ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid-induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL 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 mL
Rationale: Amount to administer =
Total dose required (0.4 mg) ÷ Concentration (0.2 mg/mL) = 2 mL. The nurse should administer 2 mL of naloxone.
Question 2 of 5
The nurse is completing a family assessment for a victim of intimate partner violence. Which characteristic of the abuser will the nurse identify when completing the assessment?
Correct Answer: B
Rationale: Abusers often display controlling behavior including possessiveness and neediness limiting the victim’s freedom. Remorse is less common high self-esteem is not universal and encouraging independence contradicts typical abuser behavior.
Question 3 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6 mL
Rationale:
Step 1: Determine dosage per mL: 8 mg ÷ 0.4 mL = 20 mg/mL.
Step 2: Calculate volume for 12 mg: 12 mg ÷ 20 mg/mL = 0.6 mL. The nurse should administer 0.6 mL.
Question 4 of 5
The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?
Correct Answer: B
Rationale: Assessing safety identifies risks like domestic violence a critical priority. Financial substance use and medical care questions are secondary to immediate safety concerns.
Question 5 of 5
A client with depression is admitted for voluntary treatment. While in the hospital the client makes several comments about leaving the facility and killing themselves with their gun. Which is the most appropriate action by the nurse when the client requests to leave against medical advice?
Correct Answer: D
Rationale: Expressing suicidal ideation with a specific plan raises serious safety concerns. Initiating commitment proceedings allows for legal detention and evaluation to ensure the client’s safety. Calling security may escalate the situation family persuasion may be insufficient and allowing departure ignores the immediate risk.