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, ATI RN MENTAL HEALTH PROCTORED EXAM 70 QUESTIONS AND ANSWERS
Answer: When educating the client about their medication, the nurse should teach the client that there is risk for hypertensive
crisis due to ingestion of tyramine.
Question 3 of 70
The correct answer is Projects blame onto others.
Rationale: Paranoid personality disorder (PPD) is a cluster A personality disorder characterized by a pervasive distrust and
suspicion of others. People with PPD often interpret the motives of others as malevolent and tend to project their own negative
thoughts and feelings onto others.
Question 4 of 70
,Correct Answer: Encourage the client to use guided imagery to decrease anxiety.
Question 5 of 70
Correct answer and Rationale:
Administer olanzapine 10 mg IM stat: Anticipated. The client has a history of bipolar I disorder with acute mania.
Olanzapine is an atypical antipsychotic often used to treat acute agitation and mania associated with bipolar disorder.
Administering it intramuscularly (IM) "stat" (immediately) is a common intervention for managing severe symptoms.
Place the client in seclusion: Contradicated. The medical history notes that the client has had electroconvulsive
therapy (ECT) in the past. While ECT is not a contraindication to seclusion on its own, it's generally a last resort and
there's not enough information to support this being a necessary step. Additionally, the other prescriptions, such as
medication and assigning personnel, indicate less restrictive alternatives are available.
Assign an assistive personnel (AP) to remain with client: Anticipated. The client is in a mental health unit with a
history of bipolar disorder and acute mania. Continuous observation and support from an assistive personnel can help
ensure the client's safety and monitor for changes in their condition.
Ensure the client's room is brightly lit: Contradicated. The client has a history of bipolar disorder and is
experiencing acute mania. Bright, stimulating environments can exacerbate manic symptoms. It is generally
recommended to provide a calm, quiet, and low-stimulus environment for a client in an acute manic state.
Assist the client in completing their food selections for the next day: Anticipated. A client in an acute manic
state may have a decreased need for sleep, poor impulse control, and difficulty concentrating. Assisting with food
selections can help ensure adequate nutrition and hydration, as they may be too distracted or disorganized to do so on
their own.
, The Correct Answer is that the nurse should take is to address the client's tachycardia due to the client's heart rate of
134/min.
Rationale: The vital signs for Day 2, 1000 show a heart rate of 134 beats per minute. This is significantly elevated and
falls into the category of tachycardia, which is a resting heart rate over 100 beats per minute.
While the blood pressure is also elevated (158/98 mmHg), the most immediate and significant change from the
previous set of vital signs is the sharp increase in heart rate. Tachycardia can be a sign of various medical issues and
can put a strain on the cardiovascular system. Therefore, addressing the elevated heart rate is a primary nursing action.
Proctored Exam with NGN 2023 New
2026 Version, featuring 70 actual
exam screenshot questions with
100% verified correct answers to
help you pass
written by
nursingexams_
Did you know a seller earn
an average of $450 per month
selling their study notes
on DocMerit
Scan the QR-code and learn how you can also turn your class
notes, study guides into real cash today.
DocMerit.com - The Best Study Notes
Uploaded by: nursingexams_ on DocMerit. Distribution of this document is illegal
, ATI RN MENTAL HEALTH PROCTORED EXAM 70 QUESTIONS AND ANSWERS
Answer: When educating the client about their medication, the nurse should teach the client that there is risk for hypertensive
crisis due to ingestion of tyramine.
Question 3 of 70
The correct answer is Projects blame onto others.
Rationale: Paranoid personality disorder (PPD) is a cluster A personality disorder characterized by a pervasive distrust and
suspicion of others. People with PPD often interpret the motives of others as malevolent and tend to project their own negative
thoughts and feelings onto others.
Question 4 of 70
,Correct Answer: Encourage the client to use guided imagery to decrease anxiety.
Question 5 of 70
Correct answer and Rationale:
Administer olanzapine 10 mg IM stat: Anticipated. The client has a history of bipolar I disorder with acute mania.
Olanzapine is an atypical antipsychotic often used to treat acute agitation and mania associated with bipolar disorder.
Administering it intramuscularly (IM) "stat" (immediately) is a common intervention for managing severe symptoms.
Place the client in seclusion: Contradicated. The medical history notes that the client has had electroconvulsive
therapy (ECT) in the past. While ECT is not a contraindication to seclusion on its own, it's generally a last resort and
there's not enough information to support this being a necessary step. Additionally, the other prescriptions, such as
medication and assigning personnel, indicate less restrictive alternatives are available.
Assign an assistive personnel (AP) to remain with client: Anticipated. The client is in a mental health unit with a
history of bipolar disorder and acute mania. Continuous observation and support from an assistive personnel can help
ensure the client's safety and monitor for changes in their condition.
Ensure the client's room is brightly lit: Contradicated. The client has a history of bipolar disorder and is
experiencing acute mania. Bright, stimulating environments can exacerbate manic symptoms. It is generally
recommended to provide a calm, quiet, and low-stimulus environment for a client in an acute manic state.
Assist the client in completing their food selections for the next day: Anticipated. A client in an acute manic
state may have a decreased need for sleep, poor impulse control, and difficulty concentrating. Assisting with food
selections can help ensure adequate nutrition and hydration, as they may be too distracted or disorganized to do so on
their own.
, The Correct Answer is that the nurse should take is to address the client's tachycardia due to the client's heart rate of
134/min.
Rationale: The vital signs for Day 2, 1000 show a heart rate of 134 beats per minute. This is significantly elevated and
falls into the category of tachycardia, which is a resting heart rate over 100 beats per minute.
While the blood pressure is also elevated (158/98 mmHg), the most immediate and significant change from the
previous set of vital signs is the sharp increase in heart rate. Tachycardia can be a sign of various medical issues and
can put a strain on the cardiovascular system. Therefore, addressing the elevated heart rate is a primary nursing action.
