ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (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: The correct answer, indicated as 2.
Rationale: The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose. Calculation: 1 mg / 0.5 mg per tablet = 2 tablets.
Question 2 of 5
A nurse is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/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: 0.7
Rationale: The correct answer, indicated as 0.7.
Rationale:
To determine how many mL to administer, use the formula: mL = Desired Dose / Available Dose per mL. mL = 35 mg / 50 mg/mL = 0.7 mL. Thus, the nurse should administer 0.7 mL of diphenhydramine.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs. Determining the client’s stage of grief is the first step to understanding the client’s emotional state and providing appropriate support. Encouraging expression is important, but first, understanding the client’s grief stage will guide the intervention. Spiritual support is valuable, but first, understanding the client’s emotional response is necessary before offering this type of assistance.
Question 4 of 5
A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia. Dressing in all black is not indicative of acute mania and could be a sign of depression. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.
Question 5 of 5
A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Sending the client back to their room without addressing their feelings might worsen anxiety and frustration. Dismissing the client's request could escalate the behavior and contribute to feelings of neglect. Telling the client to wait might not address the underlying issue or concern. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help deescalate the situation and build trust.