ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client who has bipolar disorder states,I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator. Which of the following findings is this client exhibiting?
Correct Answer: C
Rationale: Grandiosity is an inflated sense of self-importance and unrealistic beliefs in one's abilities as demonstrated by the client's statement about being able to fly and become a U.S. Senator. Reality testing involves distinguishing reality derealization involves feeling the world is unreal and flight of ideas involves rapid topic shifts none of which fit the client's statement.
Question 2 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Solution: 150 mg is to 1 capsule as 300 mg is to x capsules. So 150 / 1 = 300 / x. Cross-multiplying: 150x = 300. Dividing both sides by 150: x = 2.
Therefore the nurse should administer 2 capsules per dose.
Question 3 of 5
A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?
Correct Answer: C
Rationale: A skin rash is a serious adverse effect of lamotrigine as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) which require immediate medical intervention. Other side effects are less urgent.
Question 4 of 5
A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Correct Answer: A
Rationale: Alprazolam is a benzodiazepine that can cause drowsiness dizziness and impair motor coordination.
Therefore the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them. Other options are incorrect for alprazolam.
Question 5 of 5
The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)
Correct Answer: B,C
Rationale: The absence of a gag reflex increases the risk of aspiration and a respiratory rate of 6 breaths per minute indicates respiratory depression both warranting delay in transfer. Cough normal urine output heart rate and capillary refill do not indicate complications requiring delay.