ATI RN Mental Health Nursing WITH NGN ACTUAL EXAM
2026-2027 ACTUAL EXAM 130 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A.
A nurse is evaluating a client's understanding of a new prescription for clonidine
(Catapres). Which of the following statements by the client indicates an
understanding of the teaching?
A) "Taking this medication will help reduce my craving for heroin."
B) "While taking this medication, I should keep a pack of sugarless gum."
C) "I can expect some diarrhea because of taking this medication."
D) "Each dose of this medication should be placed under my tongue to dissolve."
Correct Answer: B
Rationale
Clonidine is an alpha-2 adrenergic agonist used for opioid withdrawal and
hypertension. Dry mouth is a common adverse effect, and keeping sugarless gum
nearby can help manage this symptom. Option A is incorrect because clonidine
reduces sympathetic nervous system symptoms of withdrawal but does not
specifically reduce cravings for heroin. Option C is incorrect because constipation,
not diarrhea, is a common adverse effect. Option D is incorrect because clonidine
is administered orally or transdermally, not sublingually. The nurse should educate
the client about managing adverse effects and the importance of not
discontinuing the medication abruptly.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is teaching a client who has tobacco use disorder about the use of
nicotine gum (Nicorette). Which of the following is appropriate to include in the
teaching?
A) Chew the gum for no more than 10 minutes.
B) Rinse the mouth out immediately before chewing the gum.
,C) Avoid eating 15 minutes prior to chewing the gum.
D) Use of the gum is limited to 90 days.
Correct Answer: C
Rationale
The client should avoid eating or drinking 15 minutes prior to chewing nicotine
gum to ensure optimal absorption. Option A is incorrect because the gum should
be chewed slowly for about 30 minutes. Option B is incorrect because rinsing the
mouth immediately before chewing may reduce absorption. Option D is incorrect
because nicotine gum is typically used for 3 to 6 months, not limited to 90 days.
The nurse should teach the client about proper chewing technique and tapering
schedule.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is discussing the use of methadone (Dolophine) with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates a
need for further teaching?
A) "Methadone is a replacement for the client's opioid addiction."
B) "Methadone reduces the unpleasant effects associated with abstinence
syndrome."
C) "Methadone can be used during opioid withdrawal and to maintain
abstinence."
D) "Methadone increases the client's risk for acetaldehyde syndrome."
Correct Answer: D
Rationale
Methadone does not increase the risk for acetaldehyde syndrome; this is
associated with disulfiram (Antabuse) when combined with alcohol. Option A is
correct because methadone is an opioid agonist used as replacement therapy.
Option B is correct because methadone reduces withdrawal symptoms. Option C
,is correct because methadone is used for withdrawal and maintenance. The nurse
should educate about the appropriate use and risks of methadone therapy.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is reviewing a newly admitted client's medical record. Which of the
following documents is a directive for medical treatment based on the client's
wishes?
A) Advance directives
B) Living will
C) Informed consent
D) Durable power of attorney for health care
Correct Answer: B
Rationale
A living will is a legal document that specifies the client's wishes regarding medical
treatment in the event they become unable to make decisions. Option A, advance
directives, is a broad term that includes living wills and durable power of attorney.
Option C, informed consent, is the client's agreement to a specific treatment.
Option D, durable power of attorney for health care, designates a person to make
decisions on the client's behalf. The nurse should distinguish between these
documents and provide appropriate education.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
A charge nurse is reviewing Kübler-Ross's five stages of grief with a group of newly
licensed nurses. Which of the following should the charge nurse include in the
teaching? (Select all that apply.)
, A) Endurance
B) Denial
C) Bargaining
D) Anger
E) Depression
Correct Answers: B, C, D, E
Rationale
The five stages of grief according to Kübler-Ross are Denial, Anger, Bargaining,
Depression, and Acceptance. Option A, Endurance, is not a stage of grief. Option
B, Denial, is the first stage. Option C, Bargaining, is the third stage. Option D,
Anger, is the second stage. Option E, Depression, is the fourth stage. The nurse
should teach these stages and emphasize that they may not occur in a linear
fashion.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
A nurse is working with a client who has recently lost his mother. The nurse
recognizes that which of the following factors influence grief and coping ability?
(Select all that apply.)
A) Interpersonal relationships
B) Culture
C) Birth order
D) Size of the family
E) Prior experience with loss
Correct Answers: A, D, E
Rationale
Interpersonal relationships (Option A) influence grief because support systems
affect coping. Size of the family (Option D) can affect the availability of support.
Prior experience with loss (Option E) can influence coping abilities. Option B,
culture, is also a factor, but the question specifies which factors are correct.
