ATI RN
ATI Mental Health 2023 II Questions
Question 1 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: B
Rationale: Social skills development is key for ASD. Delusions aren’t typical, manipulation not primary, peer pressure not a goal.
Extract:
Vital Signs
Admission, 1600:
Temperature 36.1° C (97° F)
Blood pressure 98/66 mm Hg
Heart rate 76/min
Respiratory rate 10/min
Pulse oximetry 95% on room air
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
Nurses' Notes
Client brought in by a family member who states that the client has been drinking "nonstop since the death of the client's parents 3 months ago."
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client's family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states, "Everything combined caused the drinking to start again." Family member estimates the client's last drink was 2 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding.
Question 2 of 5
The nurse should first administer ___ followed by administering ___
Correct Answer: A,B
Rationale: Metoclopramide treats vomiting first, then propranolol manages tachycardia/BP.
Extract:
Question 3 of 5
A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?
Correct Answer: B
Rationale: Tying a child to a bed is abuse, requiring mandatory reporting. Marijuana use, theft, and lying aren’t reportable unless harm is imminent.
Question 4 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: B
Rationale: Cocaine, a stimulant, increases blood pressure via sympathetic activation. It causes tachycardia (not bradycardia), alertness (not lethargy), and hyperthermia (not hypothermia).
Question 5 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client’s ability to cope?
Correct Answer: C
Rationale: Impact question assesses coping broadly. Okay question limits scope, hygiene is practical, 'why' risks defensiveness.