ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and takes clozapine. Which of the following findings is a priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. With clozapine, a potential side effect is agranulocytosis, a severe drop in white blood cells. A sore throat could indicate an infection due to low white blood cells, which can be life-threatening. Reporting this promptly to the provider allows for timely intervention. A: Nausea is a common side effect of clozapine but not an immediate concern. B: A random blood glucose level of 130 mg/dL is within normal range and not directly related to clozapine. C: A heart rate of 104 per minute may be elevated but not specifically associated with clozapine use.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Provide frequent rest periods. During manic episodes, clients with bipolar disorder often exhibit high energy levels. By providing frequent rest periods, the nurse can help the client conserve energy and prevent exhaustion. It also promotes relaxation and reduces stimulation, which can help in managing manic symptoms.
Choice B: Discouraging social interaction is incorrect because social support is important for clients with bipolar disorder. Isolating the client may worsen their symptoms.
Choice C: Allowing unlimited physical activity is incorrect as it may exacerbate manic behaviors and increase the risk of injury.
Choice D: Limiting the client's choices is incorrect because it may lead to feelings of frustration and agitation, which can escalate manic symptoms.
Therefore, providing frequent rest periods is the most appropriate intervention to help manage mania in a client with bipolar disorder.
Question 3 of 5
A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: High fever. This is the priority finding because it may indicate a potentially life-threatening condition called neuroleptic malignant syndrome (NMS), a rare but serious side effect of haloperidol. NMS is characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction. Prompt recognition and treatment are crucial to prevent complications.
B: Insomnia is a common side effect of haloperidol but is not an immediate concern compared to a high fever indicating NMS.
C: Urinary hesitancy is not directly related to haloperidol use and does not pose an immediate threat.
D: Headache is a common side effect of haloperidol but is less urgent compared to a high fever suggesting NMS.
Question 4 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.
Question 5 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because benztropine is commonly used to treat extrapyramidal side effects (EPS) caused by antipsychotic medications, such as tremors, muscle stiffness, and restlessness. By including this in the teaching, the nurse is providing valuable information on how the medication works to address these side effects.
Choices B, C, and D are incorrect because benztropine is not used to treat depression, hallucinations, or tachycardia in clients with schizophrenia. Benztropine's main purpose is to manage EPS specifically.