MENTAL HEALTH RN ATI PROCTORED
EXAM 2025/2026 QUESTIONS AND
VERIFIED ANSWERS GRADED A+
1. A charge nurse is discussing the care of a client who has a
substance use disorder with a staff nurse. Which of the
following statements by the staff nurse should the charge
nurse identify as countertransference?
a. "The client is just like my brother who finally overcame his
habit."
b. "The client needs to accept responsibility for his substance use."
c. "The client generally shares his feelings during group therapy
sessions."
d. "The client asked me to go on a date with him, but I refused."
Answer: a. "The client is just like my brother who finally
overcame his habit."
2. A nurse is caring for a client who is involuntarily admitted
for major depressive disorder and refuses to take prescribed
antianxiety medication. Which of the following actions should
the nurse take?
a. Inform the client that he does not have the right to refuse
medication.
b. Administer the medication to the client via IM injection.
c. Offer the client the medication at the next scheduled dose time.
d. Implement consequences until the client takes the medication.
Answer: c. Offer the client the medication at the next
scheduled dose time.
,3. A nurse is caring for a client who has a new diagnosis of
bulimia nervosa. Which of the following diagnostic
procedures should the nurse anticipate the provider will
describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
Answer: b. ECG
4. A nurse is caring for a client who exhibits excessive
compliance, passivity, and self-denial. The nurse should
recognize that these findings are associated with which of the
following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
Answer: a. Dependent
5. A nurse is assessing a child in the emergency department.
Which of the following findings places the child at the
greatest risk for physical abuse?
a. The child is 10 years old.
b. The child is homeschooled.
c. The child has no siblings.
d. The child has cystic fibrosis.
Answer: d. The child has cystic fibrosis.
6. A nurse is providing behavioral therapy for a client who has
obsessive-compulsive disorder (OCD). The client repeatedly
,checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when
using the thought-stopping technique?
a. Keep a journal of how often you check the locks each night.
b. Snap a rubber band on your wrist when you think about
checking the locks.
c. Ask a family member to check the lock for you at night.
d. Focus on abdominal breathing whenever you go to check the
locks.
Answer: b. Snap a rubber band on your wrist when you think
about checking the locks.
7. A nurse is assessing a client who is experiencing alcohol
withdrawal. For which of the following findings should the
nurse anticipate administration of lorazepam?
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension
Answer: d. Hypertension
8. A nurse is creating a plan of care for a client who has
anorexia nervosa. Which of the following interventions
should the nurse include in the plan?
a. Weigh the client twice per day.
b. Prepare the client for electroconvulsive therapy.
c. Set a weight gain goal of 2.2 kg (5 lbs) per week.
d. Notify the client about designated time for meals.
Answer: d. Notify the client about designated time for meals.
, 9. A nurse is planning care for a 3-year-old child who has
autism spectrum disorder. Which of the following findings
should the nurse expect?
a. Readily initiates conversation.
b. Enjoys imaginative play.
c. Strong relationship with sibling and peers.
d. Attachment to objects that spin.
Answer: d. Attachment to objects that spin.
10. A nurse is planning care for a client who has bipolar
disorder. The client reports not sleeping for 3 days and is
exhibiting a euphoric mood. The nurse should identify which
of the following as the priority intervention?
a. Secure the client's valuable possessions.
b. Limit loud noises in the client's environment.
c. Encourage the client to participate in structured solitary
activities.
d. Provide high-calorie snacks to the client.
Answer: b. Limit loud noises in the client's environment.
11. A nurse is evaluating the medication response of a client
who takes naltrexone for the treatment of alcohol use
disorder. The nurse should identify that which of the
following is a therapeutic effect of this medication?
a. Blocks aldehyde dehydrogenase.
b. Prevents the anxiety of abstinence.
c. Reduces substance craving.
d. Decreases the likelihood of seizures.
Answer: c. Reduces substance craving.
