ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?
Correct Answer: D
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and is considered toxic.
Toxicity can lead to serious side effects like tremors confusion and renal dysfunction. The level is neither therapeutic nor below therapeutic.
Question 2 of 5
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules should the nurse administer per dose? (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: Solution: 25 mg is to 1 capsule as 50 mg is to x capsules. So 25 / 1 = 50 / x. Cross-multiplying: 25x = 50. Dividing both sides by 25: x = 2.
Therefore the nurse should administer 2 capsules per dose.
Question 3 of 5
A patient with bipolar II disorder is most likely to experience:
Correct Answer: C
Rationale: Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania and individuals with bipolar II do not experience full manic episodes as in bipolar I. Persistent low-grade depression without hypomania is not typical psychosis is more common in bipolar I and severe manic episodes are also characteristic of bipolar I.
Question 4 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first step in managing obsessive-compulsive disorder (OC
D) is understanding the triggers or precipitating factors for the client's ritualistic behaviors. This helps the nurse identify patterns and understand the client's anxiety which is essential for planning further interventions.
Question 5 of 5
The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)
Correct Answer: B,C
Rationale: The absence of a gag reflex increases the risk of aspiration and a respiratory rate of 6 breaths per minute indicates respiratory depression both warranting delay in transfer. Cough normal urine output heart rate and capillary refill do not indicate complications requiring delay.