ATI RN
ATI Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?
Correct Answer: D
Rationale: Parental mental illness like major depressive disorder creates a stressful environment increasing the risk of conduct disorder.
Question 2 of 5
The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 mL of fluid. Solve for mL/hr.
Correct Answer: 3
Rationale: Lidocaine at 2 mg/min (2000 mcg/min) with a concentration of 4000 mcg/mL yields 3 mL/hr (2000 x 60 / 4000).
Question 3 of 5
A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?
Correct Answer: C
Rationale: Heavy menstrual bleeding and low hemoglobin/hematocrit suggest iron deficiency anemia.
Question 4 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: Dobutamine infusion Calculation(ans only):
Client weight: 220 pounds
Dobutamine dose ordered: 5.5 mcg/kg/min
Dobutamine concentration: 750 mg in 500 mL
Conversion factor: 1 mg = 1000 mcg
1 kg = 2.2 pounds
Calculations:
Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
mcg/min: 550 mcg/min
mcg/hr: 33000 mcg/hr
mL/hr: 22 mL/hr
Question 5 of 5
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct Answer: B,D
Rationale: Deep breathing prevents respiratory complications and voice checks detect nerve injury post-thyroidectomy.