ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Correct Answer: C
Rationale: Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system, requiring monitoring. Decreased blood pressure (
A) and heart rate (
B) are not typical, as increases are more common. Hyperglycemia (
D) is not a primary concern in withdrawal.
Question 2 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: This task can be delegated to assistive personnel (AP). Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand. Checking the client's condition (
A) requires assessment skills, witnessing consent (
C) must be done by a licensed provider, and administering medication (
D) is a nursing responsibility.
Question 3 of 5
A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: A,B,C,D
Rationale: Bradycardia (
A), Russell’s sign (
B), lanugo (
C), and hypotension (
D) are common in anorexia due to energy conservation, purging, malnutrition, and low cardiac output. Diarrhea (E) is not typical, with constipation more likely.
Question 4 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: Sodium 132 mEq/L indicates hyponatremia, increasing lithium reabsorption and toxicity risk. Normal AST (
A), calcium (
C), and WBC (
D) levels do not directly contribute to lithium toxicity.
Question 5 of 5
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?
Correct Answer: A
Rationale: An online self-help course fosters virtual connection, addressing isolation without requiring the client to leave home. Journaling (
B), exercise (
C), and imagery (
D) don’t directly promote social interaction.