mL
Step 6: Set up an equation and solve for X.
Step 7: Round if necessary
Step 8: Determine whether the amount to administer makes sense. If there are 5 mg/mL and
the prescription reads 7.5 mg. It makes sense to administer 1.5 mL. The nurse should
administer diazepam 1.5 mL IV bolus.
Follow these steps for the Desired Over Have method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the dose the nurse should administer? Dose to administer = Desired 7.5 mg
Step 3: What is the dose available? Dose available = Have 5 mg
Step 4: Should the nurse convert the units of measurement? No
Step 5: What is the quantity of the dose available? 1 mL
Step 6: Set up an equation and solve for X.
Step 7: Round if necessary
Step 8: Determine whether the amount to administer makes sense. If there are 5 mg/mL and
the prescription reads 7.5 mg. It makes sense to administer 1.5 mL. The nurse should
administer diazepam 1.5 mL IV bolus.
Follow these steps for the Dimensional Analysis method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of
measure being calculated on the left side of the equation) X mL =
Step 2: Determine the ration that contains the same unit as the unit being calculated. (Place
the ratio on the right side of the equation, ensuring that the unit om the numerator matches the
unit being calculated)
Step 3: Place any remaining ratios that are relevant to the item on the right side of the
equation, along with any needed conversion factors, to cancel out unwanted units of
measurement
Step 4: Solve for X
D mL = 1.5
Step 5: Round if necessary
Step 6: Determine whether the amount to administer makes sense. If there are 5 mg/mL and
the prescription reads 7.5 mg. It makes sense to administer 1.5 mL. The nurse should
administer diazepam 1.5 mL IV bolus.
Question 12
A nurse is discussing a 12 step program with a client who has alcohol use disorder and is in
an acuter care facility undergoing detoxification. Which of the following information should
the nurse include in the teaching?
A. The program will help the client accept responsibility for the disorder.
B. The Client should obtain a sponsor before discharge for an increased chance of recovery
C. The Client will need to identify individuals who have contributed to the disorder
D. The program will need a prescription from the client’s provider prior to attendance.
Answer: B. The Client should obtain a sponsor before discharge for an increased chance of
recovery
Question 13
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a
client whose family reports episodes of confusion. Which of the following assessment
findings supports the nurse’s suspicion of delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted
Answer: D. Easily distracted
Question 14
A nurse is receiving change of shirt report for four clients. Which of the following clients
should the nurse plan to see first?
A. A client who has avoidant personality disorder and refuses to attend group therapy
B. A client has bipolar disorder and reports being kidnapped by aliens overnight
C. A client who is taking bupropion and reports having insomnia the past 2 nights
D. A client who is taking clozapine and reports a sore throat and chills
Answer: D. A client who is taking clozapine and reports a sore throat and chills
Question 15
Question 16
A nurse is creating a plan of care for a client who has been placed in seclusion after
threatening to harm others on the unit. Which of the following interventions should the nurse
include in the plan?
A. Document the client’s behavior every 8 hr.
B. Limit the client’s fluid intake to 50 mL/hr.
C. Renew the prescription for the client every 4 hr.
D. Toilet the client every 4 hr
Answer: C. Renew the prescription for the client every 4 hr.
Question 17
A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who
has severe depression. The client who has depression reports to the nurse. “My roommate
never sleeps and keeps me up, too. “Which of the following actions should the nurse take?”
A. Move the client who has bipolar disorder to a private room.
B. Administer sleep medication to the client who has bipolar disorder.
C. Move the client who has severe depression to a private room
D. Administer sleep medication to the client who has severe depression.
Answer: A. Move the client who has bipolar disorder to a private room.
Question 18
A nurse is planning care for a client who has made repeated physical threats toward others on
the unit. Although the client does not ant to leave the unit, the nurse requests the provider to
transfer the client to a unit that is equipped to manage violent behavior. Which of the
following ethical principles should the nurse apply in this situation?
A. Nonmaleficence
B. Veracity
C. Justice
D. Autonomy
Answer: A. Nonmaleficence
Question 19
A nurse is preparing to discharge to home an older adult client who attempted suicide. The
client lives alone and has difficulty performing ADLs. Which of the following referrals
should the nurse initiate? (Select all that apply)
A. Occupational therapy
B. Meal delivery service
C. Speech-language pathologist
D. Physical therapy
E. Home health services
Answer: A. Occupational therapy
B. Meal delivery service
D. Physical therapy
E. Home health services
Question 20
A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the
following findings?
A. Amenorrhea
B. Lanugo
C. Cold extremities
D. Tooth erosion
Answer: D. Tooth erosion
Question 21
A nurse is educating the parent of a child who has a new diagnosis of autism spectrum
disorder. Which of the following manifestations of this disorder should the nurse include in
the teaching?
