ATI RN
ATI Mental Health Quiz Questions
Extract:
Question 1 of 5
A nurse is preparing to administer furosemide 2 mg/kg/day IV bolus divided in equal doses every 8 hr to a toddler who weighs 22 lb. Available is furosemide injection 5 mg/mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
Correct Answer: 1.3
Rationale: Convert 22 lb to 10 kg (22 × 0.454). Daily dose: 2 mg/kg × 10 kg = 20 mg. Divided into 3 doses (every 8 hr): 20 mg / 3 = 6.67 mg/dose. Volume: 6.67 mg / 5 mg/mL = 1.334 mL, rounded to 1.3 mL.
Question 2 of 5
A nurse is caring for a client on the adult psychiatric unit who is complaining that small children are playing on the floor his room. The care aide informs the nurse that the room is empty. How should the nurse therapeutically respond to the client?
Correct Answer: C
Rationale: Asking about the children (
C) engages the client gently, exploring potential hallucinations without confrontation. Personal anecdotes (
A), redirection (
B), or dismissal (
D) may minimize or invalidate the client’s perception.
Question 3 of 5
A client states to the nurse, 'I'm using my telepathic brain power to force the doctor to discharge me.' This is likely an example of which delusion?
Correct Answer: C
Rationale: Magical thinking involves believing one’s thoughts can control external events, like using telepathy to influence a discharge (
C). Grandeur (
A) involves exaggerated self-importance, persecution (
B) involves being targeted, and thought withdrawal (
D) involves thoughts being removed.
Question 4 of 5
A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the preassaultive stage of violence? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Defensive responses (
A), agitation (
D), and facial grimacing (E) indicate rising tension in the preassaultive stage. Lethargy (
B) suggests low energy, and disorientation (
C) is more related to cognitive issues.
Extract:
Nurses' Notes
1000:
Client became upset in activity room because they lost a card game.
Client yelled at other clients stating. "They always cheat me!”
Client walks to their room and sits on bed.
1015:
Client returns to activity room; posture tense, fists clenched, and yells and uses obscenities toward staff members and other clients.
Asked client to calm down, explained consequences of their inappropriate behavior, and to share what took place. Maintained safe distance and asked client to have seat to talk about their anger.
Client's behavior continues to escalate.
Question 5 of 5
Client's behavior continues to escalate. A nurse is caring for a client in an inpatient psychiatry unit, Drag words from the choices below to fill in each blank in the following sentence ,Which of the following actions should the nurse take first? The nurse should ___ followed by ___.
Correct Answer: C,D
Rationale: Offering a physical outlet (
C) like walking helps release energy non-threateningly, followed by medication (
D) if agitation persists. Restraints (
A) and physical contact (
B) risk escalation and are last resorts.