ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse caring for a client who has a deep vein thrombosis and is prescribed heparin by continuous infusion at 1,200 U/hr. Available is heparin 25,000 units in 500 mL DSW. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 24
Rationale:
To calculate mL/hr: mL/hr = (
Total units required per hour) / (Units/mL in the solution).
Total units required = 1,200 U/hr. Units/mL = 25,000 U / 500 mL = 50 U/mL. mL/hr = 1,200 U/hr / 50 U/mL = 24 mL/hr.
Question 2 of 5
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take?
Correct Answer: A
Rationale: Monitoring the client's weight on a regular schedule is important in managing anorexia nervosa. It helps track progress and any potential complications related to weight loss.
Question 3 of 5
A nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: This statement implies a biased approach, suggesting that the client should prioritize their partner's perspective over their own. While empathy and understanding are important in relationships, it's not appropriate for a healthcare professional to imply that one perspective is more important than the other.
Question 4 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Establishing clear behavioral limits is crucial for maintaining safety and order in the psychiatric unit.
Question 5 of 5
A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about he desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?
Correct Answer: D
Rationale: The client's statement about having a desire to harm others, especially classmates and a school teacher, raises significant concerns about the safety and well-being of not only the client but also the potential victims. In cases where the client poses a risk of harm to themselves or others, the nurse has a duty to breach confidentiality to ensure the safety of all involved parties.