ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Low self-esteem (
B), insomnia (
C), and irritability (
D) are depression symptoms. Headaches (
A) are not specific, and euphoria (E) relates to mania.
Question 2 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: D
Rationale: Repetitive cleaning reduces anxiety from obsessive thoughts. It’s not for manipulation (
A), avoiding interaction (
B), or preventing aggression (
C).
Question 3 of 5
An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor (SSRI). What is the priority nursing action?
Correct Answer: D
Rationale: SSRIs increase suicide risk in youth, so precautions are priority. Tyramine (
A) is for MAOIs, weight loss/sleep (
B) and migraines (
C) are secondary.
Extract:
Nurses' Notes
Client comes to the ED with nausea, vomiting, confusion, and tremors. Client is agitated and irritable. Orientated only to self. The client states. "I'm tired of all these people in my house: visiting is over, my mom is dead, and I need to rest before the funeral."
The client's partner states the client's mother died 6 years ago. The client's partner states that the client has been drinking "a lot" for the past 6 months. The client agreed to stop drinking 2 days ago. The partner believes that the client's last drink was roughly 36 hr ago.
Vital Signs
Temperature 99.2°F (37.30 C)
Heart rate 90/min
Respiratory rate 22/min.
Blood pressure 170/95 mm Hg
Question 4 of 5
A nurse is caring for a client in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Alcohol withdrawal syndrome (
B) matches symptoms 36 hours post-cessation. Actions: provide safe environment (
C), administer lorazepam (
D). Monitor: fluid/electrolyte status (
D). Depression (
A), bipolar (
C), and neglect (
D) don’t fit; padding rails (
A), reporting (
B), affect (
A), manipulation (
B), and serotonin syndrome (
C) are irrelevant.
Extract:
Question 5 of 5
A client with borderline personality disorder says to the nurse, 'I feel so comfortable talking with you. You seem to have a special way about you that really helps me.' Which would be the most appropriate response by the nurse?
Correct Answer: D
Rationale: This sets professional boundaries while acknowledging comfort. Option A risks personal attachment, B is abrupt, and C diverts focus.