ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
A nurse is reviewing information about a psychiatric medication that describes the amount of the drug that actually reaches systemic circulation unchanged. The nurse identifies this as which of the following?
Correct Answer: B
Rationale: Bioavailability refers to the amount of a drug that reaches systemic circulation unchanged after administration. It accounts for the fraction of the administered dose that reaches the systemic circulation in its active form. This is important in determining the drug's effectiveness. In this scenario, the nurse is reviewing information about the drug's actual systemic circulation, which aligns with the concept of bioavailability.
A: First-pass effect refers to the initial metabolism of a drug by the liver before it reaches systemic circulation.
C: Solubility relates to a drug's ability to dissolve in a solvent, not the amount that reaches systemic circulation.
D: Biotransformation involves the conversion of a drug into metabolites, not the amount that reaches systemic circulation.
In summary, the correct answer is B (Bioavailability) because it directly addresses the amount of the drug that reaches systemic circulation unchanged.
Question 2 of 5
As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse discusses the client's risk for delirium with his family members. Which of the following would the nurse NOT include as placing the client at increased risk?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. Hypertension is not a risk factor for delirium in the context of a follow-up home visit after surgery. Delirium is commonly associated with factors such as urinary tract infections (
A), acute stress (
C), and bone fractures (
D) in elderly clients. Hypertension, although a serious condition, does not directly contribute to the development of delirium in this scenario. Delirium is often multifactorial, with underlying medical conditions, infections, and stress being key contributors. In this case, the nurse would focus on discussing the client's risk factors such as urinary tract infections, acute stress, and bone fractures with the family members to prevent delirium.
Question 3 of 5
Nurse Sheila makes adjustments to the client's plan of care after talking with the client. This is most likely an example of what component of the EBP model?
Correct Answer: B
Rationale: The correct answer is B: client preferences. In the EBP model, client preferences play a crucial role in decision-making. When Nurse Sheila adjusts the client's plan of care after talking with them, she is considering the client's individual needs, values, and preferences. This aligns with the client-centered approach of EBP, where decisions are made collaboratively with the client.
Incorrect choices:
A: Best available research - While research is important in EBP, in this scenario, the focus is on the client's preferences rather than solely relying on research evidence.
C: Nursing expertise - While nursing expertise is valuable, in this case, the emphasis is on incorporating the client's input into the plan of care.
D: Review of evidence - While reviewing evidence is a component of EBP, in this scenario, the main focus is on the client's preferences rather than the evidence alone.
Question 4 of 5
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
Correct Answer: D
Rationale: The correct answer is D because massaging pressure points can cause skin breakdown in a child in skeletal traction. The pressure exerted during massage can lead to tissue damage and compromise skin integrity. This can result in pressure ulcers or sores, which can be extremely detrimental to the child's recovery. Providing a high protein snack (
A) is beneficial for healing, assisting the child to reposition (
B) helps prevent complications, and placing weights as a child's bed (
C) is necessary for maintaining traction and should not be changed without proper authorization.
Question 5 of 5
As part of an interdisciplinary team, a nurse is assisting with a patient assessment to determine the most appropriate setting for treatment. The team decides that an acute ambulatory setting would be most appropriate. Which of the following would support the team's decision?
Correct Answer: C
Rationale: The correct answer is C. This choice supports the decision for an acute ambulatory setting because it indicates that the patient is unable to contract for treatment beyond initial care, suggesting they require immediate and continuous support.
A: This choice does not directly support the need for an acute ambulatory setting, as the severity of symptoms alone may not dictate the setting.
B: Marked impairment in daily life is concerning but does not necessarily indicate the need for an acute ambulatory setting specifically.
D: A limited ability to seek support is important but may not be the primary factor in determining the setting for treatment.