ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to central nervous system hyperexcitability. This is a result of decreased levels of gamma-aminobutyric acid (GAB
A) and increased levels of glutamate in the brain. Hypotension (
A), hyperactivity (
C), and increased appetite (
D) are not typical findings during alcohol withdrawal. Hypotension may occur in severe cases of alcohol intoxication, but not during withdrawal. Hyperactivity is more commonly seen in stimulant withdrawal. Increased appetite is not a characteristic symptom of alcohol withdrawal.
Question 2 of 5
A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: Survivors of abuse often feel guilty. This statement indicates understanding because feelings of guilt are commonly experienced by survivors due to manipulation and blame by abusers. Guilt can prevent victims from seeking help.
Incorrect choices:
B: Abusers often have high self-esteem - This is incorrect as abusers typically have low self-esteem and use control tactics to compensate.
C: The honeymoon stage of violence usually gets longer over time - This is incorrect as the honeymoon phase tends to decrease over time, not get longer.
D: As abuse continues, victims become more determined to be independent - This is incorrect as victims often experience increased dependency on their abusers due to manipulation and control.
Question 3 of 5
A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the jaw. Thioridazine is an antipsychotic medication that can cause extrapyramidal side effects, such as jaw contractions known as trismus or dystonia. This is a common adverse effect that the nurse should document. Anhedonia (
A) is a symptom of schizophrenia, not an adverse effect of thioridazine. Waxy flexibility (
B) is a symptom of catatonia, not a side effect of thioridazine. Incongruent affect (
D) is a symptom related to the client's emotional expression, not a side effect of the medication.
Question 4 of 5
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to central nervous system hyperexcitability. This is a result of decreased levels of gamma-aminobutyric acid (GAB
A) and increased levels of glutamate in the brain. Hypotension (
A), hyperactivity (
C), and increased appetite (
D) are not typical findings during alcohol withdrawal. Hypotension may occur in severe cases of alcohol intoxication, but not during withdrawal. Hyperactivity is more commonly seen in stimulant withdrawal. Increased appetite is not a characteristic symptom of alcohol withdrawal.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is taking lithium. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.5 mg/dL. This value should be reported to the provider because lithium can affect kidney function, leading to renal impairment. Creatinine is a marker of kidney function, and an elevated level could indicate potential kidney damage from lithium. The other choices (A, B,
D) are within normal ranges and not directly related to lithium therapy monitoring. Sodium and potassium levels may be affected by other factors such as diet or hydration status.
Therefore, the nurse should prioritize reporting the creatinine level to ensure the provider can assess the client's renal function in relation to lithium therapy.