2023 ATI RN Practice Exam with Answers (21 Solved Questions)

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ATI MENTAL HEALTH PROCTORED EXAM 2019 WITH NGNQUESTIONS AND VERIFIED SOLUTIONS/ A+ GRADEAnurseisprovidingdischargeteachingtotheparentofanadolescentclientwhohasbulimia nervosa and has been hospitalized for several weeks. Which of the followingstatements should the nurse identify as an indication that the parent understands theteaching?a.Ishouldallowmychildtomakeindependentdecisionsb.Ishould givemychild a laxativeeverymorningc. I should make sure my child takes antipsychotic medication several timesdailyd.I should discouragemy childfromexercisingWhich of the following actions would take place during the working phase of thenurse-clientrelationship?a. introduce concept of clientconfidentialityb.establishgoals withclientc.define rolesofnurseandclientd.facilitateachangeinclient'sbehaviorA nurse is assessing a newly admitted client who has GAD and states "I drink alcoholtoforgetthepain".Theclientisexhibitingamaladaptiveresponsetowhichofthefollowingdefensemechanisms?a. compensationb.conversionc.projectiond.suppression*apersoncoversuparealorperceivedweaknessAnurseisprovidingteachingforaclientwhohasanewprescriptionforbuspirone.Whichofthefollowingstatementsindicatesanunderstandingoftheteaching?a. watch for signs ofdehydrationb.monitor kidneyfunctionc.takeonanemptystomachd.maytakeseveralweekstonoticeeffects

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*Buspironeisananxiolytic-initialresponseisaweek,andpeakresponsetakesseveralweeks(should notbegivenPRNfor anxiety)A nurse is teaching a client who has anxiety and a new prescription for buspirone.Whichofthefollowingpiecesofinformationshouldthenurseincludeintheteaching?•buspironecarriesahighpotentialforabuse•avoidconsuminggrapefruitjuicewhentakingthismedication•c.takemedication4x dailyd.peakeffectsofbuspironeoccurwithin1week(grapefruit juice can cause levels of the medication to increase-can causedrowsiness,subjectiveeffects suchas dysphoria)Whichofthefollowingactionsshouldthenurseidentifyasanintentionaltort?•administeringanincorrectdoseofmedication•informingtheclient'sfamilymemberofadmissionwithouttheclient'sconsent•informingtheclientthataninjectionwillbeadministerediftheclientremainsagitated•d.failing torecognize suicide risk,resulting intheclient's death*exampleofassault,whichisanintentionaltort(makestheclientfearfulofharmorunwantedtouching)Anurseisreviewing labreportsforaclientwhoistaking risperidone.Thenurseshouldidentify that which of the following results indicates a potential adverse reaction to themedication?a.elevatedbloodglucoseb.elevatedWBCc. decreased plateletcountd.decreased AST*risperidone is a second-generation antipsychotic-can cause diabetes, weight gain,anddislipidemiaWhichofthefollowingis anadverseeffectofnicotinegum?•itching•throat irritation•c. hiccupsd.teary eyes

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A nurse at an acute care facility is caring for a client receiving IV antibiotictreatmentsfor an infection. The client reports daily alcohol use at home. On thesecond day ofadmission,theclientbecomesagitatedandhasBPof195/102andHRof118/min.Whichofthefollowingactionsshouldthenurseplantotake?a.administermethadonewhenagitationincreasesb.administer zolpidembeforemealsc. request prescription for a differentantibioticd.requestprescriptionforchlordiazepoxide*chlordiazepoxideismed foralcoholwithdrawalAnurseisteachingaclientwhohasSADabouttheuseoflighttherapy.Whichofthefollowingstatements shouldthenurse make?a.Lighttherapysuppressesthenaturalnighttimereleaseofmelatoninb.You shouldplan yourlight therapysessionbeforegoingto bedc. You should begin with 2-min therapy sessions and progress to 10-mintherapysessionsd.LighttherapyislesseffectivethanmedicationsintreatingSADWhichisanegativesymptomofschizophrenia?•hallucinations•impairedmemory•c.dysphoriad.socialdiscomfort*negativesymptoms-absenceofsomethingthatshouldnormallybepresentA nurse is caring for a client who has Alzheimer's disease. The client's son statestheclient has begun wandering away from her home. Which of the followingresponsesshouldthenurse offer?•youshouldplantomoveyourmother intoa homesoon•place a complex lock at the top of each door that leadsoutside•c.it is timeto place yourmother inaLTCfacilityd.haveyouremindedyourmotheraboutthedangersofwanderingawayfrom home?-

