ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: A structured environment with predictable routines and consistent staff can help clients with PTSD feel more secure and reduce feelings of anxiety hypervigilance and paranoia. Predictability and structure are key interventions for clients with PTSD. Support groups and mindfulness may be helpful long-term and sedatives should be a secondary intervention after establishing a supportive environment.
Question 2 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.
Question 3 of 5
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. 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: 25 mg is to 1 capsule as 50 mg is to x capsules. So 25 / 1 = 50 / x. Cross-multiplying: 25x = 50. Dividing both sides by 25: x = 2.
Therefore the nurse should administer 2 capsules per dose.
Question 4 of 5
A symptom commonly associated with panic attacks?
Correct Answer: A
Rationale: A common symptom of panic attacks is the intense feeling of fear of impending doom which can overwhelm the individual during an attack. Obsessions are linked to OCD apathy to depression and fever to physical illness not panic attacks.
Question 5 of 5
A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?
Correct Answer: D
Rationale: An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction which is a concern for lithium use. Lithium is excreted by the kidneys and impaired renal function increases the risk of lithium toxicity. Normal potassium slightly low sodium and normal calcium do not warrant withholding the medication.