✅ ATI Mental Health Proctored Actual
Exam – Original Questions And correct
Answers solutions
1. A nurse is caring for a client with major depressive
disorder. Which is the priority assessment?
A. Sleep patterns
B. Nutritional intake
C. Suicidal ideation
✅
D. Level of fatigue
Answer: C
Rationale: Risk of self-harm is the highest priority—safety first.
2. A client with schizophrenia says, “The moon keeps
calling my name.” This is an example of:
A. Thought blocking
B. Ideas of reference
C. Auditory hallucinations
✅
D. Flight of ideas
Answer: C
Rationale: Hearing something that isn’t real = auditory hallucination.
,3. Which statement by a client with anxiety indicates the
need for further teaching?
A. “I can try deep breathing when I feel tense.”
B. “Skipping my medication once a week is okay.”
C. “I will try grounding techniques.”
✅
D. “I’ll avoid caffeine.”
Answer: B
Rationale: Antianxiety medications must be taken consistently.
4. Which finding is an early sign of lithium toxicity?
A. Confusion
B. Seizures
C. Diarrhea
✅
D. Coma
Answer: C
Rationale: Early toxicity = GI upset (nausea, vomiting, diarrhea).
5. A nurse is using therapeutic communication with a
manic client. What statement is appropriate?
A. “Calm down now.”
B. “Please sit down immediately.”
C. “Let’s go to a quiet room together.”
✅
D. “Why are you acting this way?”
Answer: C
Rationale: Provides structure and decreases stimuli.
6. A client with PTSD has nightmares. Which intervention
is appropriate?
,A. Encourage avoidance of triggers
B. Teach progressive muscle relaxation
C. Discourage discussion of trauma
✅
D. Restrict sleep during the day
Answer: B
Rationale: Relaxation reduces hyperarousal and improves sleep.
7. Which of the following is a sign of benzodiazepine
withdrawal?
A. Bradycardia
B. Hypertension
C. Sedation
✅
D. Hypothermia
Answer: B
Rationale: Withdrawal causes hyperactivity (tremors, HTN, anxiety).
8. A client taking clozapine reports sore throat and fever.
What should the nurse do?
A. Give warm liquids
B. Hold the medication
C. Encourage coughing
✅
D. Administer acetaminophen
Answer: B
Rationale: Possible agranulocytosis → hold and notify provider.
9. A nurse suspects a client is experiencing mild anxiety.
Which symptom supports this?
A. Tunnel vision
B. Inability to problem-solve
C. Restlessness
D. Palpitations
, ✅ Answer: C
Rationale: Mild anxiety increases alertness and restlessness.
10. For a client in seclusion for violent behavior, the
nurse must:
A. Provide food once per shift
B. Document behavior every 4 hr
C. Assess physical needs every 15 min
✅
D. Avoid touching the client
Answer: C
Rationale: Frequent monitoring ensures safety.
11. Best response to a client with suicidal ideation?
A. “You shouldn’t feel that way.”
B. “Tell me what you’re thinking about.”
C. “Think positively.”
✅
D. “Everything will be okay.”
Answer: B
Rationale: Encourages expression and assesses intent.
12. A client with bipolar disorder is hyperverbal and
intrusive. Best nursing action?
A. Allow free movement
B. Set clear boundaries
C. Increase group activities
✅
D. Use open-ended questions
Answer: B
Rationale: Limits protect the client and others.
13. Alcohol withdrawal priority medication:
Exam – Original Questions And correct
Answers solutions
1. A nurse is caring for a client with major depressive
disorder. Which is the priority assessment?
A. Sleep patterns
B. Nutritional intake
C. Suicidal ideation
✅
D. Level of fatigue
Answer: C
Rationale: Risk of self-harm is the highest priority—safety first.
2. A client with schizophrenia says, “The moon keeps
calling my name.” This is an example of:
A. Thought blocking
B. Ideas of reference
C. Auditory hallucinations
✅
D. Flight of ideas
Answer: C
Rationale: Hearing something that isn’t real = auditory hallucination.
,3. Which statement by a client with anxiety indicates the
need for further teaching?
A. “I can try deep breathing when I feel tense.”
B. “Skipping my medication once a week is okay.”
C. “I will try grounding techniques.”
✅
D. “I’ll avoid caffeine.”
Answer: B
Rationale: Antianxiety medications must be taken consistently.
4. Which finding is an early sign of lithium toxicity?
A. Confusion
B. Seizures
C. Diarrhea
✅
D. Coma
Answer: C
Rationale: Early toxicity = GI upset (nausea, vomiting, diarrhea).
5. A nurse is using therapeutic communication with a
manic client. What statement is appropriate?
A. “Calm down now.”
B. “Please sit down immediately.”
C. “Let’s go to a quiet room together.”
✅
D. “Why are you acting this way?”
Answer: C
Rationale: Provides structure and decreases stimuli.
6. A client with PTSD has nightmares. Which intervention
is appropriate?
,A. Encourage avoidance of triggers
B. Teach progressive muscle relaxation
C. Discourage discussion of trauma
✅
D. Restrict sleep during the day
Answer: B
Rationale: Relaxation reduces hyperarousal and improves sleep.
7. Which of the following is a sign of benzodiazepine
withdrawal?
A. Bradycardia
B. Hypertension
C. Sedation
✅
D. Hypothermia
Answer: B
Rationale: Withdrawal causes hyperactivity (tremors, HTN, anxiety).
8. A client taking clozapine reports sore throat and fever.
What should the nurse do?
A. Give warm liquids
B. Hold the medication
C. Encourage coughing
✅
D. Administer acetaminophen
Answer: B
Rationale: Possible agranulocytosis → hold and notify provider.
9. A nurse suspects a client is experiencing mild anxiety.
Which symptom supports this?
A. Tunnel vision
B. Inability to problem-solve
C. Restlessness
D. Palpitations
, ✅ Answer: C
Rationale: Mild anxiety increases alertness and restlessness.
10. For a client in seclusion for violent behavior, the
nurse must:
A. Provide food once per shift
B. Document behavior every 4 hr
C. Assess physical needs every 15 min
✅
D. Avoid touching the client
Answer: C
Rationale: Frequent monitoring ensures safety.
11. Best response to a client with suicidal ideation?
A. “You shouldn’t feel that way.”
B. “Tell me what you’re thinking about.”
C. “Think positively.”
✅
D. “Everything will be okay.”
Answer: B
Rationale: Encourages expression and assesses intent.
12. A client with bipolar disorder is hyperverbal and
intrusive. Best nursing action?
A. Allow free movement
B. Set clear boundaries
C. Increase group activities
✅
D. Use open-ended questions
Answer: B
Rationale: Limits protect the client and others.
13. Alcohol withdrawal priority medication:
