ATI PN Mental Health Proctored Exam
with NGN 2023/2026 | 70 Real
Screenshot Questions & 100% Verified
Answers | Guaranteed Pass
1. A PN is assisting with the care of a client who was involuntarily
admitted to a psychiatric unit. The client refuses to take oral
medication and becomes verbally 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.
Correct ,,,,,answer,,,: B. Rationale: The PN must notify the RN and use
de-escalation. Uncoerced refusal is a client right unless imminent danger
exists. Never hide medication or restrain without order.
2. 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.
Correct ,,,,,answer,,,: B. Rationale: The PN should stop the violation
immediately. Then report to the RN/manager. Photographing a client
without consent violates confidentiality and HIPAA.
,3. A client with schizophrenia tells the PN, "I flushed my pills because
the government is tracking me." Which action should the PN take first?
A. Document the statement.
B. Notify the RN.
C. Explain that the government is not tracking the client.
D. Retrieve the pills from the toilet.
Correct ,,,,,answer,,,: B. Rationale: The PN must report medication
nonadherence and delusional content to the RN for assessment and
safety planning. Never argue with delusions.
4. 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
Correct ,,,,,answer,,,: B. Rationale: For violent/aggressive behavior, a
provider's order must be obtained within 1 hour. For non-violent
restraints, within 4 hours.
5. A PN hears a client tell another client, "I have a knife in my bag."
What is the PN's priority action?
A. Keep the information confidential.
B. Immediately notify the RN and assist in searching the bag.
C. Ask the client if they were joking.
D. Ignore it because the client has no history of violence.
Correct ,,,,,answer,,,: B. Rationale: Safety is the priority. The PN must
report the threat to the RN so the team can ensure a safe environment.
,6. A client with major depressive disorder refuses electroconvulsive
therapy (ECT) despite family wishes. The PN understands that:
A. The family can give consent because the client is depressed.
B. ECT can be given because the client is a danger to self.
C. The client has the right to refuse ECT.
D. The provider can override the refusal.
Correct ,,,,,answer,,,: C. Rationale: A competent adult has the right to
refuse any treatment, including ECT, even if the family disagrees.
Involuntary commitment does not remove this right.
7. A PN suspects that a client is being abused by a family member.
What is the PN's legal responsibility?
A. Confront the family member.
B. Report the suspicion to the RN or supervisor.
C. Ask the client if they want to report it.
D. Document the suspicion and take no further action.
Correct ,,,,,answer,,,: B. Rationale: Nurses (including PNs) are
mandatory reporters. Suspected abuse must be reported to the RN or
supervisor, who will notify the appropriate agency.
8. A client on a psychiatric unit wants to sign out against medical
advice (AMA). The PN should:
A. Tell the client they cannot leave because they are committed.
B. Notify the RN immediately.
C. Have the client sign a no-harm contract.
D. Call security to block the exit.
Correct ,,,,,answer,,,: B. Rationale: The PN must notify the RN. The RN
will assess capacity, notify the provider, and complete the AMA process if
the client is competent and not an imminent danger.
, 9. A PN is documenting a client's behavior. Which entry is most
appropriate?
A. "Client was acting crazy and yelling."
B. "Client seemed to be hallucinating."
C. "Client stated, 'The voices are telling me to run.'"
D. "Client was very psychotic this morning."
Correct ,,,,,answer,,,: C. Rationale: Document objective, factual data
(exact client statements). Avoid subjective labels (acting crazy, psychotic,
seemed).
10. A client gives the PN a gift of homemade cookies. What should the
PN do?
A. Accept the gift to avoid hurting the client's feelings.
B. Politely decline and explain that accepting gifts is not allowed.
C. Accept the gift and share it with the unit staff.
D. Take the gift home after shift.
Correct ,,,,,answer,,,: B. Rationale: Accepting gifts blurs professional
boundaries. The PN should politely decline and reinforce the therapeutic
relationship.
11–20: Therapeutic Communication (PN Focus)
11. A client with anxiety says, "I'm so nervous about my court date
tomorrow." Which response by the PN is most therapeutic?
