ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Inviting the client to share fosters therapeutic processing of grief. A dismisses uniqueness, C shifts focus, and D pushes prematurely.
Extract:
Nurses’ Notes
Admission:
• Gastrointestinal upset
• Uncoordinated gait
• Client fell asleep during assessment
12 hr later:
• Client reports blurred vision
• Pale, dry mucous membranes
• Urine output 40 mL/hr
Medical History
• History of bipolar disorder
• Water toxicity
Vital Signs
Admission:
• Temperature 37.7°C (99.9°F)
• Respiratory rate 18/min
• Pulse rate 84/min
• BP 130/84 mmHg
12 hr later:
• Temperature 37°C (98.6°F)
• Respiratory rate 16/min
• Pulse rate 96/min
• BP 88/50 mm Hg
Diagnostic Results
Admission:
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L)
• Glucose level 90 mg/dL (74 to 106 mg/dL)
• Sodium 133 mEq/L (135 to 145 mEq/L)
12 hr later:
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L)
• Glucose level 80 mg/dL (74 to 106 mg/dL)
• Sodium 134 mEq/L (135 to 145 mEq/L)
Question 2 of 5
The nurse is collecting data from the client 12 hr. later. How should the nurse interpret the following findings? For each potential finding, specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| Vital signs | ||
| Mucous membranes | ||
| Vision | ||
| Lithium level | ||
| Urine output |
Correct Answer:
Rationale: Low vital signs (
A), dry membranes (
B), and blurred vision (
C) suggest worsening (dehydration/toxicity). Lower lithium (
D) and normal urine (E) indicate improvement.
Extract:
Vital Signs
• Heart rate 115/min
• Respiratory rate 20/min
• BP 90/65 mm Hg
• Temperature 38.6°C (101.5°F)
Nurses’ Notes
0800:
Client is 3 days postoperative. Currently disoriented to time and place, oriented to self. Client is displaying disorganized thinking, a lack of attention when spoken to, and rambling speech that is incoherent at times. Client attempts to get out of bed without assistance. Changes in client’s behavior began the prior evening and client has been awake most of the night. Client has refused to eat or drink since the previous day.
Intake and output from previous day: 250 mL intake, 2,500 mL output.
Call placed to provider to report findings.
0830:
IV fluids initiated by RN. Urine and blood samples collected per provider’s prescription. Client continues to be restless.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client’s progress.
Correct Answer:
Rationale: Delirium (
A) fits postoperative symptoms. Monitor fluids (
A) addresses dehydration, family stay (E) aids orientation. Fall risk (
A) and sleep-wake (E) track progress.
Extract:
Question 4 of 5
A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?
Correct Answer: A
Rationale: Command hallucinations direct actions, like quitting eating (
A). B is a delusion, C is a visual hallucination, and D is paranoia, not commands.
Question 5 of 5
A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?
Correct Answer: B
Rationale: Cardiac arrhythmia increases ECT risks due to seizure-induced heart stress. Renal colic (
A), asthma (
C), and Crohn’s (
D) require management but aren’t direct contraindications.