ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: Bradypnea, indicating respiratory depression, is a life-threatening side effect of diazepam and hydromorphone, requiring immediate reporting. Other findings are less urgent.
Question 2 of 5
A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing the client's understanding and emotional response to the suicide is the first priority to provide tailored support. Referrals, contacting family, or discussing guilt come after this initial assessment.
Question 3 of 5
A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?
Correct Answer: B
Rationale: Withdrawal from diazepam, a benzodiazepine, can lead to seizures if stopped abruptly, necessitating seizure precautions. Oxycodone withdrawal, low lithium, and low imipramine levels are less associated with seizure risk.
Question 4 of 5
A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Rapid mood changes, hallucinations, and restlessness are common in delirium due to fluctuating cognitive status, sensory misperceptions, and agitation. Slow speech and unaltered consciousness are not typical.
Question 5 of 5
A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Risperidone is used to manage irritability and aggression in autism spectrum disorder. It does not cause low blood sugar, requires lab monitoring, and muscle spasms may indicate a side effect needing evaluation, not a dose increase.