,ATI PN MENTAL HEALTH 2026 PROCTORED EXAM – NGN-
STYLE PRACTICE QUESTIONS (1-250)
1. A client with schizophrenia is exhibiting neologisms. Which
statement by the client is an example of this speech pattern?
A) "The clouds are crying purple rain today."
B) "I need to take my zorplax to feel flimmy."
C) "They are watching me through the walls."
D) "I feel sad and empty all the time."
*B) "I need to take my zorplax to feel flimmy." *
Rationale: Neologisms are made-up words that have meaning only to the
client. "Zorplax" and "flimmy" are invented words. Option A is a loose
association, C is a delusion, and D is a statement of mood.
2. The PN is caring for a client who is taking clonazepam for panic
disorder. Which assessment finding indicates the client is experiencing
a common side effect of this medication?
A) Hypertension and tachycardia
B) Drowsiness and unsteady gait
C) Weight loss and insomnia
D) Dry mouth and blurred vision
*B) Drowsiness and unsteady gait *
Rationale: Clonazepam is a benzodiazepine. Common side effects include
CNS depression (drowsiness, sedation, ataxia/unsteady gait). It does not
cause hypertension (A), weight loss (C), or dry mouth/blurred vision as
primary effects, though those can occur.
, 3. A client with major depressive disorder tells the PN, "I am a burden
to everyone." What is the PN's best response?
A) "Your family loves you very much."
B) "You are not a burden to anyone."
C) "Tell me more about why you feel that way."
D) "That is your depression talking, not reality."
*C) "Tell me more about why you feel that way." *
Rationale: This open-ended question encourages the client to explore their
feelings and provides an opportunity to assess for suicidal ideation. False
reassurance (A/B) and dismissive statements (D) close down communication.
4. A client with bipolar disorder is prescribed valproic acid. Which lab
value should the PN monitor closely?
A) Serum lithium level
B) Liver function tests
C) Complete blood count
D) Both B and C
*D) Both B and C *
Rationale: Valproic acid carries risks of hepatotoxicity and
thrombocytopenia/pancytopenia. Both liver function tests (LFTs) and
complete blood count (CBC) must be monitored regularly. Serum lithium (A)
is not relevant as valproic acid is a different medication.
5. The PN is assessing a client with agoraphobia. Which situation
would most likely trigger this client's anxiety?
A) Being in a crowded elevator that stops between floors.
B) Giving a speech in front of a large audience.