ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules 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
Rationale:
Correct
Answer: 2
Rationale:
To calculate the number of capsules needed per dose, divide the desired dose by the dose available per capsule. In this case, 50 mg / 25 mg = 2 capsules. The nurse should administer 2 capsules per dose to achieve the desired 50 mg dosage.
Summary of Other
Choices:
A: If the nurse administers 1 capsule, the dosage would be insufficient at 25 mg instead of the required 50 mg.
B, C, D, E, F, G: These choices are not correct as they do not follow the correct calculation method of dividing the desired dose by the dose available per capsule.
Question 2 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules 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
Rationale:
To calculate how many capsules the nurse should administer, divide the total dose by the dose per capsule. In this case, 300 mg ÷ 150 mg = 2 capsules. The correct answer is 2 because each capsule contains 150 mg of lithium carbonate, and the total dose required is 300 mg.
Choice A would be incorrect as it does not follow the calculation. Other choices are incorrect as they do not align with the proper calculation method of dividing the total dose by the dose per capsule.
Question 3 of 5
A 25-year-old patient with generalized anxiety disorder presents to the ED with shortness of breath,dizziness,and tingling in the fingers. The nurse reviews the ABG results: pH: 7.50 PaCO2: 30 mmHg HCO3: 24 mEq/L. What is the most likely acid-base imbalance?
Correct Answer: C
Rationale: The correct answer is C: Respiratory alkalosis. The ABG values show an elevated pH (alkalosis) along with a decreased PaCO2 (respiratory component) and normal HCO3 (metabolic component). This pattern indicates a primary respiratory issue leading to hyperventilation, causing excessive CO2 elimination and resulting in alkalosis. Shortness of breath and tingling in the fingers are common symptoms of respiratory alkalosis due to the hyperventilation-induced changes in blood pH.
Choices A, B, and D are incorrect as they do not align with the ABG results provided. Respiratory acidosis would show a low pH with elevated PaCO2, metabolic alkalosis would show an elevated pH with elevated HCO3, and metabolic acidosis would show a low pH with decreased HCO3.
Question 4 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: B
Rationale: The correct answer is B, a private room close to the nursing station. This choice ensures the client's safety and allows for close monitoring by the nursing staff. Being in a private room minimizes distractions and potential triggers for the manic episode. Additionally, the proximity to the nursing station enables quick intervention in case of escalating behaviors.
Choice A is incorrect because having a roommate with a similar diagnosis may lead to potential conflicts or exacerbate the manic symptoms.
Choice C, seclusion room, is inappropriate as it can be distressing and should be used as a last resort for safety concerns.
Choice D, a private room in a quiet location, is less ideal than choice B as it may not provide immediate access to staff for support and monitoring.
Question 5 of 5
A symptom commonly associated with panic attacks?
Correct Answer: A
Rationale: The correct answer is A: Fear of impending doom. Panic attacks are characterized by intense fear or discomfort, often accompanied by physical symptoms like palpitations and sweating. The fear of impending doom is a hallmark symptom of panic attacks, reflecting the overwhelming sense of dread and anxiety experienced during an episode.
Choice B, obsessions, refers to persistent, intrusive thoughts and is not typically a primary symptom of panic attacks.
Choice C, apathy, signifies a lack of interest or emotion and is not a common feature of panic attacks.
Choice D, fever, is a symptom associated with infections or other medical conditions, not panic attacks.