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*also encourage son to place a non removable medical alert bracelet on clientthatincludesname,address, phone#Anurseisinterviewinga clientwhoisseekinghelpforintimatepartnerviolence.Whichof the following client statements should the nurse identify as an indicationthat theclientis inthetension-buildingphaseof the cycleof violence?•"lastnightmypartnerbeatmeworsethaneverbefore"•"it'llbeeasierjusttomakemypartnermadandgettheviolenceoverwith"•c."Ibelievemypartneris remorsefuland won't hurtmeagain"d."Ionlygotshovedabit,anditwasmyfaultforcominghomelate"Duringtension-buildingphase,episodesofviolenceareoftenminor,andrecipientmightrationalizetheepisodes by accepting blameA nurse is providing teaching to a client who is scheduled to start taking valproicacid.Whichof thefollowinginstructionsshould thenurseinclude?a.theproviderwilldecreaseyourdosageofvalproicacidgraduallyb.you shouldtakeaspirin forpainc.youshouldundergothyroidfunctiontestsevery6monthsd. you should have your liver function levels monitored regularly while takingvalproicacidA nurse is providing discharge teaching for a client who has a new prescription fordoxepin(antidepressant).Whichofthefollowingadverseeffectsisassociatedwiththismedication?a. weight lossb.diarrheac. drowsinessd.bradycardiaA nurse is planning care for a client who has dissociative disorder and isexperiencingflashbackswhileinpublic.Whichofthefollowinginterventionsshouldthenurseincludeintheplantohelptheclient recognizeandcounter theflashbacks?•encouragerealitytesting•provideopportunitiesforsocialization•consistentlyremindtheclientofpasttraumaticevents•discourageclientexpressionsofnegativefeelings-a.encouragerealitytesting

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Reality testing involves scanning the surrounding to see if others are afraid andreorientationtotimeaplace.ThiscanhelpclientsrecognizethattheflashbacksarenotrealA nurse is caring for a client who has anxiety disorder. The client states that sheforgother partner's birthday after they had an argument. The nurse recognizes thisaction aswhichofthefollowingdefensemechanisms?a. repressionb.splittingc.conversiond.projection-a.repression*unconsciousexclusionofunpleasantorunwantedexperiences,emotions,orideasfrom consciousawarenessAnurseiscaringforaclient whoishavinganacutepanicattack.Whichofthefollowingactionsshould the nurse take?a. speak to the client in a raisedvoiceb.walk theclient tothedayroomc.userepetitionwhenspeakingwiththeclientd.securetheclientinhisroom alone-c.userepetitionwhenspeakingwiththeclientWhen having a panic attack, the client may have a hard time understanding what thenurseissaying.SimplephrasesandrepetitionareeffectivemethodsofcommunicationAnurseiscaringforaclientwhoisexperiencing acutealcoholwithdrawal.Whichofthefollowingmedicationsshouldthenurse prepare toadminister?a.carbamazepineb.clonidinec.propranolold.lorazepam-d.lorazepam*benzodiazepine-firsttreatmentforalcoholwithdrawalIncorrectanswers:canbe usedWITH benzodiazepinefor AWS,butnotthefirstchoicefortreatmentA nurse is caring for a client who has an alcohol use disorder and is currentlyundergoingalcoholdetoxification.Whichofthefollowinginterventionsshouldthenurseprovideat this time?•administersubstitutiontherapymedications