2026-2027 ACTUAL EXAM 130 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A.
A nurse is evaluating a client's understanding of a new prescription for clonidine
(Catapres). Which of the following statements by the client indicates an
understanding of the teaching?
A) "Taking this medication will help reduce my craving for heroin."
B) "While taking this medication, I should keep a pack of sugarless gum."
C) "I can expect some diarrhea because of taking this medication."
D) "Each dose of this medication should be placed under my tongue to dissolve."
Correct Answer: B
Rationale
Clonidine is an alpha-2 adrenergic agonist used for opioid withdrawal and
hypertension. Dry mouth is a common adverse effect, and keeping sugarless gum
nearby can help manage this symptom. Option A is incorrect because clonidine
reduces sympathetic nervous system symptoms of withdrawal but does not
specifically reduce cravings for heroin. Option C is incorrect because constipation,
not diarrhea, is a common adverse effect. Option D is incorrect because clonidine
is administered orally or transdermally, not sublingually. The nurse should educate
the client about managing adverse effects and the importance of not
discontinuing the medication abruptly.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is teaching a client who has tobacco use disorder about the use of
nicotine gum (Nicorette). Which of the following is appropriate to include in the
teaching?
A) Chew the gum for no more than 10 minutes.
B) Rinse the mouth out immediately before chewing the gum.
,C) Avoid eating 15 minutes prior to chewing the gum.
D) Use of the gum is limited to 90 days.
Correct Answer: C
Rationale
The client should avoid eating or drinking 15 minutes prior to chewing nicotine
gum to ensure optimal absorption. Option A is incorrect because the gum should
be chewed slowly for about 30 minutes. Option B is incorrect because rinsing the
mouth immediately before chewing may reduce absorption. Option D is incorrect
because nicotine gum is typically used for 3 to 6 months, not limited to 90 days.
The nurse should teach the client about proper chewing technique and tapering
schedule.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is discussing the use of methadone (Dolophine) with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates a
need for further teaching?
A) "Methadone is a replacement for the client's opioid addiction."
B) "Methadone reduces the unpleasant effects associated with abstinence
syndrome."
C) "Methadone can be used during opioid withdrawal and to maintain
abstinence."
D) "Methadone increases the client's risk for acetaldehyde syndrome."
Correct Answer: D
Rationale
Methadone does not increase the risk for acetaldehyde syndrome; this is
associated with disulfiram (Antabuse) when combined with alcohol. Option A is
correct because methadone is an opioid agonist used as replacement therapy.
Option B is correct because methadone reduces withdrawal symptoms. Option C
,is correct because methadone is used for withdrawal and maintenance. The nurse
should educate about the appropriate use and risks of methadone therapy.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is reviewing a newly admitted client's medical record. Which of the
following documents is a directive for medical treatment based on the client's
wishes?
A) Advance directives
B) Living will
C) Informed consent
D) Durable power of attorney for health care
Correct Answer: B
Rationale
A living will is a legal document that specifies the client's wishes regarding medical
treatment in the event they become unable to make decisions. Option A, advance
directives, is a broad term that includes living wills and durable power of attorney.
Option C, informed consent, is the client's agreement to a specific treatment.
Option D, durable power of attorney for health care, designates a person to make
decisions on the client's behalf. The nurse should distinguish between these
documents and provide appropriate education.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
A charge nurse is reviewing Kübler-Ross's five stages of grief with a group of newly
licensed nurses. Which of the following should the charge nurse include in the
teaching? (Select all that apply.)
, A) Endurance
B) Denial
C) Bargaining
D) Anger
E) Depression
Correct Answers: B, C, D, E
Rationale
The five stages of grief according to Kübler-Ross are Denial, Anger, Bargaining,
Depression, and Acceptance. Option A, Endurance, is not a stage of grief. Option
B, Denial, is the first stage. Option C, Bargaining, is the third stage. Option D,
Anger, is the second stage. Option E, Depression, is the fourth stage. The nurse
should teach these stages and emphasize that they may not occur in a linear
fashion.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Psychosocial Integrity
A nurse is working with a client who has recently lost his mother. The nurse
recognizes that which of the following factors influence grief and coping ability?
(Select all that apply.)
A) Interpersonal relationships
B) Culture
C) Birth order
D) Size of the family
E) Prior experience with loss
Correct Answers: A, D, E
Rationale
Interpersonal relationships (Option A) influence grief because support systems
affect coping. Size of the family (Option D) can affect the availability of support.
Prior experience with loss (Option E) can influence coping abilities. Option B,
culture, is also a factor, but the question specifies which factors are correct.
