ATI-STYLE • MENTAL HEALTH & MATERNAL NEWBORN
Proctored Mental Health &
Maternal Newborn Practice Exam
2026/2027
50 Original Questions with Correct Answers
& Detailed Rationales | 25 Mental Health + 25 Maternal Newborn
50 25+25 7 100%
Original questions Mental health + maternal Item formats Rationales included
newborn
WHAT'S INSIDE
✓ Mental health (25 questions): therapeutic communication, psychopharmacology (lithium, SSRIs, antipsychotics,
MAOIs, clozapine), mood and psychotic disorders, substance withdrawal, eating disorders, suicide risk, crisis, restraint
and seclusion, abuse, and delegation
✓ Maternal newborn (25 questions): prenatal care, preeclampsia and magnesium sulfate, Rh immune globulin, labor
and fetal heart rate patterns, cord prolapse, postpartum hemorrhage and teaching, newborn assessment, Apgar
scoring, hypoglycemia, and safe sleep
✓ Formats in the style of proctored content-mastery exams: multiple choice, select all that apply, ordered response,
fill-in-the-blank, matrix, and drop-down cloze
✓ Prioritization, delegation, safety, and therapeutic communication items throughout
✓ A correct answer and a detailed rationale (including why the other options are wrong) for every question
✓ Quick-reference answer key for fast self-scoring
Disclaimer: Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. Content reflects
current standard nursing references at the time of writing; always follow your program's materials, facility protocols, and
prescriber orders in clinical practice.
, ATI Proctored Mental Health & Maternal Newborn Practice Exam 2026/2027 | 50 Original Questions with Rationales
Table of Contents
Sections, question numbers, and page locations
# Section Questions Page
1 Mental Health: Therapeutic Communication & Safety Q1–Q6 (6) 3
2 Mental Health: Psychopharmacology Q7–Q13 (7) 6
3 Mental Health: Mood, Substance Use & Eating Disorders Q14–Q20 (7) 9
4 Mental Health: Crisis, Restraint, Abuse & Delegation Q21–Q25 (5) 12
5 Maternal Newborn: Antepartum Q26–Q32 (7) 14
6 Maternal Newborn: Labor & Delivery Q33–Q38 (6) 18
7 Maternal Newborn: Postpartum Q39–Q44 (6) 21
8 Maternal Newborn: Newborn Care Q45–Q50 (6) 24
Quick-Reference Answer Key Q1–Q50 27
How to Use This Exam
• Take the exam in two timed blocks: 25 mental health questions, then 25 maternal newborn questions (about 1
minute each).
• Cover the answer box beneath each question and commit to an answer before reading the rationale.
• Select-all-that-apply items may have any number of correct options; judge each option on its own as true or
false.
• In mental health questions, look for safety first, then the therapeutic response. In maternal newborn
questions, think mother AND baby, and ABCs.
• Read every rationale, including why the wrong options are wrong; this is where most of the learning happens.
• Track the topics you miss and revisit your course content and facility protocols for those areas.
Disclaimer: Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. All questions were
written from scratch and are not reproduced from any exam, publisher, or question bank. This document is an
educational study aid and is not a substitute for clinical judgment, institutional protocols, or professional references.
Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. • Page 2
, ATI Proctored Mental Health & Maternal Newborn Practice Exam 2026/2027 | 50 Original Questions with Rationales
SECTION 1
Mental Health: Therapeutic Communication & Safety
Questions 1–6
Question 1 Multiple Choice
A client with schizophrenia tells the nurse, "The voices are telling me to hurt myself." Which response by the
nurse is best?
A. "The voices can't hurt you, so don't worry about it."
B. "I'm concerned about your safety. Tell me more about what the voices are saying and whether you plan to
act on them."
C. "Let's play a card game to take your mind off them."
D. "There are no voices; it's just your imagination."
Correct Answer: B
Rationale: Command hallucinations to self-harm are a safety emergency. The nurse takes the statement
seriously, assesses the content, intent, and plan, and keeps the client safe. Arguing with the experience,
distracting, or false reassurance all fail to assess the risk.
Question 2 Multiple Choice
A client with paranoid delusions says, "The FBI is following me and watching my room." Which response is most
therapeutic?
A. "That is ridiculous. The FBI has no reason to follow you."
B. "You're right; they probably are following you."
C. "Tell me everything about the FBI's plans so we can solve this."
D. "I understand you feel frightened, but I don't see anyone following you here."
Correct Answer: D
Rationale: The nurse acknowledges the feeling, gently presents reality, and does not argue or agree with the
delusion. Agreeing reinforces the false belief, confronting the client harms trust, and exploring delusional
details encourages the thought process.
Question 3 Select All That Apply
A client is experiencing auditory hallucinations. Which nursing actions are appropriate? Select all that apply.