A. Fear of abandonment
B. Motor and verbal tics
C. Hostile behavior
D. Language Delay
Answer: D. Language Delay
Question 22
A nurse is providing teaching to the partner of a client who is in a rehabilitation program for
alcohol use disorder. The nurse should identify that which of the following statements by the
client’s partner indicates an understanding of the teaching?
A. “I will avoid social events until my partner has completed treatment”
B. “It is important for me to focus my attention on my partner’s addiction”
C. “I will not take charge of my partner’s work responsibilities”
D. “I want my partner to promise to change addictive behaviors”
Answer: C. “I will not take charge of my partner’s work responsibilities”
Question 23
Question 24
Question 25
Question 26
Question 27
Question 28
Question 29
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above
their ideal body weight. Which of the following interventions should the nurse include in the
plan?
A. Include a liquid supplement with meals
B. Identify the client’s trigger foods
C. Allow the client at least 1 hr for each meal
D. Weigh the client at bedtime each day
Answer: B. Identify the client’s trigger foods
Question 30
A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the
following findings places at the greatest risk for self-directed injury or injuring others?
A. Inability to communicate with others
B. Feelings of absence of self-worth
C. Lack of motivation to perform daily tasks
D. Command hallucinations
Answer: D. Command hallucinations
Question 31
A nurse is reviewing the medication administration record for a client who is experiencing
adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which
of the following adverse effects?
A. Blurred vision
B. Orthostatic hypotension
C. Dry mouth
D. Acute Dystonia
Answer: D. Acute Dystonia
Question 32
A nurse in a community health center is working with a group of clients who have post
traumatic stress disorder. Which of the following interventions should the nurse include to
reduce anxiety among the group members?
A. Response prevention
B. Guided imagery
C. Aversion therapy
D. Light therapy
Answer: B. Guided imagery
Question 33
A nurse in a mental health clinic is planning care for four clients. Which of the following
tasks should the nurse delegate to an assistive personnel (AP)?
A. Discuss outpatient resources with a client who has post-traumatic stress disorder
B. Create a plan of care for a client who is experiencing alcohol withdrawal
C. Explain sleep hygiene to a client who has insomnia
D. Stay with a client has anorexia nervosa for 1 hr after mealtimes
Answer: D. Stay with a client has anorexia nervosa for 1 hr after mealtimes
Question 34
A nurse is talking with a group of parents who have recently experienced the death of a child.
Which of the following actions should the nurse take?
A. Encourage the parents to avoid discussing the death with their other children to protect
their feelings.
B. Recommend each parent grieve in private to avoid hindering each other’s healing
C. Suggest forming a weekly support group for parents who have experienced the death of a
child
D. Advise the parents to begin counselling if they are still grieving in a few months
Answer: C. Suggest forming a weekly support group for parents who have experienced the
death of a child
Question 35
A nurse is assessing a client for risk factors for the development of depression. The nurse
should identify that which of the following factors places the client at an increased risk for
depression?
A. The client is married
B. The client recently received a promotion at work
C. The client has COPD
D. The Client is a male
Answer: C. The client has COPD
Question 36
A nurse on an acute mental health facility is receiving change-of-shift report for four clients.
Which of the following clients should the nurse assess first?
A. A Client who does not recognize familiar people
B. A client who cannot verbalize their needs
C. A client who is awake and disoriented at night
D. A client who is experiencing delusions of persecution
Answer: D. A client who is experiencing delusions of persecution
Question 37
A nurse is caring for an older adult client who is experiencing delirium. Which of the
following interventions should the nurse include in the client’s plan of care?
A. Offer the client various choices for meal selection
B. Assign different nursing personnel for each shift
C. Permit the client to perform daily rituals to decrease anxiety
D. Maintain an environment that has low lighting
Answer: C. Permit the client to perform daily rituals to decrease anxiety
Question 38
A nurse is planning care for a client who has generalized anxiety disorder. At which of the
following levels of anxiety should the nurse plan to teach the client relaxation techniques?
A. Panic
B. Moderate
C. Severe
D. Mild
Answer: D. Mild
Question 39
A nurse is caring for a client who is in an abusive relationship and is assisting in the
development of a safety plan. Which of the following action is the first component of a safety
plan?
A. Develop a code word that means “times to go”
B. Identify signs of escalation of violence
C. Have a predetermined place to go in the event of violence
D. Keep a hidden packed bag of necessities
Answer: B. Identify signs of escalation of violence
Question 40
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr age
following a motor-vehicle crash. The client’s admission blood alcohol level was 325 mg/dL.
Which of the following findings should indicate to the nurse that the client is experiencing
alcohol withdrawal?
A. Somnolence
B. Blood pressure 154/96 mm Hg
C. Pinpoint pupils
D. Blood glucose 210 mg/dL
Answer: B. Blood pressure 154/96 mm Hg
Question 41
A nurse is reviewing laboratory results for a client who has schizophrenia and is taking
clozapine. Which o f the following values should the nurse identify as a contraindication for
receiving clozapine?
