ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.
Question 2 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 3 of 5
A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Attachment to objects that spin. Children with autism spectrum disorder often exhibit repetitive behaviors or fixations on certain objects or activities, such as spinning objects. This behavior can provide comfort or a sense of predictability. It is important for the nurse to anticipate and address these specific needs in the child's care plan.
A, B, and C are incorrect because children with autism spectrum disorder typically struggle with social communication skills, including initiating conversations, engaging in imaginative play, and forming strong relationships with siblings and peers. These deficits in social interaction are common characteristics of autism spectrum disorder.
Question 4 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 5 of 5
A nurse is assisting with obtaining informed consent from a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client’s guardian sign the consent. When a client is declared legally incompetent, their guardian is legally responsible for making decisions on their behalf, including providing consent for medical procedures. The guardian is appointed to act in the best interest of the client and has the authority to make decisions related to their care. Contacting the facility social worker (
A) may be necessary for support, but the guardian is the appropriate person to provide consent. Explaining implied consent to the client’s family (
B) is not sufficient as the guardian must sign the consent. Asking the charge nurse (
D) is not appropriate as the guardian has the legal authority. The other choices are left blank as they are not relevant to the situation.