ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused malnourished and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: D
Rationale: Interviewing alone assesses for abuse given the client’s reluctance and daughter’s interruptions.
Choice A is secondary.
Choice B is premature without safety assessment.
Choice C risks unreliable information.
Question 2 of 5
One liter of normal saline is to infuse over 8 hours. At what rate will the nurse set the infusion pump?
Correct Answer: 125
Rationale: Calculation: 1 liter = 1000 mL ÷ 8 hours = 125 mL/hour. The infusion pump should be set to 125 mL/hour.
Question 3 of 5
A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Exploring side effects fosters trust and informs next steps.
Choice B risks withdrawal symptoms.
Choice C delays assessment.
Choice D dismisses concerns potentially reducing adherence.
Question 4 of 5
The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:
Correct Answer: A
Rationale: Tricyclic antidepressants take about 4 weeks for full effect due to neurotransmitter adjustment.
Choice B applies to MAOIs.
Choice C is incorrect as TCAs can be used with antianxiety agents.
Choice D is partially true but not the primary focus.
Question 5 of 5
A nurse is preparing to administer lorazepam 2 mg IV for a client with acute anxiety. The available concentration is 4 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.5
Rationale: Calculation: 2 mg ÷ 4 mg/mL = 0.5 mL. The nurse should administer 0.5 mL.