ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: C
Rationale: Bupropion lowers the seizure threshold, and a recent head injury increases seizure risk, requiring provider attention. Hepatitis B (
A), knee surgery (
B), and hypothyroidism (
D) are not contraindications.
Question 4 of 5
A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: D
Rationale: Methylphenidate, a stimulant, is standard for ADHD, improving focus. Risperidone (
A), valproate (
B), and lithium (
C) are used for other conditions like schizophrenia or bipolar disorder.
Question 5 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: A
Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.