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•teachtheclientthephysical symptomsofwithdrawal•providetheclientwithinformationabouta12-stepprogram•identify the causes of the client's alcohol disorder-a. administer substitutiontherapymedicationsIncorrectanswers:educationfollowingacute stageofalcoholusedisorderAnurseisassessingaclientwhoisexperiencing alcoholwithdrawal.Forwhichofthefollowingfindingsshouldthenurseanticipatetheadministration oflorazepam?a. decreased pulserateb.increasedBPc.decreasedurinaryoutputd.increasednausea-b.increasedBPLorazepam is a benzodiazepine that is given to a client who is experiencing alcoholwithdrawalforstabilizingvitalsigns,preventingseizures,andtreatingdeliriumtremens.A nurse is caring for a client with ADHD who has recently started taking lithium.Forwhich of the following findings should the nurse monitor when evaluating theeffectivenessofthemedication?a. increased attentionspanb.decreasedanxietyc.reducedaggressiond.weightloss-c.reducedaggressionADHDclientscanexperiencealowtoleranceforfrustration,leadingtoaggressivebehaviors.Lithiumisamoodstabilizerprescribedto reducedaggression.(monitorforincreasedattentionspanwhentakingstimulantmedicationsuchasmethylphenidate)A nurse is evaluating teaching for a client who has bipolar disorder and a newprescriptionforlithium.Whichofthefollowingstatementsbytheclientindicatesanunderstandingof theteaching?•Ishouldtakelithiumonanemptystomach•Icantakeibuprofenforheadacheswhiletakinglithiumc.Ineedto limitmysalt intakewhiletakinglithiumd. I am likely to gain weight while taking lithium-d. I am likely to gain weightwhiletaking lithium

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-nurseshouldinstructtoeatalow-caloriedietb/clithium cancauseweightgainIncorrectanswers:-takelithium w/foodtopreventGIdistress-don'ttakeNSAIDsb/ctheyincreaseriskoflithiumtoxicity-maintainbalanceofwaterandsodium(decreasedsodiumcancauselithiumtoxicity)Ahomehealthnurse isprovidingteachingforthefamilyofaclientwho hasmoderateAlzheimer's disease. The family plans to care for the client in the home.Which of thefollowingrecommendationsshouldthenurseincludeinthe teaching?a.placenonskidthrowrugsoversmoothfloorsb.installlocks atthetops ofexteriordoorsc.provideclothingthathaszippersinsteadofbuttonsd. encourage the client to take frequent naps during the day-b. install locks at thetopsofexterior doors*will decrease risk for wandering and getting lost-client w/ moderateAlzheimer'sdiseaseloses theabilityto reach and lookupwardAnurseis assessingaclient whoexperienced a sexualassault6monthsago.Whichofthe following findings should the nurse report to the provider as an indication ofrape-traumasyndrome?•flataffect•refusaltoaccepthelpfromothers•c.reportof intenseguiltd.denialofthesexualassault-c.reportofintenseguilt*otherfindingsofrape-traumasyndromearemoodswings/intenseemotions,dependenceonothersA nurse is reviewing the medications of a client who has bipolar disorder and a newprescription for lithium. Which of the following medications may be administeredsafelywhiletheclient is taking lithium?a. ibuprofenb.haloperidolc.valproicacidd.hydrochlorothiazide-c.valproicacid*bothindicatedforbipolardisorder

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A nurse is working with a client who exhibits extreme superstition, elaborate speechpatterns,andeccentricbehavior.Thenurseshouldidentifythesefeaturesaswhichofthefollowingpersonality disorders?a. paranoidb. histronicc.antisociald.schizotypal-d.schizotypalAnurseisassessing aclient whohasahistory ofmethamphetamineuse.Which ofthefollowingfindingsindicatesthattheclientiscurrentlyundertheinfluenceofthisdrug?•paranoia•slurred speech•c.markedlethargyd.bradycardia-a.paranoia*Acute effects of meth use include increased HR and metabolism, mental alterness,reducedappetite,andparanoiaAn ER nurse is assessing a client who has anxiety disorder. The client is flushed,perspiringprofusely,andexperiencingpalpitations.Theclientbeginstoscream,"Iamgoingtodie!Thisisit!I'mhavingaheartattack!" Thenurseshoulddeterminetheclient'slevelof anxietytobe:a. moderateb.panicc.severed.mild-b.panicAnurseisteachinga clientwhohasaprescriptionforatricyclicantidepressant.Whichofthefollowing instructionsshould thenurseincludein theteaching?a.takemedicationwithin1hourofwakingeachmorningb.limitalcohol to2 drinks per weekc.itcantake6 weekstoachievethefulltherapeuticeffectofthismedicationd. stop taking the medication if you experience dizziness-c. it can take 6 weekstoachievethefulltherapeutic effectofthismedication*itcantake6-8weeksto achievefulltherapeuticeffectofTCAsIncorrectanswers:-takeTCAatbedtimetodecreasesleepinessduringtheday