A. "Don't worry, everything will be fine."
B. "You have nothing to be nervous about."
C. "Tell me more about what's making you nervous."
D. "Why are you so nervous? It's just a court date."
with NGN 2023/2026 | 70 Real
Screenshot Questions & 100% Verified
Answers | Guaranteed Pass
1. A PN is assisting with the care of a client who was involuntarily
admitted to a psychiatric unit. The client refuses to take oral
medication and becomes verbally 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.
Correct ,,,,,answer,,,: B. Rationale: The PN must notify the RN and use
de-escalation. Uncoerced refusal is a client right unless imminent danger
exists. Never hide medication or restrain without order.
2. 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.
Correct ,,,,,answer,,,: B. Rationale: The PN should stop the violation
immediately. Then report to the RN/manager. Photographing a client
without consent violates confidentiality and HIPAA.
,3. A client with schizophrenia tells the PN, "I flushed my pills because
the government is tracking me." Which action should the PN take first?
A. Document the statement.
B. Notify the RN.
C. Explain that the government is not tracking the client.
D. Retrieve the pills from the toilet.
Correct ,,,,,answer,,,: B. Rationale: The PN must report medication
nonadherence and delusional content to the RN for assessment and
safety planning. Never argue with delusions.
4. 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
Correct ,,,,,answer,,,: B. Rationale: For violent/aggressive behavior, a
provider's order must be obtained within 1 hour. For non-violent
restraints, within 4 hours.
5. A PN hears a client tell another client, "I have a knife in my bag."
What is the PN's priority action?
A. Keep the information confidential.
B. Immediately notify the RN and assist in searching the bag.
C. Ask the client if they were joking.
D. Ignore it because the client has no history of violence.
Correct ,,,,,answer,,,: B. Rationale: Safety is the priority. The PN must
report the threat to the RN so the team can ensure a safe environment.
,6. A client with major depressive disorder refuses electroconvulsive
therapy (ECT) despite family wishes. The PN understands that:
A. The family can give consent because the client is depressed.
B. ECT can be given because the client is a danger to self.
C. The client has the right to refuse ECT.
D. The provider can override the refusal.
Correct ,,,,,answer,,,: C. Rationale: A competent adult has the right to
refuse any treatment, including ECT, even if the family disagrees.
Involuntary commitment does not remove this right.
7. A PN suspects that a client is being abused by a family member.
What is the PN's legal responsibility?
A. Confront the family member.
B. Report the suspicion to the RN or supervisor.
C. Ask the client if they want to report it.
D. Document the suspicion and take no further action.
Correct ,,,,,answer,,,: B. Rationale: Nurses (including PNs) are
mandatory reporters. Suspected abuse must be reported to the RN or
supervisor, who will notify the appropriate agency.
8. A client on a psychiatric unit wants to sign out against medical
advice (AMA). The PN should:
A. Tell the client they cannot leave because they are committed.
B. Notify the RN immediately.
C. Have the client sign a no-harm contract.
D. Call security to block the exit.
Correct ,,,,,answer,,,: B. Rationale: The PN must notify the RN. The RN
will assess capacity, notify the provider, and complete the AMA process if
the client is competent and not an imminent danger.
, 9. A PN is documenting a client's behavior. Which entry is most
appropriate?
A. "Client was acting crazy and yelling."
B. "Client seemed to be hallucinating."
C. "Client stated, 'The voices are telling me to run.'"
D. "Client was very psychotic this morning."
Correct ,,,,,answer,,,: C. Rationale: Document objective, factual data
(exact client statements). Avoid subjective labels (acting crazy, psychotic,
seemed).
10. A client gives the PN a gift of homemade cookies. What should the
PN do?
A. Accept the gift to avoid hurting the client's feelings.
B. Politely decline and explain that accepting gifts is not allowed.
C. Accept the gift and share it with the unit staff.
D. Take the gift home after shift.
Correct ,,,,,answer,,,: B. Rationale: Accepting gifts blurs professional
boundaries. The PN should politely decline and reinforce the therapeutic
relationship.
11–20: Therapeutic Communication (PN Focus)
11. A client with anxiety says, "I'm so nervous about my court date
tomorrow." Which response by the PN is most therapeutic?
A. "Don't worry, everything will be fine."
B. "You have nothing to be nervous about."
C. "Tell me more about what's making you nervous."
D. "Why are you so nervous? It's just a court date."
