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ATI Mental Health Practice A with NGN EXAM ALL
WITH COMPLETE 300 QUESTIONS AND SOLUTIONS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: During a client's initial interview in a mental health inpatient setting, a nurse
identifies that the client is maintaining eye contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client needs to feel accepted by the nurse - CORRECT ANSWER✔✔A. The client is
interested in what the nurse is saying.
The client's posture and eye contact demonstrates an interest in the interview and what the
nurse is saying.
Question: A nurse is reviewing the electronic medical record of a client who has schizophrenia
and is taking clozapine. Which of the following findings is the priority for the nurse to notify the
provider?
A. The client's chart indicates a 1.36 kg (3 lb.) weight gain in 1 month.
B. The client reports an inability to breathe easily.
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C. The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
D. The client reports having recently started smoking cigarettes. - CORRECT ANSWER✔✔B. The
client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism are
associated with clozapine. When using the greatest risk framework, the nurse should identify
that the greatest risk to the client is dyspnea, which is a manifestation of respiratory or cardiac
alterations, and should be reported to the provider.
Question: A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further for findings
indicating lithium toxicity?
A. A client who has a fasting blood glucose level of 80 mg/dL.
B. A client who has a sodium level of 128 mEq/L.
C. A client who has a BUN of 18 mg/dL.
D. A client who has a potassium level of 3.6 mEq/L. - CORRECT ANSWER✔✔B. A client who has a
sodium level of 128 mEq/L.
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium toxicity
because renal excretion of lithium is decreased in the presence of a low sodium level.
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Question: A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the client's need for isolation.
D. Act as a role model for assertiveness. - CORRECT ANSWER✔✔B. Set realistic limits on the
client's behavior.
Clients who have antisocial personality disorder can seem to be in control of their behavior, but
are manipulative and impulsive and can suddenly become aggressive and assaultive. The nurse
should establish clear limits on specific aggressive and demanding behaviors.
Question: A nurse in a provider's office is collecting a health history from the guardian of a
school-age child who has been taking atomoxetine. Which of the following adverse effects
reported by the guardian is the priority for the nurse to report to the provider?
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating - CORRECT ANSWER✔✔C. Dark urine
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The greatest risk for the child is liver damage from atomoxetine, which can progress to liver
failure and death. Therefore, this is the nurse's priority finding.
Question: A nurse is caring for a group of clients. For which of the following situations should
the nurse complete an incident report?
A. A client refuses electroconvulsive therapy after signing the consent form.
B. A client who was voluntarily admitted left the unit against medical advice.
C. A client was administered one-half of the prescribed dose of medication.
D. A client was placed in restraints after attempts to de-escalate aggressive behaviors failed. -
CORRECT ANSWER✔✔C. A client was administered one-half of the prescribed dose of
medication.
An incident report is a recording of any occurrence that does not meet the standard of care. The
nurse should report medication errors using the facility's incident or occurrence form.
Question; A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempts to administer oral
lorazepam, the client refuses to take the medication and becomes physically aggressive. Which
of the following actions should the nurse take?
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to administer the lorazepam
ATI Mental Health Practice A with NGN EXAM ALL
WITH COMPLETE 300 QUESTIONS AND SOLUTIONS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: During a client's initial interview in a mental health inpatient setting, a nurse
identifies that the client is maintaining eye contact and leaning forward. Which of the following
assumptions should the nurse make based on the client's nonverbal behaviors?
A. The client is interested in what the nurse is saying
B. The client is attempting to manipulate the nurse
C. The client is physically attracted to the nurse
D. The client needs to feel accepted by the nurse - CORRECT ANSWER✔✔A. The client is
interested in what the nurse is saying.
The client's posture and eye contact demonstrates an interest in the interview and what the
nurse is saying.
Question: A nurse is reviewing the electronic medical record of a client who has schizophrenia
and is taking clozapine. Which of the following findings is the priority for the nurse to notify the
provider?
A. The client's chart indicates a 1.36 kg (3 lb.) weight gain in 1 month.
B. The client reports an inability to breathe easily.
, Page 2 of 59
C. The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL.
D. The client reports having recently started smoking cigarettes. - CORRECT ANSWER✔✔B. The
client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism are
associated with clozapine. When using the greatest risk framework, the nurse should identify
that the greatest risk to the client is dyspnea, which is a manifestation of respiratory or cardiac
alterations, and should be reported to the provider.
Question: A nurse is reviewing routine laboratory values for several clients who are taking
lithium carbonate. Which of the following clients should the nurse assess further for findings
indicating lithium toxicity?
A. A client who has a fasting blood glucose level of 80 mg/dL.
B. A client who has a sodium level of 128 mEq/L.
C. A client who has a BUN of 18 mg/dL.
D. A client who has a potassium level of 3.6 mEq/L. - CORRECT ANSWER✔✔B. A client who has a
sodium level of 128 mEq/L.
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium toxicity
because renal excretion of lithium is decreased in the presence of a low sodium level.
, Page 3 of 59
Question: A nurse is establishing a therapeutic relationship with a client who has antisocial
personality disorder. Which of the following strategies should the nurse use when
communicating with this client?
A. Behave in a friendly manner toward the client.
B. Set realistic limits on the client's behavior.
C. Show respect for the client's need for isolation.
D. Act as a role model for assertiveness. - CORRECT ANSWER✔✔B. Set realistic limits on the
client's behavior.
Clients who have antisocial personality disorder can seem to be in control of their behavior, but
are manipulative and impulsive and can suddenly become aggressive and assaultive. The nurse
should establish clear limits on specific aggressive and demanding behaviors.
Question: A nurse in a provider's office is collecting a health history from the guardian of a
school-age child who has been taking atomoxetine. Which of the following adverse effects
reported by the guardian is the priority for the nurse to report to the provider?
A. Reduced appetite
B. Fatigue
C. Dark urine
D. Sweating - CORRECT ANSWER✔✔C. Dark urine
, Page 4 of 59
The greatest risk for the child is liver damage from atomoxetine, which can progress to liver
failure and death. Therefore, this is the nurse's priority finding.
Question: A nurse is caring for a group of clients. For which of the following situations should
the nurse complete an incident report?
A. A client refuses electroconvulsive therapy after signing the consent form.
B. A client who was voluntarily admitted left the unit against medical advice.
C. A client was administered one-half of the prescribed dose of medication.
D. A client was placed in restraints after attempts to de-escalate aggressive behaviors failed. -
CORRECT ANSWER✔✔C. A client was administered one-half of the prescribed dose of
medication.
An incident report is a recording of any occurrence that does not meet the standard of care. The
nurse should report medication errors using the facility's incident or occurrence form.
Question; A nurse is caring for a client who has a history of substance use disorder and was
involuntarily admitted to a mental health facility. When the nurse attempts to administer oral
lorazepam, the client refuses to take the medication and becomes physically aggressive. Which
of the following actions should the nurse take?
A. Do not administer the lorazepam
B. Request a prescription for IV lorazepam
C. Request that another nurse attempt to administer the lorazepam
