ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?
Correct Answer: D
Rationale: The nurse should assess the client with a left-sided stroke first (
Choice
D) due to the severe headache and confusion, indicating a potential worsening neurological status that requires immediate intervention. This client may be experiencing a stroke complication like hemorrhage or increased intracranial pressure, necessitating urgent assessment and treatment to prevent further neurological damage.
Choice A has a blood glucose level within the normal range for type 2 diabetes and can be assessed after the client with a potential neurological emergency.
Choice B's client with diabetes insipidus has a slight fluid imbalance but is stable and can be assessed after the higher priority client.
Choice C's client with Graves' disease has symptoms related to hyperthyroidism, which are concerning but not immediately life-threatening compared to a neurological emergency.
Question 2 of 5
A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. In a thyroid storm, there is an excessive release of thyroid hormones, leading to increased metabolic rate and sympathetic nervous system activity. This results in symptoms such as tachycardia, hypertension, fever, and agitation. Tachycardia is a hallmark sign of thyroid storm due to the increased demand on the cardiovascular system.
Choices A, B, and D are incorrect. Coma is a severe complication of thyroid storm but not an early finding. Hypothermia is not expected in thyroid storm due to increased metabolic rate. Fruity smelling breath is associated with diabetic ketoacidosis, not thyroid storm.
Question 3 of 5
Give Dobutamine 5.5 mcg/kg/min. The drug is available as 750 mg in 500 ml of fluid. The client weighs 220 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include the unit of measure for each answer).
Correct Answer: 22
Rationale:
To calculate mcg/min, first convert the client's weight to kg (220 lbs / 2.2 = 100 kg).
Then, multiply the weight by the dose (100 kg * 5.5 mcg/kg/min = 550 mcg/min).
To convert mcg/min to mcg/hr, multiply by 60 (550 mcg/min * 60 = 33,000 mcg/hr).
To find ml/hr, divide the total dose (750 mg) by the concentration (500 ml) to get mg/ml (750 mg / 500 ml = 1.5 mg/ml). Lastly, divide the hourly dose in mg by mg/ml to get ml/hr (33,000 mcg/hr / 1.5 mg/ml = 22 ml/hr).
Therefore, the correct answer is 22 ml/hr. Other choices are incorrect due to miscalculations or skipping conversion steps.
Question 4 of 5
A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?
Correct Answer: D
Rationale:
Correct
Answer: D (Conduct Disorder - C
D)
Rationale: Conduct Disorder is characterized by a repetitive and persistent pattern of behavior that violates the rights of others, such as aggression towards people or animals, destruction of property, deceitfulness, or theft. In this scenario, the child's behavior of bullying other kids and intentionally causing harm by loading a virus onto the teacher's computer aligns with the criteria for Conduct Disorder. This diagnosis reflects a more severe and pervasive pattern of behavior compared to the other options.
Incorrect
Choices:
A: Oppositional Defiant Disorder (OD
D) involves a pattern of angry/irritable mood, argumentative/defiant behavior, but does not involve the severe aggressive behaviors seen in the scenario.
B: Attention Deficit Hyperactivity Disorder (ADH
D) is characterized by inattention, impulsivity, and hyperactivity, but not the deliberate harm to others shown in the scenario.
C: Intermittent Explosive Disorder (IE
D) involves recurrent behavioral outbur
Question 5 of 5
Which of the following is a potential dietary recommendation for a client with iron-deficiency anemia?
Correct Answer: B,D
Rationale: The correct answers are B and D.
Choice B suggests focusing on consuming foods high in vitamin C to enhance iron absorption, which is crucial for a client with iron-deficiency anemia as vitamin C helps increase the absorption of non-heme iron from plant-based sources.
Choice D recommends increasing intake of iron-rich foods such as red meat and spinach, which are good sources of heme iron that is more easily absorbed by the body compared to non-heme iron.
Choices A and C are incorrect as limiting iron-rich foods or avoiding foods high in iron can worsen the client's condition.