ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information provided by the client that cannot be directly observed or measured by the nurse such as nausea. Objective data like blood pressure cyanosis and petechiae can be observed or measured. Nausea relies on the client’s self-report making it subjective.
Question 2 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6 mL
Rationale:
Step 1: Determine dosage per mL: 8 mg ÷ 0.4 mL = 20 mg/mL.
Step 2: Calculate volume for 12 mg: 12 mg ÷ 20 mg/mL = 0.6 mL. The nurse should administer 0.6 mL.
Question 3 of 5
A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid-induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL 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: 2 mL
Rationale: Amount to administer =
Total dose required (0.4 mg) ÷ Concentration (0.2 mg/mL) = 2 mL. The nurse should administer 2 mL of naloxone.
Question 4 of 5
A client with depression is admitted for voluntary treatment. While in the hospital the client makes several comments about leaving the facility and killing themselves with their gun. Which is the most appropriate action by the nurse when the client requests to leave against medical advice?
Correct Answer: D
Rationale: Expressing suicidal ideation with a specific plan raises serious safety concerns. Initiating commitment proceedings allows for legal detention and evaluation to ensure the client’s safety. Calling security may escalate the situation family persuasion may be insufficient and allowing departure ignores the immediate risk.
Question 5 of 5
The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse 'What do you think about that?' Which is the best response by the nurse?
Correct Answer: C
Rationale: This response is the most supportive and empowering for the client. It acknowledges the client's agency in making decisions and conveys hope that leaving may prompt the partner to realize the need to change their behavior. It avoids fear generalizations or threats fostering a non-judgmental environment.