ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: A
Rationale: The correct answer is A: Fluoxetine. Selegiline is a monoamine oxidase inhibitor (MAOI) used to treat depression. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) and should not be taken concurrently with MAOIs due to the risk of serotonin syndrome, a potentially life-threatening condition. Serotonin syndrome can cause symptoms such as confusion, hallucinations, seizures, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Warfarin, calcium carbonate, and acetaminophen do not have significant interactions with selegiline.
Question 2 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B. The client stating that he is unable to eat more than once a day is the priority finding because it indicates potential malnutrition and poor physical health due to grief. This is a critical concern that needs immediate attention to prevent further health complications.
Choice A focuses on guilt, which is important but not immediate.
Choices C and D involve emotional distress but do not address the client's physical well-being.
Therefore, they are not the priority at this time.
Question 3 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: The correct answer is D: Sore throat. This is the priority finding to report because it could indicate a potential serious side effect of clozapine called agranulocytosis, which is characterized by a low white blood cell count and can lead to severe infections. Agranulocytosis is a life-threatening condition that requires immediate medical attention. Reporting this finding promptly allows for early intervention to prevent complications.
Other choices are less urgent: A: Random blood glucose 130 mg/dL is slightly elevated but not immediately concerning. B: Heart rate 104/min may be within normal range depending on the individual. C: Nausea is a common side effect of clozapine but not as critical as a sore throat.
Question 4 of 5
A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?
Correct Answer: A
Rationale: The correct answer is A - a client who has moderate-stage Alzheimer's disease should be placed closest to the nurse's station. This is because clients with Alzheimer's may have memory loss, confusion, and wandering tendencies, requiring close monitoring and quick access to assistance. Placing them near the nurse's station ensures prompt intervention in case of emergencies or wandering episodes. Clients with other conditions like schizotypal personality disorder, alcohol use disorder, or dependent personality disorder may not require immediate proximity to the nurse's station based on their specific needs, making them less urgent choices for room assignment.
Question 5 of 5
Correct Answer:
Rationale: Certainly! Please provide me with the question and answer choices so I can help you with the detailed explanation.