ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory findings for a client who has been taking lithium for 6 months. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale:
Correct Answer: C (Creatinine 1.5 mg/dL)
Rationale:
1. Creatinine level of 1.5 mg/dL indicates potential kidney dysfunction due to long-term lithium use.
2. Lithium is excreted by the kidneys, and elevated creatinine suggests impaired renal function, which can lead to lithium toxicity.
3. Reporting this finding is crucial to prevent serious complications such as lithium toxicity and renal damage.
Incorrect
Choices:
A: Lithium level 0.8 mEq/L - This level is within the therapeutic range for lithium.
B: Sodium 130 mEq/L - Mild hyponatremia is common with lithium use and may not require immediate action.
D: WBC 8,000/mm³ - Normal white blood cell count, not directly related to lithium therapy.
Question 2 of 5
A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: Survivors of abuse often feel guilty. This statement indicates understanding because feelings of guilt are commonly experienced by survivors due to manipulation and blame by abusers. Guilt can prevent victims from seeking help.
Incorrect choices:
B: Abusers often have high self-esteem - This is incorrect as abusers typically have low self-esteem and use control tactics to compensate.
C: The honeymoon stage of violence usually gets longer over time - This is incorrect as the honeymoon phase tends to decrease over time, not get longer.
D: As abuse continues, victims become more determined to be independent - This is incorrect as victims often experience increased dependency on their abusers due to manipulation and control.
Question 3 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to the absence or reduction of normal behaviors or functions. Social withdrawal is a classic negative symptom, characterized by the client's lack of interest in social interactions or relationships. Delusions (
A) and hallucinations (
B) are positive symptoms involving distorted perceptions or beliefs. Agitation (
D) is a symptom of increased psychomotor activity, not a negative symptom. In summary, social withdrawal is the only choice that aligns with the definition of negative symptoms in schizophrenia.
Question 4 of 5
A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the child in seclusion. This action should be taken first to ensure the safety of the other children in the unit and prevent further physical aggression. Seclusion can help calm the child down and prevent harm to others. Using a therapeutic hold technique (
B) or applying wrist restraints (
C) may escalate the situation and pose a risk of injury to the child and others. Administering risperidone (
D) is a medication used for behavioral disorders, but it is not the first step in managing immediate physical aggression. It is crucial to prioritize safety and de-escalation strategies in such situations.
Question 5 of 5
A nurse is assessing a client who is withdrawing from heroin. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperthermia. Heroin withdrawal can lead to increased body temperature due to dysregulation of the body's thermoregulatory system. This can result in sweating, hot flashes, and elevated core temperature. Slurred speech (
A) is more commonly associated with alcohol intoxication. Hypotension (
B) and bradycardia (
C) are not typical manifestations of heroin withdrawal, as opioids tend to cause hypertension and tachycardia. Hyperthermia (
D) is the most likely manifestation due to the body's response to withdrawal.