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-avoiddrinkingANYalcohol,itwillblocktherapeuticeffects-TCAcancausedizziness,butthisadverseeffectisexpectedtodiminishafterthefirstfew weeksA nurse is providing teaching to a client who has a new prescription for disulfiramformanagement of alcohol dependence. Which of the following dietary itemsshould thenurseinstruct the client toavoid?a. peppermint candyb. pure vanilla extractc. saltd.chocolate-b.purevanillaextract*contains alcohol-make sure to avoid all alcohol-containing substances!(ingestingalcoholcauseshyperventilation,dizziness,vomiting,andhypotension)Anurseis assessingaclientintheED who'sfriend reportedthatheinhaleda largeamountofcocaine.Which ofthefollowingfindingsshouldthenurseexpect?a. depressed moodb.hallucinationsc.severhypotensiond.bradycardia-b.hallucinationsCocaineisaCNSstimulant-hallucinations,delirium,elevatedBP,tachycardia,dilatedpupilsA nurse is providing teaching to a client who has insomnia. Which of thefollowingstatementsshouldthenursemake?a.limitdaytimenappingtoanhourmaximumb.watch tvas you fallasleepc.ifyouaren'tabletosleep,youcangetoutofbedandreadabookd. track the number of hours that you sleep each night-c. if you aren't able tosleep,youcan getoutofbedand reada book-instructtheclienttogetoutofbedaparticipate inaquietactivitysuchasreadinguntiltheyfeel sleepy,then return to bedIncorrectanswers:-avoiddaytimenapswheneverpossible,ifneededlimitto20-30mins-monitorqualityofsleepratherthannumberofhours

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Anurseis assessingaclient whohasbeentaking anantipsychoticmedicationfor6years. The provider has started tapering off the client's dosage. The nurse shouldmonitortheclientforwhichofthefollowingmanifestationsoftardivedyskinesia?a. muscularweaknessb.muscle spasmsc.involuntarytongueprotrusiond.uncontrolledrollingoftheeyes-c.involuntarytongueprotrusion*TDbeginsw/mouthandfacialmovementsandprogressestoothermusclegroups.Itisirreversible!A nurse is planning care for a client who has vegetative signs of depression. Whichofthefollowingactionsshouldthenurse include in theplan?•limitsnackingbetweenmeals•scheduleregularnaptimesduringtheday•c.weightthe clientmonthlyd.providedecaffeinatedbeverages-d.providedecaffeinatedbeverages*nocaffeine-sincetheyoftenhavesleepdisturbancesIncorrectanswers:-encouragehigh-protein,high-caloriesnackssincetheyareatriskformalnutrition-encouragetheclienttobeactiveduringtheday,notnaptohelpwithsleepatnight-weightclientweeklyA nurse on a rehab unit is providing teaching to the partner of a client who isexperiencingstimulantwithdrawal.Whichofthefollowingstatementsbythepartnerindicatesanunderstandingof the teaching?•"increasedenergyisa signofwithdrawal"•"depressionisamanifestationofwithdrawal"b."decreasedappetiteisamanifestationofwithdrawal"d."deliriumtremenscanoccurduringwithdrawal"-b."depressionisamanifestationofwithdrawal"*depression and suicidal thoughts are most serious adverse effects ofstimulantwithdrawalA nurse in an acute substance disorder unit is assessing a client who receivedtreatmentintheEDforaheroinoverdose.Whichofthefollowingfindingsshouldthenurseanticipateduringheroin withdrawal?

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