ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse in a PACU is admitting a client who is postoperative following anesthesia from the waist down. Which of the following interventions should the nurse take to prevent aspiration?
Correct Answer: B
Rationale: Suctioning removes secretions reducing aspiration risk post-anesthesia.
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: Haloperidol can cause dysrhythmias by prolonging the QT interval.
Question 3 of 5
A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care?
Correct Answer: B
Rationale: Releasing restraints hourly prevents skin issues and protects the surgical site.
Question 4 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture. Which one of the following should the nurse include in the plan of care?
Correct Answer: D
Rationale:
Topical anesthetic reduces pain during the lumbar puncture.
Question 5 of 5
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: Projecting failure onto the teacher avoids personal responsibility.