ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is preparing to assist with applying a cast to a preschooler’s arm. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wrap the arm of the child’s doll or toy prior to the procedure. This action helps the child understand and visualize what will happen during the procedure, reducing anxiety. It also provides an opportunity for the child to participate in the process, fostering a sense of control and empowerment. Additionally, wrapping the doll's arm serves as a distraction for the child, making the experience less intimidating.
Choice A is incorrect because using a heated fan can cause burns and discomfort to the child.
Choice B is incorrect as supporting the casted arm with a firm grasp can interfere with the drying process and distort the shape of the cast.
Choice C is incorrect because it provides false reassurance and may lead to distrust if the child experiences discomfort.
Question 2 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Haloperidol can prolong the QT interval leading to dysrhythmias like torsades de pointes. The nurse should monitor the client's ECG for any changes. Bleeding (
A), pancreatitis (
B), and cataracts (
D) are not common adverse effects of haloperidol.
Question 3 of 5
A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Bring your baby in to the clinic today. This response is appropriate because projectile vomiting in a 2-month-old infant could be a sign of a serious condition like pyloric stenosis, which requires immediate medical attention. Switching formula or burping more frequently won't address the underlying issue. Giving oral rehydration solution may not be suitable without a proper diagnosis. Encouraging the parent to bring the baby to the clinic allows for a thorough evaluation by healthcare professionals to determine the cause of the symptoms and provide appropriate treatment.
Question 4 of 5
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Muscle tremors. A calcium level of 8.0 mg/dL in a preschooler indicates hypocalcemia. Muscle tremors are a common manifestation of hypocalcemia due to the effect of low calcium levels on nerve and muscle function. Chvostek's sign is a facial muscle spasm elicited by tapping the facial nerve and is associated with hypocalcemia, so it should be positive, not negative. Polyuria is not typically associated with hypocalcemia. Dry, sticky mucous membranes are more indicative of dehydration rather than hypocalcemia. In summary, muscle tremors are the most likely finding due to the low calcium level in the preschooler.
Question 5 of 5
A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical corticosteroid ointment to the affected area. This is the correct instruction because corticosteroid ointments are commonly used to reduce inflammation and itchiness associated with eczema. They help to alleviate symptoms and improve the skin condition.
A: Laundering clothing with fabric softener is not recommended as it can irritate the skin further.
B: Dressing the child in woolen clothes can also worsen eczema symptoms as wool can be abrasive and irritating to sensitive skin.
C: Giving the child a bubble bath every day can strip the skin of its natural oils, leading to further dryness and irritation.
Therefore, option D is the most appropriate instruction for managing eczema in a preschooler.