ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and is prescribed sertraline. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Avoid consuming grapefruit juice. Grapefruit juice can inhibit the metabolism of sertraline, leading to increased levels of the medication in the body, potentially causing side effects or toxicity. It is important for the nurse to instruct the client to avoid grapefruit juice to ensure the medication's effectiveness and safety. Taking the medication at bedtime (choice
A) is not specifically indicated for sertraline. Expecting results within 1 to 2 days (choice
B) is unrealistic as antidepressants like sertraline may take weeks to show therapeutic effects. Stopping the medication once symptoms improve (choice
D) is dangerous and can lead to relapse or withdrawal symptoms.
Question 2 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer’s disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Position the mattress on the floor. Placing the mattress on the floor reduces the risk of injury in case the client falls out of bed while wandering at night. This instruction prioritizes safety and minimizes the potential harm from falls. Installing sensor devices on outside doors (
B) may help monitor the client's movements but does not directly address fall prevention. Encouraging physical activity prior to bedtime (
C) may increase restlessness and exacerbate wandering behavior. Putting locks at the top of doors (
D) may pose a safety risk in case of emergencies and hinder the client's ability to freely move within the home.
Question 3 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.
Question 4 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.
Question 5 of 5
A nurse is reviewing laboratory values for a client who has bipolar disorder and a prescription for lithium. Which of the following laboratory results places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: The correct answer is B: Sodium 130 mEq/L. Low sodium levels predispose the client to lithium toxicity as both sodium and lithium compete for reabsorption in the kidneys. Low sodium levels can lead to increased lithium reabsorption, elevating lithium levels and increasing the risk of toxicity.
Incorrect answers:
A: Calcium levels are not directly related to lithium toxicity.
C: Chloride levels do not impact lithium toxicity risk.
D: Potassium levels are not directly linked to lithium toxicity.