ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following nursing actions is the highest priority?
Correct Answer: C
Rationale: Protecting from injury is the priority to ensure safety during acute anxiety.
Question 2 of 5
A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system,the client responds My mom died last year, and I have been in foster care ever since. I don't have many friends. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Grief support groups provide peer support aiding coping and social connection for the client’s loss.
Extract:
Medical History
• Diagnosed with anorexia nervosa at age 16.
• Participated in a weight restoration program 1 year ago.
Vital Signs
1200:
• Blood pressure: 99/59 mm Hg
• Temperature: 36.6°C (97.9°F)
• Heart rate: 58/min
• Respiratory rate: 20/min
• Oxygen saturation: 99% on room air
• Weight: 44.5 kg (98.1 lb)
• BMI: 18.5
• Height: 165.1 cm (65 in)
Nurses’ Notes
1200:
• 18-year-old client admitted to inpatient psychiatric unit after passing out at home. Client reports using laxatives and “making myself throw up after eating” for about 6 months.
1330:
• Reviewed client’s medical record and new diagnostic results; determined client is at risk for further health issues.
Diagnostic Results
1330:
• Basic metabolic panel:
o Glucose: 72 mg/dL (74 to 106 mg/dL)
o Calcium: 10.5 mg/dL (9 to 10.5 mg/dL)
o Sodium: 130 mEq/L (136 to 145 mEq/L)
o Potassium: 3.5 mEq/L (3.5 to 5 mEq/L)
o Magnesium: 2.2 mEq/L (1.3 to 2.1 mEq/L)
o Chloride: 100 mEq/L (98 to 106 mEq/L)
o BUN: 31 mg/dL (10 to 20 mg/dL)
o Creatinine: 3.0 mg/dL (0.5 to 1.0 mg/dL)
• Additional labs:
o Thyroxine, free (T4): 0.4 ng/dL (0.8 to 2.8 ng/dL)
Question 3 of 5
A nurse is reviewing the medical record of a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ----------------- and -------------------- .
| Heart Failure |
| Renal Failure |
| Hypomagnesemia |
| Hypothyroidism |
Correct Answer: B,D
Rationale: Elevated BUN and creatinine indicate renal failure; low T4 suggests hypothyroidism.
Extract:
Question 4 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: D
Rationale: The comment about social isolation suggests potential depression or low self-esteem requiring urgent attention.
Question 5 of 5
Administer Dopamine 3 mcg/kg/min. The client weighs 176 pounds. The drug is available as 500 mg in 250 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Do not round your answer and include unit of measure with each answer)
Correct Answer: 7.2
Rationale: Answers: mcg/min: 240 mcg/min, mcg/hr: 14400 mcg/hr, mL/hr: 7.2 mL/hr 240 mcg/min 14400 mcg/hr 7.2 mL/hr Weight conversion (176 lbs / 2.2 = 80 kg) and Calculation(ans only)s yield 240 mcg/min (3 mcg/kg/min x 80 kg) 14400 mcg/hr (240 x 60) and 7.2 mL/hr (14400 / 2000 mcg/mL).