ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. The nurse should identify that which of the following is a therapeutic effect of this medication.
Correct Answer: C
Rationale: The correct answer is C: Reduces substance craving. Naltrexone is an opioid receptor antagonist that helps reduce alcohol cravings by blocking the pleasurable effects of alcohol. This reduces the desire to drink and supports the individual in maintaining sobriety.
A: Blocking aldehyde dehydrogenase is the mechanism of action for disulfiram, not naltrexone.
B: Naltrexone does not directly prevent anxiety of abstinence.
D: Naltrexone does not specifically decrease the likelihood of seizures.
Question 3 of 5
A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following interventions is the nurse’s priority at this time?
Correct Answer: C
Rationale: The correct answer is C: Ask the adolescent if he is considering hurting himself. This is the priority intervention because it addresses the immediate safety and well-being of the adolescent. By directly asking about self-harm or suicide ideation, the nurse can assess the level of risk and intervene appropriately if necessary. Contacting the parents (
A) can be important but not the priority in ensuring the adolescent’s immediate safety. Joining support groups (
B) may be beneficial in the long term but does not address the current risk. Determining when the behavior change began (
D) is relevant but not as urgent as assessing for suicidal ideation.
Question 4 of 5
A nurse is providing teaching to a client who has obsessive-compulsive disorder and engages in excessive handwashing. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow additional time for rituals. This is important because abruptly stopping the ritual behavior can increase the client's anxiety. By allowing additional time, the nurse can gradually work with the client to reduce the frequency and duration of the rituals in a controlled manner.
Choice A is incorrect as abruptly stopping can be harmful.
Choice C is incorrect as sudden limitation can increase anxiety.
Choice D is incorrect as ignoring compulsions can worsen the client's condition.
Question 5 of 5
A nurse is assessing a child in the emergency department. Which of the following findings places the child at the greatest risk for physical abuse?
Correct Answer: A
Rationale: The correct answer is A. A 10-year-old child is at the greatest risk for physical abuse because children around this age are more likely to be physically abused due to the challenges associated with behavioral issues and caregiver expectations. Children who are home-schooled (choice
B) are not necessarily at higher risk for abuse, as abuse can occur in any educational setting. Having no siblings (choice
C) does not directly correlate with an increased risk of abuse. While having a medical condition like cystic fibrosis (choice
D) can make a child more vulnerable, the age of the child is a stronger indicator of risk.