ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client’s ability to cope?
Correct Answer: C
Rationale: Impact question assesses coping broadly. Okay question limits scope, hygiene is practical, 'why' risks defensiveness.
Question 2 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate 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: 10
Rationale: 40 mg/day ÷ 2 doses = 20 mg/dose; 10 mg/5 mL = 2 mg/mL; 20 mg ÷ 2 mg/mL = 10 mL/dose.
Extract:
Diagnostic Results
Day 1 at 1530:
WBC count 7,700/mm3 (5,000 to 10,000/mm3)
Indicates Potential Improvement
Indicates Potential
Worsening
Hgb 14% (12% to 16%)
Hct 42% (37% to 47%)
Day 2 at 0600:
Lithium level 1.9 mEq/L (less than 1.5 mEq/L) Glucose level 90 mg/dL (74 to 106 mg/dL)
Vital Signs
Day 1 at 1600:
Temperature 37° C (98.6° F) Respiratory rate 18/min
Pulse rate 84/min
Blood pressure 114/64 mm Hg
Day 2 at 0800:
Temperature 36.9° C (98.4° F)
Respiratory rate 16/min
Pulse rate 88/min
Blood pressure 98/56 mm Hg
Medical History
Day 1 at 1500:
Bipolar disorder
Laparoscopic appendectomy at age 8 years old
Physical Examination
Day 1 at 1600:
Client reports mild nausea. Fine hand tremors noted. Lungs clear, bowel sounds active
Day 2 at 0630:
Client awake but appears fatigued. Movements and speech somewhat slowed. Lungs clear, abdomen soft with active bowel sounds. Client voided a large amount of dilute yellow urine. Uncoordinated gait noted when ambulating to bathroom. Client reports blurred vision and noted to frequently rub eyes. Client fell asleep prior to end of assessment.
.
Question 3 of 5
The nurse is reviewing the client’s medical record at 0830 on day 2 of admission. For each finding, click to specify whether the finding indicates a potential improvement in or a potential worsening of the client’s condition.
| Options | Indicates Potential | Indicates Potential |
|---|---|---|
| Blurred vision | ||
| Blood pressure | ||
| Urine amount and color | ||
| Lithium level | ||
| Gait when ambulating |
Correct Answer:
Rationale: Blurred vision and gait (toxicity signs) worsen with lithium 1.9 mEq/L; BP stable, urine normal improve.
Extract:
Question 4 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client’s recovery?
Correct Answer: D
Rationale: Friend’s move causes emotional stress, hindering recovery. Walking, no coffee, and exercise aid healing.
Question 5 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Post-meal presence supports and prevents purging. Weighing increases focus, snacks disrupt, menu planning secondary.