ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 7 mg of haloperidol IM to a client who is severely agitated. Haloperidol injection of 5 mg/mL is available. 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: 1.4
Rationale:
To determine the mL needed, divide the total dose by the concentration of the medication. In this case, 7 mg / 5 mg/mL = 1.4 mL. The correct answer is 1.4 mL.
Choice A, 2.5 mL, is incorrect as it is not the result of the correct calculation.
Choices B, C, D, E, F, and G are also incorrect as they do not reflect the accurate calculation based on the dose and concentration provided.
Question 2 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose 256 mg/dL (74 to 106 mg/dL). This finding is concerning because risperidone, an antipsychotic medication, can cause metabolic side effects such as hyperglycemia. High blood glucose levels can lead to serious complications like diabetic ketoacidosis. The nurse should notify the provider for further evaluation and management.
The other choices (B, C,
D) fall within the normal reference ranges and do not indicate any immediate concerns related to the client's condition or medication.
Therefore, they do not require immediate notification to the provider.
Question 3 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: D
Rationale: The correct answer is D. Offering to contact the client's spiritual advisor shows support for the client's spiritual needs, providing them with an opportunity to seek comfort and guidance from someone who shares their beliefs. This action respects the client's autonomy and individual preferences. It acknowledges the importance of spirituality in the grieving process, which can provide solace and coping mechanisms.
Options A, B, and C are incorrect:
A: Encouraging the client to internalize their feelings may hinder the grieving process and inhibit emotional expression, potentially leading to unresolved issues.
B: Changing the subject when the client expresses anger dismisses their emotions and prevents them from processing their feelings effectively.
C: Allowing the client to be alone during times of spiritual inadequacy may exacerbate feelings of isolation and hinder their ability to seek support and comfort.
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 4 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Action to Take: A, A; Potential Condition: C; Parameter to Monitor: B, D.
Rationale: The client is likely experiencing schizophrenia based on brought in by the police, so actions to take include providing a safe environment (placing client in a room near the nurses' station) and administering antipsychotic medications to address the condition. Potential condition of seizures (
C) should be monitored closely. Parameters to monitor include behavior changes (
B) and medication efficacy (
D) to assess progress and ensure safety. Other choices are incorrect as they do not align with the client's likely condition or best practices in mental health care.
Extract:
Question 5 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.