ATI RN
ATI Mental Health Exam II Questions
Question 1 of 5
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: D
Rationale: The correct answer is D. Seclusion is contraindicated for a client following a suicide attempt due to the increased risk of self-harm in isolation. Seclusion may exacerbate the client's emotional distress and feelings of hopelessness, leading to potential reattempted suicide.
Choice A is incorrect because seclusion may be necessary to protect other clients from harm.
Choice B is incorrect as seclusion can provide a calming environment for a manic client.
Choice C is incorrect as seclusion may be necessary to prevent harm to staff from a client attempting to bite.
Question 2 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Haloperidol is an antipsychotic medication that can cause QT prolongation, leading to dysrhythmias such as torsades de pointes. The nurse should monitor the client's ECG for any signs of QT prolongation and dysrhythmias. Bleeding (
A) is not a common adverse effect of haloperidol. Cataracts (
B) are more associated with long-term use of antipsychotic medications. Pancreatitis (
D) is not a common adverse effect of haloperidol.
Question 3 of 5
A nurse is preparing to minister amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
Correct Answer: 7
Rationale: The correct answer is 7 mL.
To calculate this, we first determine the amount of amoxicillin in 350 mg, which is 350 mg.
Then, we set up a proportion: 250 mg is in 5 mL, so 350 mg is x mL. Cross multiplying, we get x = (350 mg * 5 mL) / 250 mg = 7 mL.
Therefore, the nurse should administer 7 mL.
Other choices are incorrect because:
A: 8 mL - Incorrect, as the correct answer is 7 mL.
B: 6 mL - Incorrect, as it does not match the calculated amount.
C: 5 mL - Incorrect, as it is not the correct amount based on the calculation.
D: 9 mL - Incorrect, as it is higher than the calculated amount.
E: 4 mL - Incorrect, as it is lower than the calculated amount.
F: 10 mL - Incorrect, as it is higher than the
Question 4 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A. Running 4 miles outdoors every afternoon can lead to increased sweating, which can cause dehydration. Lithium is excreted by the kidneys, and dehydration can decrease kidney function, leading to an increased risk of lithium toxicity.
Choice B is incorrect because consuming sodium-containing foods helps to maintain electrolyte balance, which is important for lithium therapy.
Choice C is incorrect because adequate fluid intake is important to prevent dehydration and maintain kidney function.
Choice D is incorrect because tyramine is not directly related to lithium toxicity.
Question 5 of 5
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
Correct Answer: C
Rationale: The correct answer is C because losing 20 lb in the past 2 months indicates significant physical and emotional stress, which is a sign of caregiver role strain. This weight loss could be due to neglecting one's own needs while caring for a loved one with Alzheimer's. Placing locks at the top of doors (choice
A) is a safety precaution. Hiring a house cleaner (choice
B) is a practical solution to manage household tasks. Redirecting the client when frustrated (choice
D) is a positive caregiving technique.