ATI RN Mental Health Exam 2025 NGN
Questions & Verified Answers | 100% Pass
Solution | Guaranteed A
Details of ATI RN Mental Health Exam 2025 NGN Questions &
Verified Answers | 100% Pass Solution | Guaranteed A
ATI RN Mental Health Exam 2025 NGN Test Bank
Case Study 1 (6 NGN Questions)
Scenario:
You are the RN on an adult inpatient psychiatric unit. The client
is Ms. A, a 28-year-old female admitted 24 hours ago for
worsening mood instability. She has a history of Bipolar I
disorder, most recent manic episode 6 months ago. Current
meds include lithium 900 mg/day and sertraline 100 mg/day
prescribed as outpatient but not yet restarted on admission.
Vital signs: T 37.0°C, HR 88, BP 120/78, RR 16. Labs on
,admission: serum sodium 140 mEq/L, serum lithium 0.8
mEq/L, CBC WNL. Tonight she appears agitated, pacing the hall,
speaking loudly, and reports decreased need for sleep (slept 2
hours). She denied intent to harm others but reports "I feel
unstoppable" and is argumentative with staff.
Question 1 (NGN — Priority/Drag-and-Drop)
Place the following nursing actions in order of priority for Ms.
A right now. (Drag top = highest priority → bottom = lowest.)
A. Reassess lithium level and notify MD of agitation.
B. Offer a quiet room and decrease environmental stimuli;
redirect to a structured activity.
C. Conduct a focused suicide and harm-to-others risk
assessment.
D. Administer PRN oral lorazepam per standing order for severe
agitation.
E. Ensure basic needs (offer fluids and light snack) and
encourage rest.
Correct Answer (highest → lowest): C → B → D → A → E
Rationale:
1. C (Focused risk assessment) is highest: any acute agitation
with decreased need for sleep requires immediate
assessment for safety (harm to self/others).
, 2. B (Environmental interventions) are next—least restrictive
measures to de-escalate.
3. D (PRN lorazepam) is appropriate if nonpharmacologic
measures fail and per standing orders to reduce acute
agitation.
4. A (Lithium level and notify MD) is important but not more
urgent than immediate safety interventions. Lithium level
is already therapeutic (0.8 mEq/L).
5. E (Basic needs) is necessary but lower priority while safety
is being established.
Teaching Tip: Focus first on immediate safety assessment, then
least-restrictive de-escalation, then medication interventions.
Question 2 (NGN — Multiple Response / SATA)
Which of the following assessment findings increase concern
for an imminent manic escalation in Ms. A? (Select all that
apply.)
A. Reports sleeping 2 hours/night for 3 nights
B. Pressured speech and rapid topic shifts
C. Serum lithium 0.8 mEq/L
D. Increased goal-directed activity and impulsive spending
reported by roommate
E. Expresses grandiose plans to start multiple businesses and
"change the world"
, Correct Answer: A, B, D, E
Rationale:
• A, B, D, E are classic manic escalation cues: decreased
need for sleep, pressured speech, increased goal-
directed/impulsive behavior, and grandiosity.
• C (lithium 0.8) is within typical therapeutic range and does
not itself signal imminent escalation.
Teaching Tip: Always combine behavioral cues (sleep, activity,
speech, risk-taking) for clinical judgment about mania.
Question 3 (NGN — Bow-Tie: Identify Cause & Immediate
Response)
Left side (Possible cause): Select the MOST LIKELY contributor
to Ms. A’s agitation.
Right side (Immediate nursing response): Select the MOST
APPROPRIATE immediate nursing response.
Left options: 1) Lithium toxicity; 2) Manic relapse; 3) Medication
nonadherence; 4) Substance intoxication.
Right options: A) Hold all meds and call provider now; B)
Perform focused substance use screen and urine toxicology; C)
Increase observation and implement de-escalation; D) Initiate
seclusion immediately.
