ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: C
Rationale: Bupropion lowers the seizure threshold, and a recent head injury increases seizure risk, requiring provider attention. Hepatitis B (
A), knee surgery (
B), and hypothyroidism (
D) are not contraindications.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Sore throat may indicate agranulocytosis, a life-threatening clozapine side effect, requiring immediate reporting. Elevated glucose (
A), tachycardia (
B), and nausea (
C) are less urgent.
Question 3 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.
Question 4 of 5
A nurse is assessing a client who has a history of substance use disorder and states, 'People are out to get me.' The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: C
Rationale: Cocaine toxicity causes tachycardia, hypertension, and paranoia. Opium (
A) and heroin (
B) cause sedation, and alcohol (
D) doesn’t typically cause these cardiovascular effects.
Question 5 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Blood pH 7.60 indicates alkalosis, risking arrhythmias, requiring urgent intervention. Lanugo (
A), edema (
B), and normal BUN (
C) are concerning but less immediate.