☐ A. Ask the client what the voices are saying and whether they are harmful
☐ B. Use short, simple, concrete sentences
☐ C. Reduce environmental stimuli if possible
☐ D. Orient the client to reality when the client can focus
☐ E. Argue with the client about whether the voices exist
☐ F. Stay with the client and speak calmly
Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. • Page 3
Proctored Mental Health &
Maternal Newborn Practice Exam
2026/2027
50 Original Questions with Correct Answers
& Detailed Rationales | 25 Mental Health + 25 Maternal Newborn
50 25+25 7 100%
Original questions Mental health + maternal Item formats Rationales included
newborn
WHAT'S INSIDE
✓ Mental health (25 questions): therapeutic communication, psychopharmacology (lithium, SSRIs, antipsychotics,
MAOIs, clozapine), mood and psychotic disorders, substance withdrawal, eating disorders, suicide risk, crisis, restraint
and seclusion, abuse, and delegation
✓ Maternal newborn (25 questions): prenatal care, preeclampsia and magnesium sulfate, Rh immune globulin, labor
and fetal heart rate patterns, cord prolapse, postpartum hemorrhage and teaching, newborn assessment, Apgar
scoring, hypoglycemia, and safe sleep
✓ Formats in the style of proctored content-mastery exams: multiple choice, select all that apply, ordered response,
fill-in-the-blank, matrix, and drop-down cloze
✓ Prioritization, delegation, safety, and therapeutic communication items throughout
✓ A correct answer and a detailed rationale (including why the other options are wrong) for every question
✓ Quick-reference answer key for fast self-scoring
Disclaimer: Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. Content reflects
current standard nursing references at the time of writing; always follow your program's materials, facility protocols, and
prescriber orders in clinical practice.
, ATI Proctored Mental Health & Maternal Newborn Practice Exam 2026/2027 | 50 Original Questions with Rationales
Table of Contents
Sections, question numbers, and page locations
# Section Questions Page
1 Mental Health: Therapeutic Communication & Safety Q1–Q6 (6) 3
2 Mental Health: Psychopharmacology Q7–Q13 (7) 6
3 Mental Health: Mood, Substance Use & Eating Disorders Q14–Q20 (7) 9
4 Mental Health: Crisis, Restraint, Abuse & Delegation Q21–Q25 (5) 12
5 Maternal Newborn: Antepartum Q26–Q32 (7) 14
6 Maternal Newborn: Labor & Delivery Q33–Q38 (6) 18
7 Maternal Newborn: Postpartum Q39–Q44 (6) 21
8 Maternal Newborn: Newborn Care Q45–Q50 (6) 24
Quick-Reference Answer Key Q1–Q50 27
How to Use This Exam
• Take the exam in two timed blocks: 25 mental health questions, then 25 maternal newborn questions (about 1
minute each).
• Cover the answer box beneath each question and commit to an answer before reading the rationale.
• Select-all-that-apply items may have any number of correct options; judge each option on its own as true or
false.
• In mental health questions, look for safety first, then the therapeutic response. In maternal newborn
questions, think mother AND baby, and ABCs.
• Read every rationale, including why the wrong options are wrong; this is where most of the learning happens.
• Track the topics you miss and revisit your course content and facility protocols for those areas.
Disclaimer: Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. All questions were
written from scratch and are not reproduced from any exam, publisher, or question bank. This document is an
educational study aid and is not a substitute for clinical judgment, institutional protocols, or professional references.
Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. • Page 2
, ATI Proctored Mental Health & Maternal Newborn Practice Exam 2026/2027 | 50 Original Questions with Rationales
SECTION 1
Mental Health: Therapeutic Communication & Safety
Questions 1–6
Question 1 Multiple Choice
A client with schizophrenia tells the nurse, "The voices are telling me to hurt myself." Which response by the
nurse is best?
A. "The voices can't hurt you, so don't worry about it."
B. "I'm concerned about your safety. Tell me more about what the voices are saying and whether you plan to
act on them."
C. "Let's play a card game to take your mind off them."
D. "There are no voices; it's just your imagination."
Correct Answer: B
Rationale: Command hallucinations to self-harm are a safety emergency. The nurse takes the statement
seriously, assesses the content, intent, and plan, and keeps the client safe. Arguing with the experience,
distracting, or false reassurance all fail to assess the risk.
Question 2 Multiple Choice
A client with paranoid delusions says, "The FBI is following me and watching my room." Which response is most
therapeutic?
A. "That is ridiculous. The FBI has no reason to follow you."
B. "You're right; they probably are following you."
C. "Tell me everything about the FBI's plans so we can solve this."
D. "I understand you feel frightened, but I don't see anyone following you here."
Correct Answer: D
Rationale: The nurse acknowledges the feeling, gently presents reality, and does not argue or agree with the
delusion. Agreeing reinforces the false belief, confronting the client harms trust, and exploring delusional
details encourages the thought process.
Question 3 Select All That Apply
A client is experiencing auditory hallucinations. Which nursing actions are appropriate? Select all that apply.
☐ A. Ask the client what the voices are saying and whether they are harmful
☐ B. Use short, simple, concrete sentences
☐ C. Reduce environmental stimuli if possible
☐ D. Orient the client to reality when the client can focus
☐ E. Argue with the client about whether the voices exist
☐ F. Stay with the client and speak calmly
Original practice questions for study purposes; not affiliated with ATI, HESI, or NCSBN. • Page 3
