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ATI RN MENTAL HEALTH ONLINE PRACTICE EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | LATEST EXAM | ALREADY
GRADED A+
A nurse is assessing a client who recently used cocaine. Which of the following
findings should the nurse expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - (answers)Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate,
body temperature, energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the
nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L - (answers)A
client who is taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The
nurse should identify that a rash is a potentially life-threatening adverse effect of
the medication and report this finding immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the
nurse, "I hear voices telling me what to do." Which of the following actions should
the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - (answers)Ask the client what the
voices are saying.
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It is important for the nurse to ask the client directly about the hallucinations to
determine if the client or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility.
Which of the following actions by the nurse demonstrates the use of active
listening?
Offering self
Use of silence
Attention to body language
Reflection of feelings - (answers)Attention to body language
Use of active listening involves identifying verbal and nonverbal communication
by the client, which includes attention to body language.
A client who has paranoid schizophrenia is attending a treatment planning
conference with a family member. During the discussion of the medication
adherence portion of the plan, a nurse notices that the family member seems
distracted. Which of the following actions should the nurse take?
Call the family member to the side to inquire if they have questions or concerns
about the treatment plan.
Advise the family member that this treatment plan has been developed
specifically for the client to follow.
Ask the family member if they have any thoughts or questions about the
treatment plan.
Document that the family member does not support the medication treatment
plan. - (answers)Ask the family member if they have any thoughts or questions
about the treatment plan.
This action involves the family member and allows them a venue to communicate
about the client's medication treatment plan.
A nurse is caring for a client who has schizophrenia and is experiencing psychosis.
The nurse should identify that which of the following findings indicates a potential
psychiatric emergency?
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The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - (answers)The client reports command
hallucinations.
The nurse should identify that command hallucinations can indicate a potential
psychiatric emergency for a client who has schizophrenia. Command
hallucinations can direct the client to harm themselves or others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking
history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and
unable to sit still; client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - (answers)Diazepam 5 mg IV bolus
The greatest risk to the client who is experiencing alcohol withdrawal is seizures,
an elevated heart rate, and elevated blood pressure. IV diazepam acts rapidly to
prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal
manifestations.
A nurse is reviewing the electronic medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings is the
priority for the nurse to notify the provider?
The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month.
The client reports an inability to breathe easily.
The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
The client reports having recently started smoking cigarettes. - (answers)The
ATI RN MENTAL HEALTH ONLINE PRACTICE EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | LATEST EXAM | ALREADY
GRADED A+
A nurse is assessing a client who recently used cocaine. Which of the following
findings should the nurse expect?
Polyphagia
Hypertension
Decreased temperature
Depressed mood - (answers)Hypertension
Cocaine is a stimulant that increases blood pressure. It also increases heart rate,
body temperature, energy levels, and metabolism.
A nurse is caring for a group of clients. Which of the following findings should the
nurse report?
A client who is taking clozapine and has a WBC count of 7,500/mm3
A client who is taking lamotrigine and has developed a rash
A client who is taking valproate and has a platelet count of 150,000/mm3
A client who is taking lithium and has a lithium level of 1.2 mEq/L - (answers)A
client who is taking lamotrigine and has developed a rash
Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The
nurse should identify that a rash is a potentially life-threatening adverse effect of
the medication and report this finding immediately.
A nurse on a mental health unit is admitting a client who is anxious and tells the
nurse, "I hear voices telling me what to do." Which of the following actions should
the nurse take?
Tell the client that the voices do not really exist.
Touch the client to help reduce feelings of anxiety.
Instruct the client to go to a quiet room when the voices start talking.
Ask the client what the voices are saying. - (answers)Ask the client what the
voices are saying.
,2|Page
It is important for the nurse to ask the client directly about the hallucinations to
determine if the client or others are at risk for injury.
A nurse is communicating with a client in an inpatient mental health facility.
Which of the following actions by the nurse demonstrates the use of active
listening?
Offering self
Use of silence
Attention to body language
Reflection of feelings - (answers)Attention to body language
Use of active listening involves identifying verbal and nonverbal communication
by the client, which includes attention to body language.
A client who has paranoid schizophrenia is attending a treatment planning
conference with a family member. During the discussion of the medication
adherence portion of the plan, a nurse notices that the family member seems
distracted. Which of the following actions should the nurse take?
Call the family member to the side to inquire if they have questions or concerns
about the treatment plan.
Advise the family member that this treatment plan has been developed
specifically for the client to follow.
Ask the family member if they have any thoughts or questions about the
treatment plan.
Document that the family member does not support the medication treatment
plan. - (answers)Ask the family member if they have any thoughts or questions
about the treatment plan.
This action involves the family member and allows them a venue to communicate
about the client's medication treatment plan.
A nurse is caring for a client who has schizophrenia and is experiencing psychosis.
The nurse should identify that which of the following findings indicates a potential
psychiatric emergency?
, 3|Page
The client is exhibiting echolalia.
The client reports command hallucinations.
The client reports loss of motivation.
The client is exhibiting blunted affect. - (answers)The client reports command
hallucinations.
The nurse should identify that command hallucinations can indicate a potential
psychiatric emergency for a client who has schizophrenia. Command
hallucinations can direct the client to harm themselves or others.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse administer first?
Exhibit 1: HR 110/min; BP 170/96; Temp 38.9 (102)
Exhibit 2: Client states drank alcohol 12 hr prior; Client has 2 pack/day smoking
history
Exhibit 3: Tremors of hands and fingers; emesis of 30 mL bile; Client is restless and
unable to sit still; client is diaphoretic and has flushed skin
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO - (answers)Diazepam 5 mg IV bolus
The greatest risk to the client who is experiencing alcohol withdrawal is seizures,
an elevated heart rate, and elevated blood pressure. IV diazepam acts rapidly to
prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal
manifestations.
A nurse is reviewing the electronic medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings is the
priority for the nurse to notify the provider?
The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month.
The client reports an inability to breathe easily.
The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
The client reports having recently started smoking cigarettes. - (answers)The