Correct Answer: Left = 2) Manic relapse ; Right = C) Increase
observation and implement de-escalation
Questions & Verified Answers | 100% Pass
Solution | Guaranteed A
Details of ATI RN Mental Health Exam 2025 NGN Questions &
Verified Answers | 100% Pass Solution | Guaranteed A
ATI RN Mental Health Exam 2025 NGN Test Bank
Case Study 1 (6 NGN Questions)
Scenario:
You are the RN on an adult inpatient psychiatric unit. The client
is Ms. A, a 28-year-old female admitted 24 hours ago for
worsening mood instability. She has a history of Bipolar I
disorder, most recent manic episode 6 months ago. Current
meds include lithium 900 mg/day and sertraline 100 mg/day
prescribed as outpatient but not yet restarted on admission.
Vital signs: T 37.0°C, HR 88, BP 120/78, RR 16. Labs on
,admission: serum sodium 140 mEq/L, serum lithium 0.8
mEq/L, CBC WNL. Tonight she appears agitated, pacing the hall,
speaking loudly, and reports decreased need for sleep (slept 2
hours). She denied intent to harm others but reports "I feel
unstoppable" and is argumentative with staff.
Question 1 (NGN — Priority/Drag-and-Drop)
Place the following nursing actions in order of priority for Ms.
A right now. (Drag top = highest priority → bottom = lowest.)
A. Reassess lithium level and notify MD of agitation.
B. Offer a quiet room and decrease environmental stimuli;
redirect to a structured activity.
C. Conduct a focused suicide and harm-to-others risk
assessment.
D. Administer PRN oral lorazepam per standing order for severe
agitation.
E. Ensure basic needs (offer fluids and light snack) and
encourage rest.
Correct Answer (highest → lowest): C → B → D → A → E
Rationale:
1. C (Focused risk assessment) is highest: any acute agitation
with decreased need for sleep requires immediate
assessment for safety (harm to self/others).
, 2. B (Environmental interventions) are next—least restrictive
measures to de-escalate.
3. D (PRN lorazepam) is appropriate if nonpharmacologic
measures fail and per standing orders to reduce acute
agitation.
4. A (Lithium level and notify MD) is important but not more
urgent than immediate safety interventions. Lithium level
is already therapeutic (0.8 mEq/L).
5. E (Basic needs) is necessary but lower priority while safety
is being established.
Teaching Tip: Focus first on immediate safety assessment, then
least-restrictive de-escalation, then medication interventions.
Question 2 (NGN — Multiple Response / SATA)
Which of the following assessment findings increase concern
for an imminent manic escalation in Ms. A? (Select all that
apply.)
A. Reports sleeping 2 hours/night for 3 nights
B. Pressured speech and rapid topic shifts
C. Serum lithium 0.8 mEq/L
D. Increased goal-directed activity and impulsive spending
reported by roommate
E. Expresses grandiose plans to start multiple businesses and
"change the world"
, Correct Answer: A, B, D, E
Rationale:
• A, B, D, E are classic manic escalation cues: decreased
need for sleep, pressured speech, increased goal-
directed/impulsive behavior, and grandiosity.
• C (lithium 0.8) is within typical therapeutic range and does
not itself signal imminent escalation.
Teaching Tip: Always combine behavioral cues (sleep, activity,
speech, risk-taking) for clinical judgment about mania.
Question 3 (NGN — Bow-Tie: Identify Cause & Immediate
Response)
Left side (Possible cause): Select the MOST LIKELY contributor
to Ms. A’s agitation.
Right side (Immediate nursing response): Select the MOST
APPROPRIATE immediate nursing response.
Left options: 1) Lithium toxicity; 2) Manic relapse; 3) Medication
nonadherence; 4) Substance intoxication.
Right options: A) Hold all meds and call provider now; B)
Perform focused substance use screen and urine toxicology; C)
Increase observation and implement de-escalation; D) Initiate
seclusion immediately.
Correct Answer: Left = 2) Manic relapse ; Right = C) Increase
observation and implement de-escalation
