ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory findings for a client who is taking valproic acid. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: ALT 65 units/L. Elevated ALT levels indicate possible liver damage, a known side effect of valproic acid. The nurse should report this to the provider for further evaluation and management. Platelets at 250,000/mm³ (
A), AST at 45 units/L (
B), and WBC at 9,000/mm³ (
C) are within normal ranges and not directly associated with valproic acid toxicity.
Therefore, they do not require immediate reporting.
Question 2 of 5
A nurse is providing teaching to a client who has schizophrenia and is prescribed risperidone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting position. This instruction is important because risperidone can cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. By rising slowly, the client can avoid sudden drops in blood pressure.
Choice A is incorrect as there is no specific need to avoid direct sunlight with risperidone.
Choice C is incorrect because risperidone can be taken with or without food.
Choice D is incorrect as weight gain, not weight loss, is a common side effect of risperidone in clients with schizophrenia.
Question 3 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.
Question 4 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Persistent mood swings. Individuals with borderline personality disorder often experience intense and rapidly shifting emotions, leading to persistent mood swings. This is a hallmark feature of the disorder, characterized by feelings of emptiness, impulsivity, and unstable relationships. Hypersomnia (
B) is not typically associated with borderline personality disorder. Avoidance of eye contact (
C) may be seen in other conditions such as social anxiety disorder but is not specific to borderline personality disorder. Ritualistic behaviors (
D) are more commonly associated with conditions like obsessive-compulsive disorder, not borderline personality disorder.
Question 5 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant known for causing drowsiness as a side effect. Instructing the client to take it at bedtime can help minimize the sedative effects and improve adherence.
Choice B is incorrect because antidepressants like amitriptyline can take several weeks to show significant improvement in symptoms, not within 24 hours.
Choice C is incorrect as tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and potential relapse of depression symptoms.