ATI RN Mental Health Proctored Exam with NGN 70
Screenshot Questions and Answers
Exam
Medications & Side Effects (Set 2)
Question 1: A nurse is assessing a client who takes valproic acid for bipolar
disorder. Which finding requires immediate intervention?
• A) Weight gain of 2 lbs in 1 week
• B) Serum valproic acid level 50 mcg/mL
• C) Bruising and petechiae on the extremities
• D) Drowsiness 1 hour after taking the medication
Correct Answer: C
Rationale: Bruising and petechiae indicate thrombocytopenia (low platelets), a
serious adverse effect of valproic acid requiring immediate intervention.
Therapeutic level is 50-100 mcg/mL. Weight gain and drowsiness are common but
not emergent.
Question 2: A nurse is teaching a client who has a new prescription for fluoxetine.
Which of the following statements by the client indicates understanding?
• A) "I will see improvement in my symptoms within 24 hours"
• B) "I should avoid foods containing tyramine"
• C) "I will notify my provider if I have difficulty sleeping"
• D) "I can take St. John's wort to boost the effects"
Correct Answer: C
Rationale: Insomnia is a common side effect of SSRIs that should be reported as
dose adjustment may be needed. Symptom improvement takes 2-4 weeks.
,Tyramine restriction is for MAOIs. St. John's wort increases serotonin syndrome
risk.
Question 3: A nurse is caring for a client prescribed amitriptyline for depression.
Which adverse effect should the nurse monitor closely in this older adult client?
• A) Diarrhea
• B) Orthostatic hypotension
• C) Weight loss
• D) Insomnia
Correct Answer: B
Rationale: Tricyclic antidepressants (TCAs) like amitriptyline cause significant
orthostatic hypotension, increasing fall risk in older adults. TCAs more commonly
cause constipation (not diarrhea), weight gain, and sedation (not insomnia).
Question 4: A client taking bupropion for depression reports having a seizure.
Which additional finding in the client's history most likely contributed?
• A) Daily caffeine consumption
• B) History of anorexia nervosa
• C) Seasonal allergies
• D) Hypertension
Correct Answer: B
Rationale: Bupropion lowers seizure threshold and is contraindicated in clients
with seizure disorders or eating disorders (anorexia/bulimia) due to electrolyte
imbalances. Caffeine, allergies, and hypertension are not contraindications.
,Question 5: A nurse is reviewing laboratory results for a client taking lithium. The
client's serum lithium level is 1.8 mEq/L, and sodium is 128 mEq/L. Which action
should the nurse take first?
• A) Encourage increased oral fluids
• B) Hold the next dose of lithium
• C) Administer sodium tablets as prescribed
• D) Document the findings as expected
Correct Answer: B
Rationale: Lithium level 1.8 mEq/L indicates toxicity (>1.5). Low sodium (128
mEq/L) increases lithium reabsorption, worsening toxicity. The nurse must hold
the next dose and notify the provider. Fluids alone won't correct this.
Therapeutic Communication (Set 2)
Question 6: A client with schizophrenia tells the nurse, "I am Jesus Christ reborn."
Which is the most therapeutic response?
• A) "No, you are not. Your name is John."
• B) "What makes you think you are Jesus?"
• C) "I don't believe that, but tell me more about how you're feeling."
• D) "That must be a very important role to have."
Correct Answer: C
Rationale: This response acknowledges the feeling without reinforcing the
delusion. Arguing (A) damages rapport. Asking "why" (B) may increase delusional
thinking. Agreeing (D) reinforces the delusion.
Question 7: A client says to the nurse, "I've been so depressed since my wife left. I
just can't get out of bed." Which response by the nurse reflects the therapeutic
technique of "reflecting"?
, • A) "You're feeling sad about your wife leaving."
• B) "Have you thought about joining a support group?"
• C) "Why do you think she left you?"
• D) "You should try to get out of bed even if you don't feel like it."
Correct Answer: A
Rationale: Reflecting restates the client's feelings back to them, validating the
emotion. Giving advice (B, D) and asking "why" (C) are nontherapeutic.
Question 8: A client states, "I don't think any of the staff here actually cares about
me." Which response is most therapeutic?
• A) "That's not true. We all care about you."
• B) "You feel that no one cares about you?"
• C) "Why would you say something like that?"
• D) "Let's focus on your treatment goals instead."
Correct Answer: B
Rationale: This response reflects the client's statement, encouraging further
expression without arguing. Arguing (A) is defensive. Asking "why" (C) is
judgmental. Changing the subject (D) dismisses the concern.
Question 9: A client with anxiety disorder is pacing rapidly and speaking in short,
loud phrases. Which nursing action should the nurse take first?
