ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been taking clozapine for 3 months. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B: Sore throat. Clozapine can cause agranulocytosis, a serious condition characterized by a low white blood cell count. Sore throat can be an early sign of this condition, so it should be reported immediately to the provider for further evaluation and possible discontinuation of clozapine. Constipation, dry mouth, and drowsiness are common side effects of clozapine but are not considered urgent enough to report immediately.
Question 2 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 3 of 5
A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following findings in the client’s history should the nurse recognize as a contraindication for taking this medication?
Correct Answer: A
Rationale: The correct answer is A: Seizures. Bupropion is contraindicated in clients with a history of seizures due to its potential to lower the seizure threshold. Seizures can be exacerbated by bupropion, increasing the risk of adverse effects. Anemia (
B), migraines (
C), and asthma (
D) are not contraindications for bupropion use. Anemia and migraines are not directly affected by bupropion, while asthma may even benefit from smoking cessation.
Question 4 of 5
A nurse is providing discharge teaching to the parents of a child who has ADHD and a prescription for methylphenidate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's weight frequently. This instruction is crucial because methylphenidate, a stimulant medication commonly used to treat ADHD, can potentially cause appetite suppression and weight loss in children. By monitoring the child's weight regularly, the parents can ensure the medication is not negatively impacting their child's growth and development.
A: Administering the medication at bedtime is not recommended as it can interfere with the child's sleep.
C: Giving the medication with milk is not necessary for methylphenidate administration.
D: Discontinuing the medication if insomnia occurs should be discussed with the healthcare provider first before making any changes to the treatment plan.
By choosing option B, the parents can actively participate in their child's care and ensure the medication is being managed effectively.
Question 5 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.