ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: A
Rationale: Valproate is associated with potential liver toxicity so liver function tests must be monitored regularly during treatment. Thyroid tests EEGs and high sodium levels are not directly related to valproate therapy.
Question 3 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.
Question 4 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (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: 50 mcg is to 1 tablet as 100 mcg is to x tablets. So 50 / 1 = 100 / x. Cross-multiplying: 50x = 100. Dividing both sides by 50: x = 2.
Therefore the nurse should administer 2 tablets daily.
Question 5 of 5
A nurse in the emergency department is caring for a client who reports chest pain,headache,and shortness of breath. He continues to state,I don't know why my wife left me. The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?
Correct Answer: A
Rationale: The client's physical symptoms (chest pain headache shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety which is marked by intense physical and emotional distress. Moderate mild and severe anxiety do not present with such intense physical symptoms.