ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Medical History
• Diagnosed with anorexia nervosa at age 16.
• Participated in a weight restoration program 1 year ago.
Vital Signs
1200:
• Blood pressure: 99/59 mm Hg
• Temperature: 36.6°C (97.9°F)
• Heart rate: 58/min
• Respiratory rate: 20/min
• Oxygen saturation: 99% on room air
• Weight: 44.5 kg (98.1 lb)
• BMI: 18.5
• Height: 165.1 cm (65 in)
Nurses’ Notes
1200:
• 18-year-old client admitted to inpatient psychiatric unit after passing out at home. Client reports using laxatives and “making myself throw up after eating” for about 6 months.
1330:
• Reviewed client’s medical record and new diagnostic results; determined client is at risk for further health issues.
Diagnostic Results
1330:
• Basic metabolic panel:
o Glucose: 72 mg/dL (74 to 106 mg/dL)
o Calcium: 10.5 mg/dL (9 to 10.5 mg/dL)
o Sodium: 130 mEq/L (136 to 145 mEq/L)
o Potassium: 3.5 mEq/L (3.5 to 5 mEq/L)
o Magnesium: 2.2 mEq/L (1.3 to 2.1 mEq/L)
o Chloride: 100 mEq/L (98 to 106 mEq/L)
o BUN: 31 mg/dL (10 to 20 mg/dL)
o Creatinine: 3.0 mg/dL (0.5 to 1.0 mg/dL)
• Additional labs:
o Thyroxine, free (T4): 0.4 ng/dL (0.8 to 2.8 ng/dL)
Question 1 of 5
A nurse is reviewing the medical record of a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ----------------- and -------------------- .
| Heart Failure |
| Renal Failure |
| Hypomagnesemia |
| Hypothyroidism |
Correct Answer: B,D
Rationale: Elevated BUN and creatinine indicate renal failure; low T4 suggests hypothyroidism.
Extract:
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Impulsive behaviors flirtatious interactions and rapid speech are classic manic symptoms.
Question 3 of 5
A male client is admitted to the unit with a possible diagnosis of delirium. Which statement by the client's wife best supports the diagnosis?
Correct Answer: C
Rationale: Sudden behavioral changes are a hallmark of delirium unlike chronic conditions.
Question 4 of 5
The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following laboratory results is an expected finding?
Correct Answer: D
Rationale: Graves' disease suppresses TSH due to excessive thyroid hormone production.
Question 5 of 5
A nurse is providing teaching to a client diagnosed with schizophrenia and is prescribed haloperidol (Haldol). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Haloperidol may cause orthostatic hypotension leading to dizziness upon standing.