ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should describe during the medical evaluation?
Correct Answer: B
Rationale: The correct answer is B: ECG. When evaluating a client with bulimia nervosa, an ECG is crucial to assess for potential cardiac complications due to electrolyte imbalances from purging behaviors. This test helps to detect irregularities in heart rhythm or structure. Chest x-ray (
A) is not typically indicated for bulimia nervosa. Coagulation studies (
C) are more relevant for assessing clotting disorders, not commonly associated with bulimia nervosa. Liver function test (
D) is important for assessing liver health but not usually a priority in the initial evaluation of bulimia nervosa.
Question 2 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 3 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 for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Cancel the scheduled ECT procedure. The nurse cannot proceed with any medical procedure without the client's explicit consent. Even though the client verbally agreed, not signing the consent form indicates lack of full understanding or hesitancy. It is crucial to respect the client's autonomy and decision-making capacity. Requesting the partner to sign (
A) is not appropriate as it bypasses the client's autonomy. Proceeding with implied consent (
C) may violate the client's rights. Informing the client about the risks of refusing (
D) is important but does not address the immediate issue of lack of consent.
Question 5 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.