• A) Administer PRN lorazepam
• B) Decrease environmental stimuli
• C) Encourage deep breathing exercises
• D) Ask the client to sit down
Correct Answer: B
Screenshot Questions and Answers
Exam
Medications & Side Effects (Set 2)
Question 1: A nurse is assessing a client who takes valproic acid for bipolar
disorder. Which finding requires immediate intervention?
• A) Weight gain of 2 lbs in 1 week
• B) Serum valproic acid level 50 mcg/mL
• C) Bruising and petechiae on the extremities
• D) Drowsiness 1 hour after taking the medication
Correct Answer: C
Rationale: Bruising and petechiae indicate thrombocytopenia (low platelets), a
serious adverse effect of valproic acid requiring immediate intervention.
Therapeutic level is 50-100 mcg/mL. Weight gain and drowsiness are common but
not emergent.
Question 2: A nurse is teaching a client who has a new prescription for fluoxetine.
Which of the following statements by the client indicates understanding?
• A) "I will see improvement in my symptoms within 24 hours"
• B) "I should avoid foods containing tyramine"
• C) "I will notify my provider if I have difficulty sleeping"
• D) "I can take St. John's wort to boost the effects"
Correct Answer: C
Rationale: Insomnia is a common side effect of SSRIs that should be reported as
dose adjustment may be needed. Symptom improvement takes 2-4 weeks.
,Tyramine restriction is for MAOIs. St. John's wort increases serotonin syndrome
risk.
Question 3: A nurse is caring for a client prescribed amitriptyline for depression.
Which adverse effect should the nurse monitor closely in this older adult client?
• A) Diarrhea
• B) Orthostatic hypotension
• C) Weight loss
• D) Insomnia
Correct Answer: B
Rationale: Tricyclic antidepressants (TCAs) like amitriptyline cause significant
orthostatic hypotension, increasing fall risk in older adults. TCAs more commonly
cause constipation (not diarrhea), weight gain, and sedation (not insomnia).
Question 4: A client taking bupropion for depression reports having a seizure.
Which additional finding in the client's history most likely contributed?
• A) Daily caffeine consumption
• B) History of anorexia nervosa
• C) Seasonal allergies
• D) Hypertension
Correct Answer: B
Rationale: Bupropion lowers seizure threshold and is contraindicated in clients
with seizure disorders or eating disorders (anorexia/bulimia) due to electrolyte
imbalances. Caffeine, allergies, and hypertension are not contraindications.
,Question 5: A nurse is reviewing laboratory results for a client taking lithium. The
client's serum lithium level is 1.8 mEq/L, and sodium is 128 mEq/L. Which action
should the nurse take first?
• A) Encourage increased oral fluids
• B) Hold the next dose of lithium
• C) Administer sodium tablets as prescribed
• D) Document the findings as expected
Correct Answer: B
Rationale: Lithium level 1.8 mEq/L indicates toxicity (>1.5). Low sodium (128
mEq/L) increases lithium reabsorption, worsening toxicity. The nurse must hold
the next dose and notify the provider. Fluids alone won't correct this.
Therapeutic Communication (Set 2)
Question 6: A client with schizophrenia tells the nurse, "I am Jesus Christ reborn."
Which is the most therapeutic response?
• A) "No, you are not. Your name is John."
• B) "What makes you think you are Jesus?"
• C) "I don't believe that, but tell me more about how you're feeling."
• D) "That must be a very important role to have."
Correct Answer: C
Rationale: This response acknowledges the feeling without reinforcing the
delusion. Arguing (A) damages rapport. Asking "why" (B) may increase delusional
thinking. Agreeing (D) reinforces the delusion.
Question 7: A client says to the nurse, "I've been so depressed since my wife left. I
just can't get out of bed." Which response by the nurse reflects the therapeutic
technique of "reflecting"?
, • A) "You're feeling sad about your wife leaving."
• B) "Have you thought about joining a support group?"
• C) "Why do you think she left you?"
• D) "You should try to get out of bed even if you don't feel like it."
Correct Answer: A
Rationale: Reflecting restates the client's feelings back to them, validating the
emotion. Giving advice (B, D) and asking "why" (C) are nontherapeutic.
Question 8: A client states, "I don't think any of the staff here actually cares about
me." Which response is most therapeutic?
• A) "That's not true. We all care about you."
• B) "You feel that no one cares about you?"
• C) "Why would you say something like that?"
• D) "Let's focus on your treatment goals instead."
Correct Answer: B
Rationale: This response reflects the client's statement, encouraging further
expression without arguing. Arguing (A) is defensive. Asking "why" (C) is
judgmental. Changing the subject (D) dismisses the concern.
Question 9: A client with anxiety disorder is pacing rapidly and speaking in short,
loud phrases. Which nursing action should the nurse take first?
• A) Administer PRN lorazepam
• B) Decrease environmental stimuli
• C) Encourage deep breathing exercises
• D) Ask the client to sit down
Correct Answer: B
