ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?
Correct Answer: A
Rationale: Moderate-stage Alzheimer’s involves confusion and wandering, requiring close monitoring for safety. Schizotypal (
B), alcohol use (
C), and dependent personality (
D) disorders pose fewer immediate physical risks.
Question 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Asking about intent to harm assesses immediate risk, ensuring safety. Role modeling (
B), listing triggers (
C), and stress techniques (
D) are secondary to risk assessment.
Question 3 of 5
A nurse is assessing a client who has a history of substance use disorder and states, 'People are out to get me.' The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: C
Rationale: Cocaine toxicity causes tachycardia, hypertension, and paranoia. Opium (
A) and heroin (
B) cause sedation, and alcohol (
D) doesn’t typically cause these cardiovascular effects.
Question 4 of 5
A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: A,B,C,D
Rationale: Bradycardia (
A), Russell’s sign (
B), lanugo (
C), and hypotension (
D) are common in anorexia due to energy conservation, purging, malnutrition, and low cardiac output. Diarrhea (E) is not typical, with constipation more likely.
Question 5 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Correct Answer: C
Rationale: Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system, requiring monitoring. Decreased blood pressure (
A) and heart rate (
B) are not typical, as increases are more common. Hyperglycemia (
D) is not a primary concern in withdrawal.