A. WBC count 2,500/mm3
B. Hgb 11.5 mg/dL
C. Platelets 150,000/mm3
D. RBC count 3.5 million/mm3
Answer: A. WBC count 2,500/mm3
Question 42
A nurse is teaching the guardians of a client about their adolescent child’s diagnosis of
bulimia nervosa. Which of the following statements made by the guardians indicates an
understanding of their child’s illness?
A. “This disease will increase our child’s risk for high blood pressure”
B. “It is important for our child to have regular dental checkups”
C. “We need to weigh our child daily for several weeks, then once per week”
D. “Bleeding during our child’s periods will increase because of this disease”
Answer: B. “It is important for our child to have regular dental checkups”
Question 43
A nurse is assisting a client who has a terminal illness adjust to progressive loss of
independence. Which of the following statements by the client indicates acceptance of her
illness?
A. “I am going to order a wheelchair for when I’m unable to walk”
B. “I am going to stop paying my bills since I won’t be around much longer”
C. “I wish you would go take care of somebody who actually needs you”
D. “I am sure I’m going to be able to continue to care for myself without help”
Answer: A. “I am going to order a wheelchair for when I’m unable to walk”
Question 44
A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the
child for which of the following findings an adverse effect of methylphenidate?
A. Weigh gain
B. Tinnitus
C. Tachycardia
D. Increased salivation
Answer: C. Tachycardia
Question 45
Question 46
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship. Which of the
following actions should the nurse take first?
A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client has used in the past
Answer: A. Inform the client that this admission is confidential
Question 47
A nurse on a mental health unit is caring for a group of clients. Which of the following
actions by the nurse is an example of the ethical principle of justice?
A. Allowing a client to choose which unit activities to attend
B. Attempting alternative therapies instead of restraints for a client who is combative
C. Providing a client with accurate information about their prognosis
D. Spending adequate time with a client who is verbally abusive
Answer: D. Spending adequate time with a client who is verbally abusive
Question 48
A nurse is caring for a client who gave birth to a still born baby. Which of the following
statements should the nurse make?
A. “You probably want to hold your baby”
B. “I’ll stay with you just in case you want to talk”
C. “I know how you must be feeling”
D. ‘It hurts now, but things will be better soon’
Answer: B. “I’ll stay with you just in case you want to talk”
Question 49
Question 50
Question 51
Question 52
Question 53
Question 54
Question 55
A nurse is caring for a child who has conduct disorder and is behaving in a destructive
manner, throwing objects, and kicking others. Which of the following therapeutic nursing
interventions is the priority?
A. Encourage expression of feelings
B. Support the child’s attendance at an assertiveness training group
C. Assist the child to perform relaxation breathing
D. Reduce environmental stimuli
Answer: D. Reduce environmental stimuli
Question 56
A nurse is teaching the partner of a client who has bipolar disorder how to identify
manifestations of acute mania. Which of the following findings should the client’s partner
report to the provider
A. Obsessive attention to detail
B. Inability to sleep
C. Report of fatigue
D. Isolation from others
Answer: B. Inability to sleep
Question 57
A nurse is caring for four clients in an emergency department. The nurse should identify that
which of the following clients give informed consent?
A. A 17-year old client who lives with friends
B. A 50-year old client who has a blood alcohol level of 80 mg/dL
C. A 35-year old client who has depressive disorder
D. A 65-year old client who just received a dose of morphine
Answer: C. A 35-year old client who has depressive disorder
Question 58
A nurse is planning prevention strategies for partner violence in the community. Which of the
following strategies should the nurse include as a method of secondary prevention?
A. Provide teaching about the use of positive coping mechanisms
B. Establish screening programs to identify at risk clients
C. Refer survivors of intimate partner abuse to a legal advocacy program
D. Organize rehabilitation therapy for clients who have experienced intimate partner abuse
Answer: B. Establish screening programs to identify at risk clients
Question 59
A nurse is teaching coping strategies to a client who is experiencing related to partner
violence. Which of the following statements by the client indicates an understanding of the
teaching?
A. “I will spend extra time at work to keep from feeling depressed”
B. “I will take about my feelings with a close friend”
C. “I will be able to learn how to prevent my partner’s attacks”
D. “I will use medication instead of taking my antidepressant”
Answer: B. “I will take about my feelings with a close friend”
Question 60
A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse.
Which of the following statements should the charge nurse make?
A. “Client can’t refuse to take medications if they are admitted involuntarily”
B. “You may notify a client’s family if they are admitted involuntarily”
C. “Clients who are admitted involuntarily maintain the right to give informed consent for
procedures”
D. “You can remove a client’s privileges if they are admitted involuntarily and refuse to
attend therapy sessions”
Answer: C. “Clients who are admitted involuntarily maintain the right to give informed
consent for procedures”
