ATI RN MENTAL HEALTH PROCTORED EXAM 2026/2027 - 400 VERIFIED QUESTIONS WITH
MIXED ANSWERS A,B,C,D & NGN CASE STUDIES
Course: ATI RN Mental Health CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=96 B=94
C=88 D=122
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Therapeutic response to crying client? (Variant 1 - 2026/2027)
A. Cheer up
B. I know how you feel
C. Tell me what you are feeling right now
D. Don't cry
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
2. Haloperidol EPS emergency? (Variant 2 - 2026/2027)
A. Constipation
B. Mild akathisia
C. Dry mouth
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
3. DTs timing after last drink? (Variant 3 - 2026/2027)
A. 48-96 hours after - life threatening
B. Immediately
C. 1 month
D. 1 week
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
4. Major depression signs? (Variant 4 - 2026/2027)
A. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
B. Happy mood
C. No sleep change
D. Increased energy
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
5. Therapeutic response to crying client? (Variant 5 - 2026/2027)
A. Cheer up
B. I know how you feel
C. Don't cry
D. Tell me what you are feeling right now
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
6. Haloperidol EPS emergency? (Variant 6 - 2026/2027)
A. Mild akathisia
B. Dry mouth
C. Constipation
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
7. DTs timing after last drink? (Variant 7 - 2026/2027)
A. 1 month
, B. 1 week
C. Immediately
D. 48-96 hours after - life threatening
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
8. Major depression signs? (Variant 8 - 2026/2027)
A. Happy mood
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. Increased energy
D. No sleep change
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
9. Therapeutic response to crying client? (Variant 9 - 2026/2027)
A. Don't cry
B. I know how you feel
C. Tell me what you are feeling right now
D. Cheer up
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
10. Haloperidol EPS emergency? (Variant 10 - 2026/2027)
A. Laryngospasm, oculogyric crisis, severe dystonia
B. Constipation
C. Dry mouth
D. Mild akathisia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
11. DTs timing after last drink? (Variant 11 - 2026/2027)
A. 1 month
B. Immediately
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
12. Major depression signs? (Variant 12 - 2026/2027)
A. No sleep change
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. Happy mood
D. Increased energy
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
13. Therapeutic response to crying client? (Variant 13 - 2026/2027)
A. I know how you feel
B. Cheer up
C. Tell me what you are feeling right now
D. Don't cry
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
14. Haloperidol EPS emergency? (Variant 14 - 2026/2027)
A. Mild akathisia
B. Constipation
C. Laryngospasm, oculogyric crisis, severe dystonia
D. Dry mouth
,Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
15. DTs timing after last drink? (Variant 15 - 2026/2027)
A. 1 month
B. 48-96 hours after - life threatening
C. 1 week
D. Immediately
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
16. Major depression signs? (Variant 16 - 2026/2027)
A. Happy mood
B. Increased energy
C. No sleep change
D. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
17. Therapeutic response to crying client? (Variant 17 - 2026/2027)
A. Tell me what you are feeling right now
B. I know how you feel
C. Don't cry
D. Cheer up
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
18. Haloperidol EPS emergency? (Variant 18 - 2026/2027)
A. Laryngospasm, oculogyric crisis, severe dystonia
B. Mild akathisia
C. Constipation
D. Dry mouth
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
19. DTs timing after last drink? (Variant 19 - 2026/2027)
A. 1 month
B. Immediately
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
20. Major depression signs? (Variant 20 - 2026/2027)
A. Increased energy
B. Happy mood
C. No sleep change
D. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
21. Therapeutic response to crying client? (Variant 21 - 2026/2027)
A. I know how you feel
B. Tell me what you are feeling right now
C. Don't cry
D. Cheer up
, Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
22. Haloperidol EPS emergency? (Variant 22 - 2026/2027)
A. Mild akathisia
B. Laryngospasm, oculogyric crisis, severe dystonia
C. Dry mouth
D. Constipation
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
23. DTs timing after last drink? (Variant 23 - 2026/2027)
A. 1 week
B. Immediately
C. 48-96 hours after - life threatening
D. 1 month
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
24. Major depression signs? (Variant 24 - 2026/2027)
A. Happy mood
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. No sleep change
D. Increased energy
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
25. Therapeutic response to crying client? (Variant 25 - 2026/2027)
A. Tell me what you are feeling right now
B. Cheer up
C. I know how you feel
D. Don't cry
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
26. Haloperidol EPS emergency? (Variant 26 - 2026/2027)
A. Mild akathisia
B. Dry mouth
C. Constipation
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Late decels uteroplacental insufficiency.
