ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a history of substance use disorder and states,"People are out to get me. The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: D
Rationale: Cocaine toxicity is the most likely cause of the client's symptoms. Cocaine can lead to paranoia tachycardia and hypertension. The combination of these symptoms suggests acute cocaine toxicity making it the priority concern for the nurse. Prompt intervention is necessary to address the potential life-threatening effects of cocaine toxicity.
Question 2 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: C
Rationale: Low sodium levels impair lithium excretion increasing toxicity risk requiring immediate reporting.
Question 3 of 5
A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: D
Rationale: Methylphenidate is a first-line treatment for ADHD improving focus and reducing hyperactivity in children.
Question 4 of 5
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?
Correct Answer: C
Rationale: Rationalization involves justifying behavior with logical excuses as seen in blaming the boss for the missed promotion.
Question 5 of 5
A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,E
Rationale: BLanugo bradycardia and Russell's sign are common in anorexia due to malnutrition and purging behaviors.