ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: Sodium 132 mEq/L indicates hyponatremia, increasing lithium reabsorption and toxicity risk. Normal AST (
A), calcium (
C), and WBC (
D) levels do not directly contribute to lithium toxicity.
Question 2 of 5
A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: B
Rationale: A trained advocate supports the client’s safety and emotional needs post-assault, a priority. Pregnancy testing (
A), STI prophylaxis (
C), and mental health consultation (
D) follow after support.
Question 3 of 5
A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?
Correct Answer: B
Rationale: Sudden onset of symptoms is characteristic of delirium, distinguishing it from gradual conditions. Flat affect (
A), object recognition issues (
C), and slow speech (
D) are less specific.
Question 4 of 5
A nurse is caring for a client who has binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Remaining with the client post-meals prevents purging, addressing a key behavior. Weighing (
A) may exacerbate body image issues, menu planning (
C) is secondary, and offering snacks (
D) risks reinforcing overeating.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Informing the client of their right to refuse upholds autonomy. Encouragement (
A) disregards choice, another nurse (
B) is unnecessary, and family consent (
C) is inappropriate if the client is competent.