ATI PN Mental Health 2026 Proctored
Exam: 200 NGN-Style Q&A with Rationales
for Comprehensive Review
200+ Sample Questions & Rationales
The questions are organized by topic to help
you focus your review.
1. Legal and Ethical Issues
Question 1: Involuntary Admission and
Medication Refusal
A PN is assisting with the care of a client
who was involuntarily admitted. The client
refuses oral medication and becomes
physically aggressive. What is the PN's
priority action?
, • A) Restrain the client to administer the
medication
• B) Notify the RN and use de-escalation
techniques
• C) Document the refusal and leave the
client alone
• D) Hide the medication in the client's
food
☑VERIFIED ANSWER: B
Rationale: The PN must notify the RN and
use de-escalation techniques. A client has
the right to refuse medication unless they
pose an imminent danger to themselves or
others . Restraints require a proper order
and should not be used for the convenience
,of staff. Hiding medication in food is a
violation of client rights .
Question 2: Confidentiality / HIPAA
A PN observes another staff member take a
picture of a client with their cell phone.
What should the PN do first?
• A) Report the staff member to the nurse
manager
• B) Tell the staff member to delete the
photo immediately
• C) Ignore it because the client didn't
notice
• D) Ask the client for permission to take
photos
☑VERIFIED ANSWER: B
Rationale: The PN should stop the violation
, immediately, then report it to the
RN/manager. Photographing a client
without consent violates confidentiality and
HIPAA .
Question 3: Restraint Orders
A PN is assisting with a client who is being
placed in mechanical restraints after striking
a staff member. The PN understands that
the provider's written order for restraints
must be obtained within:
• A) 30 minutes
• B) 1 hour
• C) 4 hours
• D) 8 hours
☑VERIFIED ANSWER: B
Rationale: A written order for restraints
Exam: 200 NGN-Style Q&A with Rationales
for Comprehensive Review
200+ Sample Questions & Rationales
The questions are organized by topic to help
you focus your review.
1. Legal and Ethical Issues
Question 1: Involuntary Admission and
Medication Refusal
A PN is assisting with the care of a client
who was involuntarily admitted. The client
refuses oral medication and becomes
physically aggressive. What is the PN's
priority action?
, • A) Restrain the client to administer the
medication
• B) Notify the RN and use de-escalation
techniques
• C) Document the refusal and leave the
client alone
• D) Hide the medication in the client's
food
☑VERIFIED ANSWER: B
Rationale: The PN must notify the RN and
use de-escalation techniques. A client has
the right to refuse medication unless they
pose an imminent danger to themselves or
others . Restraints require a proper order
and should not be used for the convenience
,of staff. Hiding medication in food is a
violation of client rights .
Question 2: Confidentiality / HIPAA
A PN observes another staff member take a
picture of a client with their cell phone.
What should the PN do first?
• A) Report the staff member to the nurse
manager
• B) Tell the staff member to delete the
photo immediately
• C) Ignore it because the client didn't
notice
• D) Ask the client for permission to take
photos
☑VERIFIED ANSWER: B
Rationale: The PN should stop the violation
, immediately, then report it to the
RN/manager. Photographing a client
without consent violates confidentiality and
HIPAA .
Question 3: Restraint Orders
A PN is assisting with a client who is being
placed in mechanical restraints after striking
a staff member. The PN understands that
the provider's written order for restraints
must be obtained within:
• A) 30 minutes
• B) 1 hour
• C) 4 hours
• D) 8 hours
☑VERIFIED ANSWER: B
Rationale: A written order for restraints