27. DTs timing after last drink? (Variant 27 - 2026/2027)
A. Immediately
B. 1 month
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
28. Major depression signs? (Variant 28 - 2026/2027)
A. No sleep change
B. Happy mood
C. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
D. Increased energy
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
MIXED ANSWERS A,B,C,D & NGN CASE STUDIES
Course: ATI RN Mental Health CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=96 B=94
C=88 D=122
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Therapeutic response to crying client? (Variant 1 - 2026/2027)
A. Cheer up
B. I know how you feel
C. Tell me what you are feeling right now
D. Don't cry
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
2. Haloperidol EPS emergency? (Variant 2 - 2026/2027)
A. Constipation
B. Mild akathisia
C. Dry mouth
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
3. DTs timing after last drink? (Variant 3 - 2026/2027)
A. 48-96 hours after - life threatening
B. Immediately
C. 1 month
D. 1 week
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
4. Major depression signs? (Variant 4 - 2026/2027)
A. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
B. Happy mood
C. No sleep change
D. Increased energy
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
5. Therapeutic response to crying client? (Variant 5 - 2026/2027)
A. Cheer up
B. I know how you feel
C. Don't cry
D. Tell me what you are feeling right now
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
6. Haloperidol EPS emergency? (Variant 6 - 2026/2027)
A. Mild akathisia
B. Dry mouth
C. Constipation
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
7. DTs timing after last drink? (Variant 7 - 2026/2027)
A. 1 month
, B. 1 week
C. Immediately
D. 48-96 hours after - life threatening
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
8. Major depression signs? (Variant 8 - 2026/2027)
A. Happy mood
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. Increased energy
D. No sleep change
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
9. Therapeutic response to crying client? (Variant 9 - 2026/2027)
A. Don't cry
B. I know how you feel
C. Tell me what you are feeling right now
D. Cheer up
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
10. Haloperidol EPS emergency? (Variant 10 - 2026/2027)
A. Laryngospasm, oculogyric crisis, severe dystonia
B. Constipation
C. Dry mouth
D. Mild akathisia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
11. DTs timing after last drink? (Variant 11 - 2026/2027)
A. 1 month
B. Immediately
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
12. Major depression signs? (Variant 12 - 2026/2027)
A. No sleep change
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. Happy mood
D. Increased energy
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
13. Therapeutic response to crying client? (Variant 13 - 2026/2027)
A. I know how you feel
B. Cheer up
C. Tell me what you are feeling right now
D. Don't cry
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
14. Haloperidol EPS emergency? (Variant 14 - 2026/2027)
A. Mild akathisia
B. Constipation
C. Laryngospasm, oculogyric crisis, severe dystonia
D. Dry mouth
,Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
15. DTs timing after last drink? (Variant 15 - 2026/2027)
A. 1 month
B. 48-96 hours after - life threatening
C. 1 week
D. Immediately
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
16. Major depression signs? (Variant 16 - 2026/2027)
A. Happy mood
B. Increased energy
C. No sleep change
D. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
17. Therapeutic response to crying client? (Variant 17 - 2026/2027)
A. Tell me what you are feeling right now
B. I know how you feel
C. Don't cry
D. Cheer up
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
18. Haloperidol EPS emergency? (Variant 18 - 2026/2027)
A. Laryngospasm, oculogyric crisis, severe dystonia
B. Mild akathisia
C. Constipation
D. Dry mouth
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
19. DTs timing after last drink? (Variant 19 - 2026/2027)
A. 1 month
B. Immediately
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
20. Major depression signs? (Variant 20 - 2026/2027)
A. Increased energy
B. Happy mood
C. No sleep change
D. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
21. Therapeutic response to crying client? (Variant 21 - 2026/2027)
A. I know how you feel
B. Tell me what you are feeling right now
C. Don't cry
D. Cheer up
, Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
22. Haloperidol EPS emergency? (Variant 22 - 2026/2027)
A. Mild akathisia
B. Laryngospasm, oculogyric crisis, severe dystonia
C. Dry mouth
D. Constipation
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
23. DTs timing after last drink? (Variant 23 - 2026/2027)
A. 1 week
B. Immediately
C. 48-96 hours after - life threatening
D. 1 month
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
24. Major depression signs? (Variant 24 - 2026/2027)
A. Happy mood
B. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
C. No sleep change
D. Increased energy
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
25. Therapeutic response to crying client? (Variant 25 - 2026/2027)
A. Tell me what you are feeling right now
B. Cheer up
C. I know how you feel
D. Don't cry
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
26. Haloperidol EPS emergency? (Variant 26 - 2026/2027)
A. Mild akathisia
B. Dry mouth
C. Constipation
D. Laryngospasm, oculogyric crisis, severe dystonia
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Late decels uteroplacental insufficiency.
27. DTs timing after last drink? (Variant 27 - 2026/2027)
A. Immediately
B. 1 month
C. 48-96 hours after - life threatening
D. 1 week
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
28. Major depression signs? (Variant 28 - 2026/2027)
A. No sleep change
B. Happy mood
C. Anhedonia, weight/sleep change, fatigue, guilt, suicidal >2 weeks
D. Increased energy
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
