ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.
Question 2 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is an atypical antipsychotic medication known to suppress the immune system, leading to an increased risk of infections such as pneumonia. This instruction is crucial for the client's safety to monitor for signs of infection and seek medical attention promptly.
Choice A is incorrect as getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is irrelevant to clozapine use.
Choice D is incorrect as adequate fluid intake is essential to prevent constipation, a common side effect of clozapine.
Question 3 of 5
A nurse in a psychiatric unit is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use thought-stopping techniques. This is the best approach as thought-stopping techniques can help the client interrupt obsessive thoughts and reduce anxiety associated with compulsions. It empowers the client to gain control over their thoughts and behaviors.
A: Allowing the client to perform compulsive rituals reinforces the behavior and does not address the underlying issue.
B: Discouraging discussion about the compulsions can make the client feel isolated and misunderstood.
D: Limiting the client's decision-making opportunities may worsen feelings of lack of control and increase anxiety.
Question 4 of 5
A nurse is assessing a client who has opioid intoxication. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Pinpoint pupils. Opioid intoxication causes miosis, leading to constricted or pinpoint pupils due to the depression of the central nervous system. This is a classic sign of opioid overdose and helps differentiate it from other conditions. Hyperreflexia (
B) is more commonly seen in stimulant intoxication. Increased respiratory rate (
C) is not typically observed in opioid intoxication as opioids depress the respiratory drive. Dilated pupils (
D) are characteristic of stimulant intoxication, not opioids.
Question 5 of 5
A nurse in a psychiatric unit is providing discharge teaching to a client who has major depressive disorder and a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take the medication in the morning. This is because fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for major depressive disorder. Taking it in the morning helps minimize the risk of insomnia, a common side effect.
Choice B is incorrect as improvement may take weeks, not hours.
Choice C is incorrect as discontinuing abruptly can lead to withdrawal symptoms; medication should be taken as prescribed.
Choice D is incorrect as the instruction is not relevant to fluoxetine but is more applicable to MAOIs.