ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium?
Correct Answer: D
Rationale: Attempting to leave and confusion suggest delirium.
Question 2 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Calculations memory orientation and recall assess dementia’s cognitive impact.
Question 3 of 5
A nurse in a PACU is admitting a client who is postoperative following anesthesia from the waist down. Which of the following interventions should the nurse take to prevent aspiration?
Correct Answer: B
Rationale: Suctioning removes secretions reducing aspiration risk post-anesthesia.
Question 4 of 5
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: B
Rationale: Twice-daily catheterization may be insufficient risking urinary complications.
Question 5 of 5
A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Jelly-like stools are a characteristic sign of intussusception in infants.