EXAM 2025/2026 QUESTIONS AND
VERIFIED ANSWERS GRADED A+
1. A charge nurse is discussing the care of a client who has a
substance use disorder with a staff nurse. Which of the
following statements by the staff nurse should the charge
nurse identify as countertransference?
a. "The client is just like my brother who finally overcame his
habit."
b. "The client needs to accept responsibility for his substance use."
c. "The client generally shares his feelings during group therapy
sessions."
d. "The client asked me to go on a date with him, but I refused."
Answer: a. "The client is just like my brother who finally
overcame his habit."
2. A nurse is caring for a client who is involuntarily admitted
for major depressive disorder and refuses to take prescribed
antianxiety medication. Which of the following actions should
the nurse take?
a. Inform the client that he does not have the right to refuse
medication.
b. Administer the medication to the client via IM injection.
c. Offer the client the medication at the next scheduled dose time.
d. Implement consequences until the client takes the medication.
Answer: c. Offer the client the medication at the next
scheduled dose time.
,3. A nurse is caring for a client who has a new diagnosis of
bulimia nervosa. Which of the following diagnostic
procedures should the nurse anticipate the provider will
describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
Answer: b. ECG
4. A nurse is caring for a client who exhibits excessive
compliance, passivity, and self-denial. The nurse should
recognize that these findings are associated with which of the
following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
Answer: a. Dependent
5. A nurse is assessing a child in the emergency department.
Which of the following findings places the child at the
greatest risk for physical abuse?
a. The child is 10 years old.
b. The child is homeschooled.
c. The child has no siblings.
d. The child has cystic fibrosis.
Answer: d. The child has cystic fibrosis.
6. A nurse is providing behavioral therapy for a client who has
obsessive-compulsive disorder (OCD). The client repeatedly
,checks that the doors are locked at night. Which of the
following instructions should the nurse give the client when
using the thought-stopping technique?
a. Keep a journal of how often you check the locks each night.
b. Snap a rubber band on your wrist when you think about
checking the locks.
c. Ask a family member to check the lock for you at night.
d. Focus on abdominal breathing whenever you go to check the
locks.
Answer: b. Snap a rubber band on your wrist when you think
about checking the locks.
7. A nurse is assessing a client who is experiencing alcohol
withdrawal. For which of the following findings should the
nurse anticipate administration of lorazepam?
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension
Answer: d. Hypertension
8. A nurse is creating a plan of care for a client who has
anorexia nervosa. Which of the following interventions
should the nurse include in the plan?
a. Weigh the client twice per day.
b. Prepare the client for electroconvulsive therapy.
c. Set a weight gain goal of 2.2 kg (5 lbs) per week.
d. Notify the client about designated time for meals.
Answer: d. Notify the client about designated time for meals.
, 9. A nurse is planning care for a 3-year-old child who has
autism spectrum disorder. Which of the following findings
should the nurse expect?
a. Readily initiates conversation.
b. Enjoys imaginative play.
c. Strong relationship with sibling and peers.
d. Attachment to objects that spin.
Answer: d. Attachment to objects that spin.
10. A nurse is planning care for a client who has bipolar
disorder. The client reports not sleeping for 3 days and is
exhibiting a euphoric mood. The nurse should identify which
of the following as the priority intervention?
a. Secure the client's valuable possessions.
b. Limit loud noises in the client's environment.
c. Encourage the client to participate in structured solitary
activities.
d. Provide high-calorie snacks to the client.
Answer: b. Limit loud noises in the client's environment.
11. A nurse is evaluating the medication response of a client
who takes naltrexone for the treatment of alcohol use
disorder. The nurse should identify that which of the
following is a therapeutic effect of this medication?
a. Blocks aldehyde dehydrogenase.
b. Prevents the anxiety of abstinence.
c. Reduces substance craving.
d. Decreases the likelihood of seizures.
Answer: c. Reduces substance craving.
