ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Determining the immediate safety needs of the child is critical, assessing injury severity and danger to prevent further harm. Reporting abuse (
A), removing the parent (
B), or questioning the child (
D) follow after ensuring safety.
Question 2 of 5
A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Continuous one-to-one observation ensures safety, preventing further harm. Contracts (
A) are not guarantees, rapport (
C) is secondary, and group therapy (
D) is inappropriate initially.
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: Blood pH 7.60 indicates alkalosis, risking arrhythmias, requiring urgent intervention. Lanugo (
A), edema (
B), and normal BUN (
C) are concerning but less immediate.
Question 5 of 5
A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?
Correct Answer: A
Rationale: Moderate-stage Alzheimer’s involves confusion and wandering, requiring close monitoring for safety. Schizotypal (
B), alcohol use (
C), and dependent personality (
D) disorders pose fewer immediate physical risks.