NEWEST DETAILED 2024 ATI RN MENTAL
HEALTH NURSING EXAM ALREADY GRADED
A+ WITH RATIONALES
1) A nurse is caring for a client who is on lithium therapy. The client states that he wants to take
ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is
appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low."
2) A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic
acid (Depakote). The nurse should inform the client of the need for routine monitoring of which
of the following?
A. AST/ALT and LDH
B. Creatinine and BUN
C. WBC and granulocyte counts
D. Serum sodium and potassium
3) A nurse is discussing early indications of toxicity with a client who has a new prescription for
lithium carbonate for bipolar disorder. The nurse should include which of the following in the
teaching? (Select all that apply.)
A. Constipation
B. Polyuria
C. Rash
D. Muscle weakness
E. Tinnitus
,4) A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L.
Which of the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level.
5) A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to
begin lithium therapy. When collecting a medical history from the client's adult daughter, which
of the following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure."
6) A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat
affect. The nurse should anticipate a prescription of which of the following medications?
A. Chlorpromazine (Thorazine)
B. Thiothixene (Navane)
C. Risperidone (Risperdal)
D. Haloperidol (Haldol)
7) A nurse is caring for a client who takes ziprasidone (Geodon). The client reports difficulty
swallowing the oral medication and becomes extremely agitated with injectable administration.
The nurse should contact the provider to discuss a change to which of the following
medications? (Select all that apply.)
A. Olanzapine (Zyprexa)
B. Quetiapine (Seroquel)
C. Aripiprazole (Abilify)
D. Clozapine (Clozaril)
E. Paliperidone (Invega)
, 8) A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which
of the following should the charge nurse identify as being effectively treated by conventional
antipsychotics? (Select all that apply.)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia
9) 4. A nurse is assessing a client who is currently taking perphenazine. Which of the following
findings should the nurse identify as an extrapyramidal symptom (EPS)? (Select all that apply.)
A. Decreased level of consciousness
B. Drooling
C. Involuntary arm movements
D. Urinary retention
E. Continual pacing
10) A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription
for iloperidone (Fanapt). Which of the following client statements indicates understanding of the
teaching?
A. "I will be able to stop taking this medication as soon as I feel better."
B. "If I feel drowsy during the day, I will stop taking this medication and call my provider."
C. "I will be careful not to gain too much weight while taking this medication."
D. "This medication is highly addictive and must be withdrawn slowly."
11) A nurse is planning a staff education program on substance use in older adults. Which of the
following is appropriate for the nurse to include in the presentation?
A.) Older adults require higher doses of a substance to achieve a desired effect.
B.) Older adults commonly use rationalization to cope with a substance use
disorder
C.) Older adults are at a higher risk for substance use following retirement.
HEALTH NURSING EXAM ALREADY GRADED
A+ WITH RATIONALES
1) A nurse is caring for a client who is on lithium therapy. The client states that he wants to take
ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is
appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low."
2) A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic
acid (Depakote). The nurse should inform the client of the need for routine monitoring of which
of the following?
A. AST/ALT and LDH
B. Creatinine and BUN
C. WBC and granulocyte counts
D. Serum sodium and potassium
3) A nurse is discussing early indications of toxicity with a client who has a new prescription for
lithium carbonate for bipolar disorder. The nurse should include which of the following in the
teaching? (Select all that apply.)
A. Constipation
B. Polyuria
C. Rash
D. Muscle weakness
E. Tinnitus
,4) A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L.
Which of the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level.
5) A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to
begin lithium therapy. When collecting a medical history from the client's adult daughter, which
of the following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure."
6) A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat
affect. The nurse should anticipate a prescription of which of the following medications?
A. Chlorpromazine (Thorazine)
B. Thiothixene (Navane)
C. Risperidone (Risperdal)
D. Haloperidol (Haldol)
7) A nurse is caring for a client who takes ziprasidone (Geodon). The client reports difficulty
swallowing the oral medication and becomes extremely agitated with injectable administration.
The nurse should contact the provider to discuss a change to which of the following
medications? (Select all that apply.)
A. Olanzapine (Zyprexa)
B. Quetiapine (Seroquel)
C. Aripiprazole (Abilify)
D. Clozapine (Clozaril)
E. Paliperidone (Invega)
, 8) A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which
of the following should the charge nurse identify as being effectively treated by conventional
antipsychotics? (Select all that apply.)
A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia
9) 4. A nurse is assessing a client who is currently taking perphenazine. Which of the following
findings should the nurse identify as an extrapyramidal symptom (EPS)? (Select all that apply.)
A. Decreased level of consciousness
B. Drooling
C. Involuntary arm movements
D. Urinary retention
E. Continual pacing
10) A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription
for iloperidone (Fanapt). Which of the following client statements indicates understanding of the
teaching?
A. "I will be able to stop taking this medication as soon as I feel better."
B. "If I feel drowsy during the day, I will stop taking this medication and call my provider."
C. "I will be careful not to gain too much weight while taking this medication."
D. "This medication is highly addictive and must be withdrawn slowly."
11) A nurse is planning a staff education program on substance use in older adults. Which of the
following is appropriate for the nurse to include in the presentation?
A.) Older adults require higher doses of a substance to achieve a desired effect.
B.) Older adults commonly use rationalization to cope with a substance use
disorder
C.) Older adults are at a higher risk for substance use following retirement.
